Community interventions for reducing smoking among adults
Cochrane Database of Systematic ReviewsPublished 22 April 2002
Roger H. Secker‐Walker, Wendy Gnich, Stephen Platt, Tim Lancaster
Citations104
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SJR score1.62
SNIP2.04
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TL;DR
The failure of the largest and best conducted studies to detect an effect on prevalence of smoking is disappointing, and designers of future programmes will need to take account of this limited effect in determining the scale of projects and the resources devoted to them.
Abstract
The failure of the largest and best conducted studies to detect an effect on prevalence of smoking is disappointing. A community approach will remain an important part of health promotion activities, but designers of future programmes will need to take account of this limited effect in determining the scale of projects and the resources devoted to them.
Keywords
MedicineHealth Professions
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The results suggest that multiple intervention components such as behavioral education in schools, booster programs to sustain training, and complementary communitywide strategies may all be needed for lasting reductions in adolescent tobacco use.
Journal of Community HealthReducing the risk of cardiovascular disease
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New England Journal of MedicineTobacco and Health
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Cochrane Database of Systematic ReviewsHypnotherapy for smoking cessation
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International Journal of EpidemiologyCommunity-Based Intervention: The Coronary Risk Factor Study (CORIS)
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The Cochrane Database of Systematic ReviewsHypnotherapy for smoking cessation
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American Journal of Public HealthNeighbors for a smoke free north side: evaluation of a community organization approach to promoting smoking cessation among African Americans.
67 Citations1998Edwin B. Fisher, Wendy F. Auslander +4 more
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Journal of Epidemiology & Community HealthMaintaining evaluation designs in long term community based health promotion programmes: Heartbeat Wales case study.
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Information on large scale, community based health promotion programmes can disseminate quickly and interfere with classic intervention/evaluation control designs through contamination.
European Heart JournalThe German Cardiovascular Prevention Study (GCP): design and methods
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Journal of Epidemiology & Community HealthShifting the distribution of risk: results of a community intervention in a Swedish programme for the prevention of cardiovascular disease.
65 Citations1999Lars Weinehall, Göran Westman +5 more
It was concluded that a long term community based CVD prevention programme that combines population and individual strategies can substantially promote a health shift in CVD risk in a high risk rural population.
Social Science & MedicineUnderstanding the variability in the effectiveness of community heart health programs: A meta-analysis
63 Citations1997Deborah E. Sellers, Sybil L. Crawford +2 more
The results of this analysis suggest that the characteristics of the evaluation method account for much of the heterogeneity in the outcome of CHHPs, though some intervention characteristics also play a role.
Preventive MedicineEvaluation of two community-wide smoking cessation contests
63 Citations1987John P. Elder, Sarah McGraw +6 more
Lotteries in general and face-to-face recruitment in large crowds were shown to be effective recruiting methods for large-scale smoking cessation programs.
American Journal of Health PromotionSmoking Cessation in Texas-Mexico Border Communities: A Quasi-Experimental Panel Study
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Media campaigns were combined with different forms of intensive and community-wide interpersonal communication to encourage smoking cessation in a border U. S. city and in a Mexican city to indicate that such programs may yield effects similar to those of more intensive approaches.
CirculationThe Belgian heart disease prevention project. Modification of the coronary risk profile in an industrial population.
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American Journal of Public HealthHelping women quit smoking: results of a community intervention program
60 Citations2000Roger H. Secker‐Walker, Brendan Flynn +4 more
In these rural counties, community participation in planning and implementing interventions was accompanied by favorable changes in women's smoking behavior and this intervention was implemented to reduce the prevalence of cigarette smoking among women.
PubMedCoronary risk factor screening in three rural communities. The CORIS baseline study.
60 Citations1983Jacques E. Rossouw, J. P. Du Plessis +5 more
The interaction of high levels of lifestyle-induced risk factors with constitutional predisposition could adequately explain any excess risk of IHD in the Afrikaans-speaking community.
Journal of Health CommunicationMedia and Community Campaign Effects on Adult Tobacco Use in Texas
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Results show that exposure to media messages was related to processes of change in smoking cessation and that those processes were related to the quitting that was observed in the group receiving the most intensive campaigns.
Preventive MedicineAttitudes and practices of physicians regarding hypertension and smoking: The Stanford five city project
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International Journal of EpidemiologyChanging Social Patterns of Risk Factors for Cardiovascular Disease in a Swedish Community Intervention Programme
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Journal of Epidemiology & Community HealthSocial class and risk factors for coronary heart disease in the Federal Republic of Germany. Results of the baseline survey of the German Cardiovascular Prevention Study (GCP).
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PubMedA partnership with minority populations: a community model of effectiveness research.
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The continuing high smoking prevalence rate among Vietnamese men in Santa Clara County suggests a need for continuing intervention, particularly among recent immigrants.
Annals of MedicineThe North Karelia Project: 15 Years of Community-Based Prevention of Coronary Heart Disease
53 Citations1989Pekka Puska, Jaakko Tuomilehto +6 more
The authors present the 15 years' results and some of the most recent findings of the North Karelia Project, and discuss the overall experience and its national an international implications.
Preventive MedicineCigarette Smoking Trends in Adolescents and Young Adults: The Stanford Five-City Project
53 Citations1993Marilyn A. Winkleby, Stephen P. Fortmann +1 more
Despite impressive secular declines, it appears that the Five-City Project community intervention, which targeted smoking in adults, did not have a diffusion effect on the tobacco use habits of adolescents.
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