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  1. Fulltext. Community Intervention Trial for Smoking Cessation (COMMIT). II : Changes in adult cigarette smoking prevalence.

    Article - En anglais

    Fulltext.

    Objectives

    COMMIT (Community Intervention Trial for Smoking Cessation) investigated whether a community-level multichannel intervention would decrease the prevalence of adult cigarette smoking and increase quitting, with heavy smokers (=25 cigarettes per day) receiving the highest priority.

    Methods

    One community within each of 11 matched community pairs (10 in the United States, 1 in Canada) was randomly assigned to intervention.

    Baseline (1988) and final (1993) telephone surveys sampled households to determine prevalence of smoking behavior.

    Results

    Among the target population aged 25 to 64 years, there was no intervention effect on heavy smoking prevalence, which decreased by 2.9 percentage points in both intervention and comparison communities.

    Overall smoking prevalence decreased by 3.5 in intervention communities vs 3.2 in comparision communities, a difference not statistically significant, while the mean quit ratios were 0.198 versus 0.185, respectively, a difference of 0.013 (90% test-based confidence interval=-0.003,0.028).

    Conclusions

    Results are consistent with the cohort analysis reported separately, although the more powerful cohort design showed a statistically significant intervention effect upon light-to-moderate smokers.

    This community-based intervention did not have a significant impact on smoking prevalence beyond the favorable secular trends.

    In future efforts, additional strategies should be incorporated and rigorously evaluated.

    Mots-clés Pascal : Programme sanitaire, Tabagisme, Sevrage toxique, Evaluation, Efficacité, Epidémiologie, Prévalence, Homme, Etats Unis, Canada, Promotion santé, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Sanitary program, Tobacco smoking, Poison withdrawal, Evaluation, Efficiency, Epidemiology, Prevalence, Human, United States, Canada, Health promotion, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0250095

    Code Inist : 002B30A03A. Création : 01/03/1996.