title: Helping women quit smoking: results of a community intervention program.
abstract: OBJECTIVE
  This intervention was implemented to reduce the prevalence of cigarette smoking among women.
  
  
  METHODS
  We used community organization approaches to create coalitions and task forces to develop and implement a multicomponent intervention in 2 counties in Vermont and New Hampshire, with a special focus on providing support to help women quit smoking. Evaluation was by pre-intervention and post-intervention random-digit-dialed telephone surveys in the intervention counties and the 2 matched comparison counties.
  
  
  RESULTS
  In the intervention counties, compared with the comparison counties, the odds of a woman being a smoker after 4 years of program activities were 0.88 (95% confidence interval = 0.78, 1.00) (P = .02, 1-tailed); women smokers' perceptions of community norms about women smoking were significantly more negative (P = .002, 1-tailed); and the quit rate in the past 5 years was significantly greater (25.4% vs 21.4%; P = .02, 1-tailed). Quit rates were significantly higher in the intervention counties among younger women (aged 18 to 44 years); among women with household annual incomes of $25,000 or less; and among heavier smokers (those who smoked 25 or more cigarettes daily).
  
  
  CONCLUSIONS
  In these rural counties, community participation in planning and implementing interventions was accompanied by favorable changes in women's smoking behavior.
authors.affiliation: University of Vermont, Burlington, USA. rseckerw@zoo.uvm.edu
authors.forename: R H
authors.initials: RH
authors.lastname: Secker-Walker
authors.forename: B S
authors.initials: BS
authors.lastname: Flynn
authors.forename: L J
authors.initials: LJ
authors.lastname: Solomon
authors.forename: J M
authors.initials: JM
authors.lastname: Skelly
authors.forename: A L
authors.initials: AL
authors.lastname: Dorwaldt
authors.forename: T
authors.initials: T
authors.lastname: Ashikaga
mesh_terms: D000293:Adolescent; D000328:Adult; D019058:Community Networks / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods; D006801:Humans; D007182:Income; D008875:Middle Aged; D009513:New Hampshire / Q000453:epidemiology; D015995:Prevalence; D012424:Rural Population; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods* / Q000706:statistics & numerical data; D012944:Social Support; D014707:Vermont / Q000453:epidemiology