title: Smoke-free policies at home, church, and work: smoking levels and recent quit attempts among a southeastern rural population, 2007.
abstract: OBJECTIVE
  The objective of this study was to examine the cumulative effect of smoke-free policies and social support for smoking cessation in the home, at church, and at work on smoking levels and quit attempts in the context of a community-based study of rural African Americans and whites in the Southeast.
  
  
  METHODS
  We conducted a baseline survey to assess sociodemographics, smoking behavior, level of social support for smoking cessation, and smoke-free policies at home, church, and work. We created a variable for a weighted "dose" of smoking restrictions on the basis of the existence of policies in the 3 settings and a weighted score for social support and used bivariate analyses and multivariate regression to analyze data.
  
  
  RESULTS
  Of 134 survey participants, 18.7% had complete restrictions at home. Among church attendees, 39.4% had complete restrictions at church, and among those employed outside the home, 15.4% had complete restrictions at work. After controlling for age, sex, race, and education, the weighted dose of smoking restrictions was significantly related to having made a quit attempt in the past 12 months (odds ratio, 2.2; 95% confidence interval, 1.1-4.3) but not number of cigarettes smoked per day. Social support for cessation had no effect on recent quit attempts or number of cigarettes smoked per day.
  
  
  CONCLUSIONS
  Smoke-free policies have a cumulative effect on smoking behavior. These findings may inform interventions aimed at promoting comprehensive community-wide smoke-free policies.
authors.affiliation: Department of Behavioral Sciences and Health Education, Emory University, 1518 Clifton Rd NE, 5th Fl, Atlanta, GA 30322, USA. cjberg@emory.edu
authors.forename: Carla J
authors.initials: CJ
authors.lastname: Berg
authors.forename: Deanne W
authors.initials: DW
authors.lastname: Swan
authors.forename: George
authors.initials: G
authors.lastname: Fredrick
authors.forename: Sandra
authors.initials: S
authors.lastname: Daniel
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Kegler
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005845:Georgia / Q000453:epidemiology; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011050:Policy Making; D012189:Retrospective Studies; D012424:Rural Population; D012907:Smoking / Q000453:epidemiology / Q000331:legislation & jurisprudence*; D016540:Smoking Cessation / Q000331:legislation & jurisprudence*; D012931:Social Environment; D012944:Social Support