title: Effect of a smoking cessation intervention for women in subsidized neighborhoods: A randomized controlled trial.
abstract: To evaluate the effectiveness of a community based participatory research (CBPR) developed, multi-level smoking cessation intervention among women in subsidized housing neighborhoods in the Southeastern US.
  
  
  
  A total of n=409 women in 14 subsidized housing neighborhoods in Georgia and South Carolina participated in this group randomized controlled trial conducted from 2009 to 2013. Intervention neighborhoods received a 24-week intervention with 1:1 community health worker contact, behavioral peer group sessions, and nicotine replacement. Control neighborhoods received written cessation materials at weeks 1, 6, 12, 18. Random coefficient models were used to compare smoking abstinence outcomes at 6 and 12months. Significance was set a p<0.05.
  
  
  
  The majority of participants (91.2%) were retained during the 12-month intervention period. Smoking abstinence rates at 12months for intervention vs. control were 9% vs. 4.3%, p=0.05. Additional analyses accounting for passive smoke exposure in these multi-unit housing settings demonstrated 12month abstinence rates of 12% vs. 5.3%, p=0.016. However, in the multivariate regression analyses, there was no significant effect of the intervention on the odds of being a non-smoker (OR=0.44, 95% CI: 0.18-1.07). Intervention participants who kept coach visits, attended group sessions, and used patches were more likely to remain abstinent.
  
  
  
  This CBPR developed intervention showed potential to engage smokers and reduce smoking among women in these high-poverty neighborhoods. Effectiveness in promoting cessation in communities burdened with fiscal, environmental and social inequities remains a public health priority.
authors.affiliation: University of South Carolina, College of Nursing, 1601 Greene Street, Columbia, SC 29208, USA. Electronic address: j.andrews@sc.edu.
authors.forename: Jeannette O
authors.initials: JO
authors.lastname: Andrews
authors.affiliation: Medical University of South Carolina, College of Nursing, 99 Jonathan Lucas St., MSC 160, Charleston, SC 29425-1600, USA.
authors.forename: Martina
authors.initials: M
authors.lastname: Mueller
authors.affiliation: Medical University of South Carolina, College of Nursing, 99 Jonathan Lucas St., MSC 160, Charleston, SC 29425-1600, USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Dooley
authors.affiliation: Medical University of South Carolina, College of Nursing, 99 Jonathan Lucas St., MSC 160, Charleston, SC 29425-1600, USA.
authors.forename: Susan D
authors.initials: SD
authors.lastname: Newman
authors.affiliation: Medical University of South Carolina, College of Nursing, 99 Jonathan Lucas St., MSC 160, Charleston, SC 29425-1600, USA.
authors.forename: Gayenell S
authors.initials: GS
authors.lastname: Magwood
authors.affiliation: Augusta University, Medical College of Georgia, 1120 Fifteenth Street, HS-1755, Augusta, GA 30912, USA.
authors.forename: Martha S
authors.initials: MS
authors.lastname: Tingen
mesh_terms: D000328:Adult; D003150:Community Health Workers; D055812:Community-Based Participatory Research; D005260:Female; D005845:Georgia; D006293:Health Promotion; D006801:Humans; D011203:Poverty; D016540:Smoking Cessation / Q000379:methods*; D064890:Social Determinants of Health; D013022:South Carolina; D061485:Tobacco Use Cessation Devices / Q000706:statistics & numerical data
keywords: Group randomized controlled trial; Public housing neighborhoods; Social determinants of health; Tobacco use