COMMUNITY COALITIONS TO HELP WOMEN QUIT SMOKING

该提案的目标是减少慢性 吸烟导致的肺部疾病和其他与吸烟有关的疾病 实施长期的综合社区教育计划 帮助女性戒烟 目标包括：激励妇女 试图戒烟;为尝试提供支持;影响 社会规范;并支持发展一个持久的 社区致力于减少吸烟。 该计划将 针对18 - 64岁的全体妇女 生活在佛蒙特州和新罕布什尔州的两个县， 那些教育和收入水平较低的人。 在每个县， 将建立一个社区组织联盟， 并实施该计划。 戒烟教育将量体裁衣 女性的需求和戒烟阶段。 程序部件包括 由各种不同的机构提供的频繁、集中的戒烟信息， 帮助专业人员;获得自助戒烟材料; 参与社区戒烟计划的机会， 活动;为试图戒烟的妇女提供的支助系统;以及其他 支持社区和媒体活动。 该计划将 在3.5年的启动阶段，由当地计划提供支持 工作人员，大学专家的核心工作人员，和计划 来自美国肺脏协会州分会的顾问 协会 在启动阶段，联盟将 发展一个独立的身份， 关注吸烟问题。 为了评估该计划的有效性，四个人口统计学 在两个州确定了类似的县。 这四 县已配对;每对中的一个成员位于 佛蒙特州，还有一个在新罕布什尔州。 有两个县 被选中接受节目;另一对将不会 接收节目。 独立随机数字电话调查 大约6,600名女性和1,000名男性将在这四个城市进行 在最初供资期间，三次向各州提供了资金： 项目开始前;项目开始后一年;以及 3.5项目开始后的几年。 这些妇女的子样本， 报告他们是当前吸烟者或已经戒烟将被跟踪- 每次电话调查后， 一种生化指标 还将测量中介变量 在这些调查中。 评估该计划的持久影响 在外部支持撤出后，将提供额外资金， 在最初的五年资助期后， 在第七年和第九年进行了类似的人口调查。

The goal of this proposal is to reduce the prevalence of chronic lung diseases and other cigarette related illness in women by implementing a long-term comprehensive community education program to help women quit smoking. Objectives include: motivating women to attempt to quit; providing support for attempts; influencing social norms; and supporting the development of an enduring community commitment to smoking reduction. The program will be directed toward entire populations of women 18-64 years of age living in two counties in Vermont and New Hampshire, particularly those with lower educational and income levels. In each county, a coalition of community organizations will be established to plan and implement the program. Cessation education will be tailored to women's needs and stage of quitting. Program components include frequent, focused cessation messages delivered by a variety of helping professionals; access to self-help cessation materials; opportunities for participation in community cessation programs and events; support systems for women attempting to quit; and other supporting community and media activities. The program will be supported during the 3.5 year initiation phase by a local program staff, a core staff of university-based specialists, and program consultants from the state affiliates of the American Lung Association. During the initiation phase, the coalition will develop an independent identity which will sustain a community focus on cigarette smoking issues. To evaluate the effectiveness of the program, four demographically similar counties have been identified in two states. These four counties have been paired; one member of each pair is located in Vermont, and one is in New Hampshire. One pair of counties has been selected to receive the program; the other pair will not receive the program. Independent random digit telephone surveys of about 6,600 women and 1,000 men will be conducted in all four counties on three occasions during the initial funding period: before the program begins; one year after the program begins; and 3.5 years after the program begins. Sub-samples of those women who report that they are current smokers or have quit will be followed- up after each telephone survey to validate smoking status through a biochemical measure. Mediating variables will also be measured in these surveys. To assess the enduring impact of the program after withdrawal of external support, additional funding will be sought after the initial five year funding period to conduct similar population surveys during the seventh and ninth years.