COMMUNITY COALITIONS TO HELP WOMEN QUIT SMOKING

这项提案的目标是降低慢性病的发病率 女性的肺部疾病和其他与吸烟有关的疾病 推行长远而全面的社区教育计划 帮助女性戒烟。目标包括：激励妇女 尝试戒烟；为尝试提供支持；影响 社会规范；并支持发展一个持久的 社区对减少吸烟的承诺。该计划将是 面向所有18岁女性-- 居住在佛蒙特州和新罕布夏州的两个县，特别是 那些受教育程度和收入水平较低的人。在每个县， 将建立一个社区组织联盟来规划 并实施该计划。戒烟教育将量身定做 以满足女性的需求和戒烟阶段。计划组件包括 频繁、集中的戒烟信息由各种不同的 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和 活动；为试图戒烟的妇女提供支持系统；以及其他 支持社区和媒体活动。该计划将是 在3.5年的初始阶段由当地计划提供支持 员工，以大学为基础的专家和计划的核心员工 来自美国肺脏协会州附属机构的顾问 协会。在启动阶段，联盟将 发展一种独立的身份，这将维持一个社区 把重点放在吸烟问题上。 为了评估该计划的有效性，从人口统计角度看，有四个 在两个州已经确定了类似的县。这四个人 县已配对；每对中有一名成员位于 佛蒙特州，还有一个在新罕布夏州。一对县有 已被选择接收节目；另一对将不会 接收节目。独立随机数字电话调查 约6600名女性和1000名男性将在所有四个国家进行 在最初的筹资期间，在三个县： 在项目开始前；项目开始一年后；以及 该计划开始三年半后。这些女性的亚样本 报告他们是当前吸烟者或已经戒烟的人将被跟踪- 在每次电话调查之后，通过以下方式验证吸烟状况 一种生化测量。中介变量也将被测量 在这些调查中。评估该计划的持久影响 在撤出外部支助后，将提供额外资金 寻求在最初的五年资助期后进行 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.