Effect of a smoking cessation intervention for women in subsidized neighborhoods: A randomized controlled trial

Jeannette O. Andrews, Martina Mueller, Mary Dooley, Susan D. Newman, Gayenell S. Magwood, Martha S. Tingen

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective 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. Methods 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 12 months. Significance was set a p < 0.05. Results The majority of participants (91.2%) were retained during the 12-month intervention period. Smoking abstinence rates at 12 months 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 12 month 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. Conclusions 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.

Original languageEnglish (US)
Pages (from-to)170-176
Number of pages7
JournalPreventive Medicine
Volume90
DOIs
StatePublished - Sep 1 2016

Fingerprint

Smoking Cessation
Randomized Controlled Trials
Community-Based Participatory Research
Smoking
Peer Group
Health Priorities
Poverty
Nicotine
Smoke
Multivariate Analysis
Public Health
Regression Analysis

Keywords

  • Group randomized controlled trial
  • Public housing neighborhoods
  • Social determinants of health
  • Tobacco use

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Effect of a smoking cessation intervention for women in subsidized neighborhoods : A randomized controlled trial. / Andrews, Jeannette O.; Mueller, Martina; Dooley, Mary; Newman, Susan D.; Magwood, Gayenell S.; Tingen, Martha S.

In: Preventive Medicine, Vol. 90, 01.09.2016, p. 170-176.

Research output: Contribution to journalArticle

Andrews, Jeannette O. ; Mueller, Martina ; Dooley, Mary ; Newman, Susan D. ; Magwood, Gayenell S. ; Tingen, Martha S. / Effect of a smoking cessation intervention for women in subsidized neighborhoods : A randomized controlled trial. In: Preventive Medicine. 2016 ; Vol. 90. pp. 170-176.
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abstract = "Objective 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. Methods 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 12 months. Significance was set a p < 0.05. Results The majority of participants (91.2{\%}) were retained during the 12-month intervention period. Smoking abstinence rates at 12 months 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 12 month 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. Conclusions 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.",
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