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Related Experiment Videos

Community interventions for reducing smoking among adults.

R H Secker-Walker1, W Gnich, S Platt

  • 1Health Promotion Research, University of Vermont, 1 South Prospect Street, Burlington, Vermont 05401-3444, USA. rseckerw@zoo.uvm.edu

The Cochrane Database of Systematic Reviews
|July 26, 2002
PubMed
Summary
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Community-wide smoking cessation programs show limited effectiveness in reducing smoking prevalence. Despite reinforcement and support, large-scale studies found minimal impact on smoking rates, indicating a need for revised strategies.

Area of Science:

  • Public Health
  • Behavioral Science

Background:

  • Smoking behavior is influenced by social context.
  • Community-wide programs aim to reduce smoking prevalence through multi-channel support and norm reinforcement.

Purpose of the Study:

  • To evaluate the effectiveness of community interventions in reducing smoking prevalence among adult smokers.

Main Methods:

  • Searched specialized databases (Cochrane, MEDLINE, EMBASE) and reference lists.
  • Included controlled trials of community interventions targeting adult smokers.
  • Primary outcome was measured by changes in smoking behavior.

Main Results:

  • Thirty-two studies were included; only four used random assignment.
  • Estimated net decline in smoking prevalence varied, with mixed results for men and women.

Related Experiment Videos

  • Two rigorous studies (COMMIT, CART) showed limited evidence of significant impact on overall prevalence or quit rates for target groups.

    • Conclusions:

    • Large, well-conducted community intervention studies failed to demonstrate a significant reduction in smoking prevalence.
    • Community approaches remain vital for health promotion, but future program design must consider observed limited effects.
    • Resource allocation and project scale should be informed by the demonstrated impact of such interventions.