Effect of a smoking cessation intervention for women in subsidized neighborhoods: A randomized controlled trial.
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 12months. 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 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.


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.
['Andrews|Jeannette O|JO|', 'Mueller|Martina|M|', 'Dooley|Mary|M|', 'Newman|Susan D|SD|', 'Magwood|Gayenell S|GS|', 'Tingen|Martha S|MS|']
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 D064890:Social Determinants of Health D013022:South Carolina D061485:Tobacco Use Cessation Devices
Group randomized controlled trial Public housing neighborhoods Social determinants of health Tobacco use