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Health Education Research, Vol. 13, No. 1, 109-122, 1998
© 1998 Oxford University Press

other

Community Intervention Trial for Smoking Cessation (COMMIT): changes in community attitudes toward cigarette smoking

S. Martin Taylor, Nancy A. Ross, K. Michael Cummings1, Russell E. Glasgow2, Charles H. Goldsmith, Mark P. Zanna3, Donald K. Corle4 and for the COMMIT Research Group

McMaster University, Hamilton Ontario L8S 4K1, Canada
1Rosewell Park Cancer Institute Buffalo, 14263 NY, USA
2Oregon Research Institute Eugene, OR 97401, USA
3University of Waterloo Waterloo, Ontario N2L 3G1, Canada
4National Cancer Institute, Division of Cancer Prevention and Control (Biometry Branch) Bethesda, MD 20892, USA

The success of the Community Intervention Trial for Smoking Cessation (COMMIT) in changing smoking attitudes is examined by testing two primary hypotheses: (1) the priority of smoking as a public health problem increased more in the intervention communities than in the comparison communities, and (2) norms and values that support non-smoking increased more in the intervention than in the comparison communities. One community within each of 11 matched pairs was randomly assigned to receive a 4-year (1989–92) community-based smoking control intervention. Community attitudes towards smoking were measured primarily by cross-sectional surveys in 1989 (n = 9875) and 1993 (n = 14117) but a cohort (n = 5450) also provided attitude information. The main trial effect was on heavy smokers in the intervention communities who showed significantly more change in their beliefs about smoking as a public health problem. Despite the absence of an intervention-comparison difference, the magnitude of change in community-wide norms and values was related to the level of smoking control activities. In the cohort, light-to-moderate smokers in the intervention communities came to have stronger beliefs about smoking as a serious public health problem. COMMIT's impact on the beliefs of heavy smokers about the seriousness of smoking as a public health problem has important public health implications.


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[Abstract] [Full Text] [PDF]


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