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Examining smoke-free coalitions in Armenia and Georgia: baseline community capacity.
- Source :
- Health Education Research; Oct2019, Vol. 34 Issue 5, p495-504, 10p
- Publication Year :
- 2019
-
Abstract
- Local coalitions can advance public health initiative but have not been widely used or well-studied in low- and middle-income countries. This paper provides (i) an overview of an ongoing matched-pairs community-randomized controlled trial in 28 communities in Armenia and Georgia (N = 14/country) testing local coalitions to promote smoke-free policies/enforcement and (ii) characteristics of the communities involved. In July–August 2018, key informants (e.g. local public health center directors) were surveyed to compare their non-communicable disease (NCD) and tobacco-related activities across countries and across condition (intervention/control). More than half of the informants (50.0–57.1%) reported their communities had programs addressing hypertension, diabetes, cancer and human papilloma virus, with 85.7% involving community education and 32.1% patient education programs. Eleven communities (39.3%) addressed tobacco control, all of which were in Georgia. Of those, all included public/community education and the majority (72.7–81.8%) provided cessation counseling/classes, school/youth prevention programs, healthcare provider training or activities addressing smoke-free environments. Informants in Georgia versus Armenia perceived greater support for tobacco control from various sectors (e.g. government, community). No differences were found by condition assignment. This paper provides a foundation for presenting subsequent analyses of this ongoing trial. These analyses indicate wide variability regarding NCD-related activities and support across communities and countries. [ABSTRACT FROM AUTHOR]
- Subjects :
- SMOKING prevention
ANALYSIS of variance
CHI-squared test
COALITIONS
COMMUNITIES
HEALTH policy
PAIRED comparisons (Mathematics)
RESEARCH funding
STATISTICAL sampling
STATISTICS
SOCIOECONOMIC factors
RANDOMIZED controlled trials
TREATMENT effectiveness
HUMAN services programs
DATA analysis software
DESCRIPTIVE statistics
NON-communicable diseases
Subjects
Details
- Language :
- English
- ISSN :
- 02681153
- Volume :
- 34
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Health Education Research
- Publication Type :
- Academic Journal
- Accession number :
- 138837211
- Full Text :
- https://doi.org/10.1093/her/cyz024