Community organization may enlist neighborhood formal and informal networks to promote nonsmoking among low income black Americans. An 18- month, Nonsmoking Promotion Program stressing broad promotion of smoking cessation through informal networks will (a) be implemented through a social welfare agency which emphasizes program direction and implementation by neighborhood residents, (b) utilize Neighborhood Steering Committees to develop the program and guide its implementation, including promotional materials and activities, (c) utilize neighborhood residents to promote nonsmoking and recruit participants to program activities, and (d) offer smokers a choice of 2 quitting procedures, self-help manuals selected by Neighborhood Steering Committees to be appropriate for their audiences, and American Lung Association group cessation clinics modified for low income, black audiences. The intervention will be staggered by 1 month in each of 4, predominantly black neighborhoods. Primary evaluation will be by teleplhone survey of 2,500 residents from the 4 target neighborhoods and an equal number from comparison neighborhoods in Kansas City, at pre-, mid-, post- intervention, and 6-month follow-up. Behavioral Risk Factor Surveillance items on smoking and cardiovascular risks will comprise the survey, allowing comparison tto statewid samples and national samples for the 36 states utilizing this instrument, coordinated by the Centers for Disease control. Project evaluation will also include program participation rates and effects, social support and network processes, community organizational factors mediating program impacts, community acceptance, and cost analysis.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
1R01HL043555-01
Application #
3362196
Study Section
(SRC)
Project Start
1989-09-29
Project End
1992-07-31
Budget Start
1989-09-29
Budget End
1990-07-31
Support Year
1
Fiscal Year
1989
Total Cost
Indirect Cost
Name
Washington University
Department
Type
Schools of Medicine
DUNS #
062761671
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Fisher, E B; Auslander, W F; Munro, J F et al. (1998) Neighbors for a smoke free north side: evaluation of a community organization approach to promoting smoking cessation among African Americans. Am J Public Health 88:1658-63
Dietz, M J; Simoes, E J; Waterman, B et al. (1998) Prevalence changes in modifiable cardiovascular disease risk factors in three Missouri regions, 1990-1996. Mo Med 95:654-62
Arfken, C L; Houston, C A (1996) Obesity in inner-city African Americans. Ethn Health 1:317-26
Fisher Jr, E B; Sussman, L K; Arfken, C et al. (1994) Targeting high risk groups. Neighborhood organization for pediatric asthma management in the Neighborhood Asthma Coalition. Chest 106:248S-259S
Fisher Jr, E B; Lichtenstein, E; Haire-Joshu, D et al. (1993) Methods, successes, and failures of smoking cessation programs. Annu Rev Med 44:481-513
Brownson, R C; Jackson-Thompson, J; Wilkerson, J C et al. (1992) Demographic and socioeconomic differences in beliefs about the health effects of smoking. Am J Public Health 82:99-103
Auslander, W F; Haire-Joshu, D; Houston, C A et al. (1992) Community organization to reduce the risk of non-insulin-dependent diabetes among low-income African-American women. Ethn Dis 2:176-84
Fisher Jr, E B; Hill, R D (1990) Perspectives on older smokers. Chest 97:517-8