Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Am J Prev Med. 2015 Jan;48(1 Suppl 1):S21-8. doi: 10.1016/j.amepre.2014.10.002.
The Oklahoma Communities of Excellence in Tobacco Control (CX) program was established in 2004. Thirty-three CX grants have been funded to implement comprehensive tobacco control programs in 50 counties and one tribal nation.
To describe local tobacco policy gains within CX counties and short-term and intermediate outcomes such as Oklahoma Tobacco Helpline registration and awareness, quit attempts, and home smoking bans among adults.
A before-and-after study design examined outcomes within CX counties and among CX urban and rural counties. Comparisons were made with non-funded counties when possible. Local policy tracking databases were reviewed for the number of policies implemented from 2004 to 2013 in CX counties. Population-level tobacco indicators, using Helpline registration and 2004-2010 Behavioral Risk Factor Surveillance System data, quantified changes over time. Data were collected in 2003-2013 and analyzed in 2013.
Eight hundred thirty-one legislated and voluntary policies were implemented in CX counties and high levels of Helpline registration were maintained. Statistically significant increases were observed in CX counties for the proportion of smokers making a quit attempt, Helpline awareness, and home smoking bans among smokers. These observed increases were greater in rural CX counties than urban. Non-CX counties only experienced a statistically significant increase in Helpline awareness.
Using community-based best practices in tobacco control while focusing on social norm change, CX counties experienced positive changes in smoking-related attitudes and behaviors. This study expands the evidence base for statewide tobacco control programming and underscores the value of community-based tobacco control programs.
俄克拉荷马州卓越社区烟草控制（CX）计划于 2004 年成立。已经为 33 个 CX 项目提供资金，以在 50 个县和一个部落地区实施全面的烟草控制计划。
描述 CX 县内的地方烟草政策成果，以及俄克拉荷马州烟草热线注册和认知、戒烟尝试以及成年人家庭禁烟等短期和中期结果。
采用前后对比设计，研究 CX 县内以及 CX 城乡县的结果。在可能的情况下，与未获得资助的县进行了比较。对 CX 县 2004 年至 2013 年实施政策的数量进行了地方政策跟踪数据库审查。利用热线注册和 2004-2010 年行为风险因素监测系统数据，衡量了人口层面烟草指标随时间的变化。数据于 2003-2013 年收集，并于 2013 年进行了分析。
CX 县共实施了 831 项立法和自愿政策，热线注册率保持在较高水平。在 CX 县，吸烟者戒烟尝试比例、热线认知度和家庭禁烟率均呈显著上升趋势。农村 CX 县的这些增长幅度大于城市。非 CX 县仅在热线认知度方面出现了统计学上的显著增长。
CX 县利用基于社区的烟草控制最佳实践，重点关注社会规范的改变，在与吸烟相关的态度和行为方面取得了积极变化。本研究扩展了全州烟草控制规划的证据基础，强调了基于社区的烟草控制项目的价值。
