Fisher E B, Auslander W F, Munro J F, Arfken C L, Brownson R C, Owens N W
Division of Health Behavior Research, Washington University, St. Louis, MO 63108, USA.
Am J Public Health. 1998 Nov;88(11):1658-63. doi: 10.2105/ajph.88.11.1658.
This study evaluated a community organization approach that emphasized involvement of audiences in program planning and implementation in promoting nonsmoking among African American residents of low-income neighborhoods.
The quasi-experimental design involved a 24-month intervention in 3 low-income, predominantly African American neighborhoods in St. Louis. Intervention neighborhoods were compared with comparable, untreated neighborhoods in Kansas City.
The program was successful in engaging audience members in its governance and in instigating numerous and diverse neighborhood activities to promote nonsmoking. The prevalence of smoking declined from 34% to 27% in program neighborhoods but only from 34% to 33% in comparison neighborhoods. This difference was apparent within all demographically defined subsamples, indicating that observed changes were consistent and not attributable to confounding by demographic characteristics.
A community organization approach emphasizing local authority for program decisions and involvement of informal networks may have an appreciable impact on smoking among residents of low-income, African American neighborhoods.
本研究评估了一种社区组织方法，该方法强调让受众参与项目规划和实施，以促进低收入社区的非裔美国居民戒烟。
采用准实验设计，在圣路易斯的3个低收入、主要为非裔美国人的社区进行了为期24个月的干预。将干预社区与堪萨斯城类似的未处理社区进行比较。
该项目成功地让受众成员参与其治理，并激发了众多多样的社区活动以促进戒烟。项目社区的吸烟率从34%降至27%，而对照社区仅从34%降至33%。这种差异在所有按人口统计学定义的子样本中都很明显，表明观察到的变化是一致的，并非由人口特征的混杂因素所致。
一种强调项目决策的地方自主权和非正式网络参与的社区组织方法，可能会对低收入非裔美国社区居民的吸烟行为产生显著影响。
