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- Title
Examining smoke-free coalitions in Armenia and Georgia: baseline community capacity.
- Authors
Berg, Carla J; Dekanosidze, Ana; Torosyan, Arevik; Grigoryan, Lilit; Sargsyan, Zhanna; Hayrumyan, Varduhi; Topuridze, Marina; Sturua, Lela; Harutyunyan, Arusyak; Kvachantiradze, Lela; Maglakelidze, Nino; Gamkrelidze, Amiran; Abovyan, Romela; Bazarchyan, Alexander; Kegler, Michelle C
- 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.
- Subjects
ARMENIA; GEORGIA; 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
- Publication
Health Education Research, 2019, Vol 34, Issue 5, p495
- ISSN
0268-1153
- Publication type
Article
- DOI
10.1093/her/cyz024