The 130th Annual Meeting of APHA

5081.0: Wednesday, November 13, 2002 - 12:48 PM

Abstract #45730

Safe Project: Developing effective tobacco control coalitions and interventions in rural communities

Jim Davis, PhD, Dean Andersen, and Xiaoming Gao. Rural Sociology Department, University of Missouri, 228 Gentry Hall, Social Sciences Unit, Columbia, MO 65211, 573-882-3384,

The Smoke-Free Air for Everyone (SAFE) Project examined the effect of community advocacy for business compliance with the Missouri state Clean Indoor Air Law on smoking initiation as youth move through the vulnerable stage between 7th and 10th grade. The pre-post randomized community trial involved 48 rural Missouri communities. Thirty-two communities developed local coalitions and implemented locally planned activities, while 16 communities were maintained as controls with no SAFE Project activities. Intervention activities were focused on reducing adult role modeling of smoking behavior (i.e., restricting adult smoking in public places) and limiting the number of public places where youth could smoke in rural communities. School-based surveys (10,000) were used to assess youth smoking behavior and related variables. Anonymous compliance checks (3200) in local businesses were used to determine compliance with the state Clean Indoor Air Law. This presentation provides an overview of primary study outcomes (i.e., changes in clean indoor air law compliance and youth smoking initiation), identifies effective coalition building strategies for rural communities, and characterizes successful community-based intervention activities.

Learning Objectives:

Keywords: Tobacco Control, Rural Communities

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Tobacco Control Research in Targeted Populations

The 130th Annual Meeting of APHA