The 130th Annual Meeting of APHA

4173.0: Tuesday, November 12, 2002 - 3:06 PM

Abstract #51046

State and community tobacco control programs and indicators of cessation

Andrew Hyland, PhD1, K. Michael Cummings, PhD, MPH1, Joseph Bauer, PhD1, Qiang Li1, and Gary Giovino, PhD2. (1) Cancer Prevention, Epidemiology & Biostatistics, Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, NY 14263, 716-845-8391,, (2) Cancer Prevention, Epidemiology and Biostatistics, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263

OBJECTIVE: The COMMIT intervention increased quit rates among light to moderate smokers. Other state-based tobacco control programs exists and some have been shown to reduce tobacco use. The purpose of this study is to assess the long-term impact of these state and community programs on indicators of cessation behavior in a large cohort of smokers followed over 13 years.

METHODS: The Community Intervention Trial for Smoking Cessation was a randomized community-based trial that took place from 1988 to 1993 to assess the efficacy of a multifaceted approach to increase cessation rates in the population. Initial results indicate that COMMIT had a statistically significant 3% difference in cessation rates of light to moderate smokers, but no effects on heavy smokers. In this study, we administered a telephone interview in 2001 to 13,544 who originally were part of the COMMIT study and who had already completed tobacco use surveys in 1988 and 1993. 7,329 subjects were successfully re-interviewed in 2001. Outcome measures considered include quit attempts, six-month cessation, amount smoked, reduction in amount smoked, use of nicotine replacement therapy, and use of low-tar cigarettes.

RESULTS: Crude analyses indicate no overall long-term effect of the COMMIT intervention on cessation behavior. Additional analyses will be presented on the effect of large, state-based control programs such as tax-financed programs, ASSIST, IMPACT, and SmokeLess States on indicators of cessation, and we will examine whether effects exist for specific demographic subgroups.

SIGNIFICANCE: Current tobacco control program development will benefit from a better understanding of the long-term effects of past large-scale state and community-based tobacco control efforts.

Learning Objectives:

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.

Policy Interventions Research for Tobacco Control at the State and Local Level

The 130th Annual Meeting of APHA