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Examining smoke-free coalitions in Armenia and Georgia: baseline community capacity.
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- المؤلفون: Berg, Carla J1,2 ; Dekanosidze, Ana3; Torosyan, Arevik4; Grigoryan, Lilit4; Sargsyan, Zhanna5; Hayrumyan, Varduhi5; Topuridze, Marina3; Sturua, Lela3; Harutyunyan, Arusyak5; Kvachantiradze, Lela3; Maglakelidze, Nino3; Gamkrelidze, Amiran3; Abovyan, Romela6; Bazarchyan, Alexander4; Kegler, Michelle C1,2
- المصدر:
Health Education Research. Oct2019, Vol. 34 Issue 5, p495-504. 10p.
- الموضوع:
- معلومة اضافية
- الموضوع:
- نبذة مختصرة :
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. [ABSTRACT FROM AUTHOR]
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