Examining smoke-free coalitions in Armenia and Georgia: baseline community capacity.

Autor: Berg CJ; Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA, USA.; Winship Cancer Institute, Emory University, 1365 Clifton Road NE, Atlanta, GA, USA., Dekanosidze A; National Center for Disease Control and Public Health, 4 Kakheti Hwy, Tbilisi, Georgia., Torosyan A; National Institute of Health named after academician S. Avdalbekyan, MoH, Komitasi Ave. 49/4, Yerevan, Armenia., Grigoryan L; National Institute of Health named after academician S. Avdalbekyan, MoH, Komitasi Ave. 49/4, Yerevan, Armenia., Sargsyan Z; Turpanjian School of Public Health, American University of Armenia, 40 Marshal Baghramyan Ave., Yerevan, Armenia., Hayrumyan V; Turpanjian School of Public Health, American University of Armenia, 40 Marshal Baghramyan Ave., Yerevan, Armenia., Topuridze M; National Center for Disease Control and Public Health, 4 Kakheti Hwy, Tbilisi, Georgia., Sturua L; National Center for Disease Control and Public Health, 4 Kakheti Hwy, Tbilisi, Georgia., Harutyunyan A; Turpanjian School of Public Health, American University of Armenia, 40 Marshal Baghramyan Ave., Yerevan, Armenia., Kvachantiradze L; National Center for Disease Control and Public Health, 4 Kakheti Hwy, Tbilisi, Georgia., Maglakelidze N; National Center for Disease Control and Public Health, 4 Kakheti Hwy, Tbilisi, Georgia., Gamkrelidze A; National Center for Disease Control and Public Health, 4 Kakheti Hwy, Tbilisi, Georgia., Abovyan R; Department of Epidemiology of Noncommunicable and Nosocomial Infectious Disease, National Center for Disease Control and Prevention, MOH RA, Mkhitar Heratsu St. 12, Yerevan, Armenia., Bazarchyan A; National Institute of Health named after academician S. Avdalbekyan, MoH, Komitasi Ave. 49/4, Yerevan, Armenia., Kegler MC; Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA, USA.; Winship Cancer Institute, Emory University, 1365 Clifton Road NE, Atlanta, GA, USA.
Jazyk: angličtina
Zdroj: Health education research [Health Educ Res] 2019 Oct 01; Vol. 34 (5), pp. 495-504.
DOI: 10.1093/her/cyz024
Abstrakt: 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.
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Databáze: MEDLINE
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