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Changes in adult cigarette smoking in the Minnesota Heart Health Program
Journal article   Open access   Peer reviewed

Changes in adult cigarette smoking in the Minnesota Heart Health Program

Harry A Lando, Terry F Pechacek, Phyllis L Pirie, David M Murray, Maurice B Mittelmark, Edward Lichtenstein, Faryle Nothwehr and Clifton Gray
American journal of public health (1971), Vol.85(2), pp.201-208
02/01/1995
DOI: 10.2105/AJPH.85.2.201
PMCID: PMC1615309
PMID: 7856779
url
https://doi.org/10.2105/AJPH.85.2.201View
Published (Version of record) Open Access

Abstract

The Minnesota Heart Health Program was a research and demonstration project designed to reduce risk factors for heart disease in whole communities. This paper describes smoking-specific interventions and outcomes. Three pairs of matched communities were included in the study. After baseline surveys, one community in each pair received a 5-year education program, while both cross-sectional and cohort surveys continued in all sites. Adult education programs for smoking cessation included Quit and Win contests, classes, self-help materials, telephone support, and home correspondence programs. Encouraging short-term results were obtained for several adult education programs. Overall long-term outcomes were mixed, with evidence of an intervention effect only for women in cross-sectional survey data. Unexpectedly strong secular declines in smoking prevalence were observed in comparison communities. The findings suggest that community education may be unlikely to exceed dramatic secular reductions in smoking prevalence. The success of several key interventions and the incorporation of Minnesota Heart Health Program interventions by education communities are encouraging, however.
Adults Cardiovascular Disease Cholesterol Heart Public Health Adult education Blood pressure Community Hypotheses Intervention Medical personnel Participation Population Risk factors Self help Smoking cessation Survival analysis

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