Communities of Excellence in Tobacco Control

Rhoades, Rebekah R.; Beebe, Laura A.; Boeckman, Lindsay; Williams, Mary B.

doi:10.1016/j.amepre.2014.10.002

Cited by 8 publications

(2 citation statements)

References 5 publications

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“…The state of Oklahoma has made significant strides to reduce tobacco consumption and prevalence in recent decades. For example, comprehensive, community-based, tobacco control programs have been implemented in 50 counties throughout Oklahoma and one tribal nation to counter pro-tobacco influences [ 17 ]. Although no single intervention is solely responsible for Oklahoma’s progress, these community-based best practices are associated with positive changes in key outcomes related to tobacco use, including an increase in quit attempts and Oklahoma Tobacco Helpline awareness[ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Trends in Lung Cancer Incidence Rates, Oklahoma 2005–2010

Mowls

McCaffree²,

Beebe

2015

PLoS ONE

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PurposeLung cancer is the second most frequently diagnosed cancer among men and women in the United States. With cigarette smoking causing the majority of cases, patterns in lung cancer are often monitored to understand the impact of anti-tobacco efforts. The purpose of this research was to investigate trends in lung cancer incidence rates for the period 2005–2010 in Oklahoma.MethodsData on Oklahoma’s incident cases of lung cancer (2005–2010) were obtained from the Centers for Disease Control and Prevention WONDER system. Annual percent change (APC) was calculated by linear regression to characterize trends in lung cancer incidence rates over time for the overall population, by gender, by age group, and by age group within gender. Rates were considered to increase or decrease if the p-value for trend was <0.05.ResultsFrom 2005 through 2010, lung cancer incidence rates declined from 81.96 to 68.19 per 100,000 population, with an APC of -3.58% (p-value: 0.0220). When subgroups were examined, declines were observed among all males (APC: -4.25%; p-value: 0.0270), males <65 years (APC: -5.32%; p-value: 0.0008), females <65 years (APC: -4.85%; p-value: 0.0044), and persons aged 55–64 years (APC: -6.38%; p-value: 0.0017).ConclusionsDeclines in lung cancer incidence rates occurred during 2005–2010 among the overall population and within select demographic groups in Oklahoma. Although trends were stable for several demographic groups, rates of lung cancer incidence were lower in 2010 compared to 2005. Continued evidence-based tobacco control efforts are needed to ensure further reductions in lung cancer incidence rates in the state of Oklahoma.

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Section: Discussionmentioning

confidence: 99%

Trends in Lung Cancer Incidence Rates, Oklahoma 2005–2010

Mowls

McCaffree²,

Beebe

2015

PLoS ONE

Self Cite

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“…Previous literature has established that smoking initiation is determined by different factors including social interactions and individual characteristics. For instance, the Oklahoma Communities of Excellence in Tobacco Control (CX) program used community-based practice to change social norms of smoking and local counties experienced positive changes with regard to smoking behaviors [ 20 ]. However, to the best of our knowledge, there are few papers that offer a quantitative framework to study the influence of peers on smoking initiation process.…”

Section: Introductionmentioning

confidence: 99%

An application of the Continuous Opinions and Discrete Actions (CODA) model to adolescent smoking initiation

Sun

Méndez

2017

PLoS ONE

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We investigated the impact of peers’ opinions on the smoking initiation process among adolescents. We applied the Continuous Opinions and Discrete Actions (CODA) model to study how social interactions change adolescents’ opinions and behaviors about smoking. Through agent-based modeling (ABM), we simulated a population of 2500 adolescents and compared smoking prevalence to data from 9 cohorts of adolescents in the National Survey on Drug Use and Health (NSDUH) from year 2001 till 2014. Our model adjusts well for NSDUH data according to pseudo R2 values, which are at least 96%. Optimal parameter values indicate that adolescents exhibit imitator characteristics with regard to smoking opinions. The imitator characteristics suggests that teenagers tend to update their opinions consistently according to what others do, and these opinions later translate into smoking behaviors. As a result, peer influence from social networks plays a big role in the smoking initiation process and should be an important driver in policy formulation.

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Implementation strategies to promote community-engaged efforts to counter tobacco marketing at the point of sale

Leeman

Myers²,

Grant³

et al. 2017

Behav. Med. Pract. Policy Res.

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The US tobacco industry spends $8.2 billion annually on marketing at the point of sale (POS), a practice known to increase tobacco use. Evidence-based policy interventions (EBPIs) are available to reduce exposure to POS marketing, and nationwide, states are funding community-based tobacco control partnerships to promote local enactment of these EBPIs. Little is known, however, about what implementation strategies best support community partnerships' success enacting EBPI. Guided by Kingdon's theory of policy change, Counter Tools provides tools, training, and other implementation strategies to support community partnerships' performance of five core policy change processes: document local problem, formulate policy solutions, engage partners, raise awareness of problems and solutions, and persuade decision makers to enact new policy. We assessed Counter Tools' impact at 1 year on (1) partnership coordinators' self-efficacy, (2) partnerships' performance of core policy change processes, (3) community progress toward EBPI enactment, and (4) salient contextual factors. Counter Tools provided implementation strategies to 30 partnerships. Data on self-efficacy were collected using a pre-post survey. Structured interviews assessed performance of core policy change processes. Data also were collected on progress toward EBPI enactment and contextual factors. Analysis included descriptive and bivariate statistics and content analysis. Following 1-year exposure to implementation strategies, coordinators' self-efficacy increased significantly. Partnerships completed the greatest proportion of activities within the "engage partners" and "document local problem" core processes. Communities made only limited progress toward policy enactment. Findings can inform delivery of implementation strategies and tests of their effects on community-level efforts to enact EBPIs.

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Communities of Excellence in Tobacco Control

Cited by 8 publications

References 5 publications

Trends in Lung Cancer Incidence Rates, Oklahoma 2005–2010

Trends in Lung Cancer Incidence Rates, Oklahoma 2005–2010

An application of the Continuous Opinions and Discrete Actions (CODA) model to adolescent smoking initiation

Implementation strategies to promote community-engaged efforts to counter tobacco marketing at the point of sale

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