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Perceptions of Smoking Cessation Programs in Rural Appalachia

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Abstract:

Objectives: To identify perspectives on smoking cessation programs in Appalachian Kentucky, a region with particularly high smoking rates and poor health outcomes. Methods: Insufficient existing research led us to conduct 12 focus groups (smokers and nonsmokers) and 23 key informant interviews. Results: Several findings previously not described in this high-risk population include (1) transition from pro-tobacco culture toward advocacy for tobacco cessation approaches, (2) region-specific challenges to program access, and (3) strong and diverse social influences on cessation. Conclusions: To capitalize on changes from resistance to support for smoking cessation, leaders should incorporate culturally appropriate programs and characteristics identified here.

Keywords: APPALACHIAN REGION; PROGRAM DEVELOPMENT; SMOKING CESSATION

Document Type: Research Article

DOI: http://dx.doi.org/10.5993/AJHB.36.3.8

Affiliations: 1: Department of Applied Health Sciences, Indiana State University, Terre Haute, IN, USA. tina.kruger@indstate.edu 2: Department of Anthropology, University of Kentucky, Lexington, KY, USA 3: Whitesburg, KY, USA 4: Behavioral Science, University of Kentucky, Lexington, KY, USA

Publication date: May 1, 2012

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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