Journal of Community Health

, Volume 22, Issue 6, pp 451–468 | Cite as

The “Yes, I Quit” Smoking Cessation Course: Does it Help Women in a Low Income Community Quit?

  • Jennifer O'Loughlin
  • Gilles Paradis
  • Lise Renaud
  • Garbis Meshefedjian
  • Tracie Barnett


The objectives were to evaluate the impact of “Yes, I Quit” (a smoking cessation course tailored for women in a low income, low education community), and to identify baseline predictors of short and longer-term self-reported cessation. The impact was evaluated in a before-after study design with no comparison group. Baseline data were collected in self-administered questionnaires at the beginning of the first session of the course. Follow-up data were collected in telephone interviews at one, three and six months after the designated Quit Day. Self-reported quit rates among 122 participants were 31.1%, 24.7% and 22.3% at one, three and six months. Non-quitters reduced their consumption by 10.3, 8.3, and 7.1 cigarettes per day at one, three and six months. Multivariate logistic regression analyses showed that being in excellent/good health was significantly associated with cessation at one month (odds ratio (OR) = 2.4). Being married (OR = 13.0) and no other smokers in the household (OR = 3.6) were associated with three-month cessation. Only being married was associated with six-month cessation (OR = 6.8). “Yes, I Quit” produced quit rates among low income, low education participants comparable to those reported for cessation programs directed at the general population of smokers. Good health is associated with early cessation, while support from a spouse is important to maintaining a nonsmoking status among quitters.


Logistic Regression Analysis Smoking Cessation Baseline Data Telephone Interview Multivariate Logistic Regression Analysis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Pierce JP, Fiore MC, Novotny TE, Hatziandreu EJ, Davis RM. Trends in cigarette smoking in the United States: Educational differences are increasing. JAMA 1989;261:56–60.Google Scholar
  2. 2.
    Novotny TE, Warner KE, Kendrick JS, et al. Smoking by Blacks and Whites: Socioeconomic and demographic differences. Am J Public Health 1988;78:1187–9.Google Scholar
  3. 3.
    Winkleby MA, Jatulis DE, Frank E, Fortmann SP. Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease. Am J Public Health 1992;82(6):816–20.Google Scholar
  4. 4.
    U.S. Department of Health and Human Services. The Health Benefits of Smoking Cessation: A Report of the Surgeon General. (DHHS Publication No. CDC 90-8416). Washington, DC: U.S. Government Printing Office, 1990.Google Scholar
  5. 5.
    Choinière R, Lafontaine P, Edwards A. Distribution of cardiovascular disease risk factors by socioeconomic status among Canadian adults. Database of the Canadian Heart Health Initiative. Unpublished, 1995.Google Scholar
  6. 6.
    Marmot MG, McDowall ME. Mortality decline and widening social inequalities. Lancet 1986;Aug:274–6.Google Scholar
  7. 7.
    Liu K, Cedres LB, Samler J. et al. Relationship of education to major risk factors and death from coronary heart disease, cardiovascular disease and all causes: Findings of three Chicago epidemiologic studies. Circulation 1982;66:1309–14.Google Scholar
  8. 8.
    Marmot MG. Socioeconomic determinants of CHD mortality. Int J Epidemiol 1989;18(No. 3, Suppl. ):S196.Google Scholar
  9. 9.
    Kawachi I, Maeshall S, Pearce N. Social class inequalities in the decline of coronary heart disease among New Zealand men, 1975–1977 to 1985–1987. Int J Epidemiol 1991;20:393–8.Google Scholar
  10. 10.
    Rose G, Marmot MG. Social class and coronary heart disease. Br Heart J 1981;45:13–9.Google Scholar
  11. 11.
    Kabat GC, Wynder EL. Determinants of quitting smoking. Am J Public Health 1987;77:1301–5.Google Scholar
  12. 12.
    Wakefield M, Gillies P, Graham H, Madeley R, Symonds M. Characteristics associated with smoking cessation during pregnancy among working class women. Addict 1993;88:1423–30.Google Scholar
  13. 13.
    Fiore MC, Novotny TE, Pierce JP, Giovino GA, Hatziandreu EJ, Newcomb PA, Surawicz TS, Davis RM. Methods used to quit smoking in the United States. Do cessation programs work? JAMA 1990;263:2760–5.Google Scholar
  14. 14.
    Davis SW, Cummings KM, Rimer BK, Sciandra R, Stone J. The impact of tailored self-help smoking cessation guides on young mothers. Health Educ Q 1992;19:495–504.Google Scholar
  15. 15.
    Rimer BK, Orleans T, Fleisher L, Cristinzio S, Resch N, Telepchak J, Keintz. Does tailoring matter? The impact of a tailored guide in ratings and short-term smoking related outcomes for older smokers. Health Educ Res 1994;9:69–84.Google Scholar
  16. 16.
    Rafuse J. Smoking cessation program targets low-income women. Can Med Assoc J 1994;150:1683–4.Google Scholar
  17. 17.
    Stillman FA, Bone LR, Rand C, Levine DM, Becker DM. Heart, body, and soul: A church-based smoking-cessation program for urban African Americans. Prev Med 1993;22:335–49.Google Scholar
  18. 18.
    Ershoff DH, Dolan Mullen P, Quinn VP. A randomized trial of a serialized self-help smoking cessation program for pregnant women in an HMO. Am J Public Health 1989;79:182–7.Google Scholar
  19. 19.
    Commit Research Group. The community intervention trial for smoking cessation (COMMIT): Summary of design and interventions. J Nat Cancer Institute 1991;83: 1620–8.Google Scholar
  20. 20.
    Prochaska JO, DiClemente CC, Velicer WF, Rossi JS. Standardized, individualized, interactive and personalized self-help programs for smoking cessation. Health Psychol 1993;12:399–405.Google Scholar
  21. 21.
    McAlister AL, Ramirez AG, Amezcua C, Pulley L, Steven MP, Mercado S. Smoking cessation in Texas-Mexico border communities: A quasi-experimental panel study. Am J Health Promot 1992;6:274–9.Google Scholar
  22. 22.
    Jason LA, Tait E, Goodman D, Buckenberger L. Effects of a televised smoking cessation intervention among low-income and minority smokers. Am J Commun Psychol 1988;16:863–76.Google Scholar
  23. 23.
    O'Loughlin J, Paradis G, Kishchuk N, Gray-Donald K, Renaud L, Finès P, Barnett T. Coeur en santé St-Henri—A heart health promotion programme in Montréal, Canada: Design and methods for evaluation. J Epidemiol Community Health 1995;49:495–502.Google Scholar
  24. 24.
    Paradis G, O'Loughlin J, Elliott M, Masson P, Renaud L, Sacks-Silver G, Lampron G. Coeur en santé St-Henri—A heart health promotion programme in a low income, low education neighbourhood in Montreal, Canada: Theoretical model and early field experience. J Epidemiol Community Health 1995;49:503–12.Google Scholar
  25. 25.
    Renaud L, Paradis G, O'Loughlin J, Lampron G. The “Yes, I Quit” smoking cessation course: meeting the need for smoking cessation resources for women in low income communities. (submitted).Google Scholar
  26. 26.
    Canada Health Survey. The Health of Canadians. Report of the Canada Health Survey. Statistics Canada, Catalogue 82-538E. Ottawa: Supply and Services Canada, 1981.Google Scholar
  27. 27.
    Health and Welfare Canada. Rootman I, Warren R, Stephens T, Peters L (Eds.). Canada's Health Promotion Survey: Technical Report. Ottawa: Minister of Supply and Services Canada, Catalogue No. H39-1191, 1988.Google Scholar
  28. 28.
    Fagerström K. Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addict Behav 1978;3:235–41.Google Scholar
  29. 29.
    BMDP Statistical Software Inc. BMDP EM/286: User's Guide. Los Angeles, CA: BMDP Statistical Software Inc., 1990.Google Scholar
  30. 30.
    Schwartz JL. Methods of smoking cessation. Med Clin North Am 1992;76:451–76.Google Scholar
  31. 31.
    Thompson B, Hopp H. Community-based programs for smoking cessation. Clin Chest Med 1991;12:801–16.Google Scholar
  32. 32.
    Richmond RL, Kehoe LA, Webster IW. Multivariate models for predicting abstention following interventions to stop smoking by general practitioners. Addict 1993;88:1127–35.Google Scholar
  33. 33.
    Wilcox NS, Prochaska JO, Velicer WF, DiClemente CC. Subject characteristics as predictors of self-change in smoking. Addict Behav 1985;10:407–12.Google Scholar
  34. 34.
    Kaprio J, Koskenvuo M. A prospective study of psychological and socio-economic characteristics, health behavior and morbidity in cigarette smokers prior to quitting compared to persistent smokers and non-smokers. J Clin Epidemiol 1988;41:139–50.Google Scholar
  35. 35.
    Venters MH, Jacobs DR, Luepker RV et al. Spouse concordance of smoking patterns: The Minnesota Heart Survey. Am J Epidemiol 1984;120;608–16.Google Scholar
  36. 36.
    Spiegal D, Frischholz EJ, Fleiss JL, Spiegel H. Predictors of smoking abstinence following a single-session restructuring intervention with self-hypnosis. Am J Psychiatry 1993;150:1090–7.Google Scholar
  37. 37.
    Richmond R, Austin A, Webster IW. Predicting abstainers in a smoking cessation programme administered by general practitioners. Int J Epidemiol 1988;17:530–4.Google Scholar
  38. 38.
    Owen N, Ewins AL, Lee C. Smoking cessation by mail: a comparison of standard and personalized correspondence course formats. Addict Behav 1989;14:355–63.Google Scholar
  39. 39.
    Murray RP, Connett JE, Lauger GG, Voelker HT, for the Lung Health Study Research Group. Error in smoking measures: effects of intervention on relations of cotinine and carbon monoxide to self-reported smoking. Am J Public Health 1993;83:1251–7.Google Scholar
  40. 40.
    Patrick DL, Cheadle A, Thompson DC, Diehr P, Koepsell T, Kinne S. The validity of self-reported smoking: A review and meta-analysis. Am J Public Health 1994;84:1086–93.Google Scholar
  41. 41.
    DiClemente CC, Prochaska JO, Fairhurst JK, Velicer WF, Velazquez MM, Rossi JS. The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. J Consult Clin Psychol 1991;59:295–304.Google Scholar
  42. 42.
    Glynn TJ. Methods of smoking cessation—finally some answers. JAMA 1990;263:2795–6.Google Scholar

Copyright information

© Human Sciences Press, Inc. 1997

Authors and Affiliations

  • Jennifer O'Loughlin
    • 1
  • Gilles Paradis
    • 1
  • Lise Renaud
    • 1
  • Garbis Meshefedjian
    • 2
  • Tracie Barnett
    • 2
  1. 1.Department of Public HealthMontreal General HospitalMontreal, QuebecCanada
  2. 2.Department of Public HealthMontreal General HospitalMontreal, QuebecCanada

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