Quit and Win campaigns as a long-term anti-smoking intervention in North Karelia and other parts of Finland
Tellervo Korhonena, Eeva-Liisa Urjanheimob, Paula Mannonenc, Heikki J Korhonena, Antti Uutelaa, Pekka Puskaa
a National Public
Health Institute, Department of Epidemiology and Health Promotion,
Helsinki, Finland, b North Karelia Project, c Finnish Centre for Health
Promotion, Helsinki
Correspondence to: Mrs T Korhonen, National Public Health Institute, Department of Epidemiology and Health Promotion, Mannerheimintie 166, FIN-00300 Helsinki, Finland; tellervo.korhonen{at}ktl.fi
Received 4 February
1998 and in revised form 23 September 1998;
Accepted 15 October 1998
OBJECTIVE
To evaluate
Quit and Win campaigns repeated in North Karelia and rest of Finland.
DESIGNRepeated
comparisons of participation rates, abstinence rates, and other
measures between North Karelia and the rest of Finland.
SUBJECTSAdult daily
smokers in Finland participating in the Quit and Win contests in
1986-1997.
INTERVENTIONSQuit and
Win smoking cessation campaigns targeted at adult daily smokers
throughout Finland in 1986, 1989, 1994, 1996, and 1997, including more
intensive activities in North Karelia.
MAIN OUTCOME
MEASURESParticipation rates, self reported
six-month abstinence rates, other effectiveness measures (% of smokers
who attended, intended, tried, and succeeded in cessation).
RESULTSNorth
Karelia's participation rates were significantly higher in each
campaign compared with the rest of Finland. The abstinence rates in
North Karelia were also higher, the difference being significant in
1986 and 1994 (p<0.05). In the target population in 1996 over 75% of
smokers in North Karelia, compared with 40% of smokers surveyed
elsewhere, reported awareness of the campaign (p<0.001). Approximately
9% of the smokers in North Karelia and 6% elsewhere intended to
participate (p = NS). Over 2% in North Karelia, compared with less
than 1% elsewhere, tried to quit (p<0.001). Among the targeted group,
0.3% of North Karelian smokers were complete abstainers throughout the
12 months of follow up, compared with an average of 0.1% in other
areas (p<0.001).
CONCLUSIONSThe
Quit and Win campaign is a feasible cessation
method in long-term community-wide programmes. Intensified community
activities are associated with higher success. In repeat campaigns,
high participation and abstinence rates can be maintained.
Keywords: smoking cessation; Quit and Win; community intervention
© 1999 by Tobacco Control
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