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School-Based
Tobacco
Use
Prevention
Programs
MMWR Highlights
August 10, 2001 / Vol. 50 / No. 31
Highlights |
Use
and
Efficacy
of
Comprehensive
School-Based
Programs | Information
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- An
extensive
body
of
research
documented
in
the
2000
Surgeon
General’s
Report,
Reducing
Tobacco
Use,
shows
that
comprehensive
school-based
programs,
combined
with
community
and
media-based
activities,
can
effectively
prevent
or
postpone
smoking
onset
in
20
to
40
percent
of
U.S.
adolescents.
- Existing
data
suggest
that
evidence-based
curricula
and
national
guidelines
have
not
been
widely
adopted.
In
1994,
the
most
recent
year
of
published
data
available,
less
than
5
percent
of
schools
nationwide
were
implementing
the
major
components
of
CDC’s
Guidelines
for
School
Health
Programs
to
Prevent
Tobacco
Use
and
Addiction,
which
recommends
schools
should
- Develop
and
enforce
a
school
policy
on
tobacco
use.
- Provide
instruction
about
the
short-
and
long-term
effects
of
tobacco
use,
social
influences
on
tobacco
use,
peer
norms
regarding
tobacco
use,
and
refusal
skills.
- Provide
tobacco-use
prevention
education
in
kindergarten
through
12th
grade,
with
especially
intensive
instruction
in
junior
high
or
middle
school.
- Provide
program-specific
training
for
teachers.
- Involve
parents
and
families
in
support
of
school-based
programs
to
prevent
tobacco
use.
- Support
cessation
efforts
among
students
and
school
staff
who
use
tobacco.
- Assess
the
tobacco-use
prevention
program
at
regular
intervals.
- Programs
with
the
most
educational
contacts
during
the
critical
years
for
smoking
adoption
(age
11
to
15
years)
are
more
likely
to
be
effective,
as
are
programs
that
address
a
broad
range
of
educational
needs.
- Educational
curricula
that
address
social
influences
(of
friends,
family,
and
media)
that
encourage
tobacco
use
among
youth,
have
shown
consistently
more
effectiveness
than
programs
based
on
other
models.
- Two
middle
school
programs
that
have
demonstrated
effectiveness
in
reducing
tobacco
use
behaviors
in
youth
have
been
identified
by
CDC
as
programs
that
work.
They
are
Life
Skills
Training
Program
and
Project
Toward
No
Tobacco
(TNT).
These
curricula
use
a
social
influences
approach
supplemented
with
training
in
life
skills
and
refusal
skills.
To
receive
state
funding,
Oregon
schools
were
required
to
select
one
of
these
curricula
as
part
of
their
school-based
tobacco
prevention
programs.
- A
major
research
trial
funded
by
the
National
Cancer
Institute,
the
Hutchinson
Smoking
Prevention
Project,
demonstrated
that
the
implementation
of
a
single-modality
program
(in
this
case,
the
delivery
of
a
classroom
curriculum)
may
be
ineffective
without
attempting
to
change
the
social
and
policy
environment
in
which
the
program
is
delivered.
- Educational
strategies
to
prevent
tobacco
use
must
become
more
consistent
and
comprehensive.
This
will
require
continuing
efforts
to
build
strong,
multiyear
prevention
units
into
school
health
education
curricula.
It
will
also
require
expanded
efforts
to
make
use
of
school
policies,
the
mass
media,
parents,
and
community
resources.
Schools
cannot
bear
the
sole
responsibility
for
preventing
tobacco
use.
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For
more
information,
visit
CDC’s
Office
on
Smoking
and
Health
Web
site
at
http://www.cdc.gov/tobacco
and for
more
information
on
CDC’s
school
health
program
activities,
visit
the
Division
of
Adolescent
and
School
Health
Web
site
at http://www.cdc.gov/nccdphp/dash.
- CDC.
Effectiveness
of
School-Based
Programs
as
a
Component
of
a
Statewide
Tobacco
Control
Initiative–Oregon,
1999-2000.
MMWR
2001;50:663-6.
- US
Department
of
Health
and
Human
Services.
Reducing
Tobacco
Use:
A
Report
of
the
Surgeon
General.
Atlanta,
GA:
US
Department
of
Health
and
Human
Services,
Public
Health
Service,
CDC,
National
Center
for
Chronic
Disease
Prevention
and
Health
Promotion,
Office
on
Smoking
and
Health,
2000.
- Peterson
AV
Jr.,
Kealey
KA,
Mann
SL,
Marek
PM,
Sarason
IG.
Hutchinson
Smoking
Prevention
Project:
long-term
randomized
trial
in
school-based
tobacco
use
prevention-results
on
smoking.
J
National
Cancer
Inst
2000;92:1979-91.
Effectiveness
of
school
based
programs
as
a
component
of
a
Statewide
Tobacco
Control
Initiative
-
Oregon,
1999-2000
50(31)
August
10,
2001
School-Based
Tobacco
Use
Prevention
Programs
-
Press
Release
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