A School-Based Environmental Intervention to Reduce Smoking among High School Students: The Acadiana Coalition of Teens against Tobacco (ACTT)

International Journal of Environmental Research and Public Health

Carolyn C. Johnson³  Leann Myers¹  Larry S. Webber¹  Neil W. Boris²  Hao He¹ 

[1] Department of Biostatistics, Tulane University School of Public Health and Tropical Medicine / 1440 Canal Street, Suite 2001, New Orleans, Louisiana, 70112, USA; E-Mails:;Department of Psychiatry and Neurology, Tulane University School of Medicine / 1440 Canal Street, New Orleans, Louisiana, 70112, USA; E-Mail:;Department of Community Health Sciences, Tulane University School of Public Health and Tropical Medicine / 1440 Canal Street, Suite 2301, New Orleans, Louisiana, 70112, USA

关键词: Smoking prevalence;    adolescents;    high school;    health promotion;   

DOI  :  10.3390/ijerph6041298

来源: mdpi

【 摘 要 】

A school-based environmental program to reduce adolescent smoking was conducted in 20 schools (10 intervention; 10 control) in south central Louisiana. The 9^th grade cohort (n = 4,763; mean age = 15.4 yrs; 51% female; 61% Caucasian; 30-day smoking prevalence at baseline = 25%) was followed over four years for 30-day smoking prevalence with the school as the unit of analysis. Although prevalence decreased in intervention schools and increased in control schools in Year 2 the significant difference between the two groups at baseline was not overcome by the intervention and increases in prevalence were observed in both groups in Years 3 and 4. The higher the percentage of white students in a school the higher the prevalence rates regardless of intervention/control status. Boys’ and girls’ smoking rates were similar. These outcome data, student feedback and process evaluation provide a basis for continuing to create more innovative adolescent tobacco control programs.

【 授权许可】

CC BY   
© 2009 by the authors; licensee Molecular Diversity Preservation International, Basel, Switzerland.