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A meta-analysis of adolescent smoking prevention programs

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  • Bruvold, W.H.

Abstract

Objectives. A large number of studies evaluating adolescent smoking prevention programs have been published. Systematic quantitative reviews of this literature are needed to learn what does and does not work. The present meta-analysis focuses on the efficacy of school-based programs. Methods. Evaluations of 94 separate interventions were included in the meta-analysis. Studies were screened for methodological rigor and those with weaker methodology were segregated from those with more defensible methodology; major analyses focused on the latter. Results. Behavioral effect sizes were found to be largest for interventions with a social reinforcement orientation, moderate for interventions with either a developmental or a social norms orientation, and small for interventions with the traditional rational orientation. Attitude effect sizes followed the same pattern, but knowledge effect sizes were similar across all four orientation categories. Conclusions. Because behavioral effect represents the fundamental objective of programs for prevention of adolescent tobacco use, the present results indicate that school-based programs should consider adopting interventions with a social reinforcement, social norms, or developmental orientation.

Suggested Citation

  • Bruvold, W.H., 1993. "A meta-analysis of adolescent smoking prevention programs," American Journal of Public Health, American Public Health Association, vol. 83(6), pages 872-880.
    • Handle: RePEc:aph:ajpbhl:1993:83:6:872-880_3
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    Cited by:

    1. Bak, Judit & Piko, Bettina, 2007. "Smoke-free world for children's welfare: Perceptions of smoking in preadolescence," Children and Youth Services Review, Elsevier, vol. 29(3), pages 283-293, March.
    2. Wiium, Nora & Torsheim, Torbjørn & Wold, Bente, 2006. "Normative processes and adolescents' smoking behaviour in Norway: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 62(7), pages 1810-1818, April.
    3. Chapman, Simon, 1997. "When outcomes threaten incomes: a case study of the obstruction of research to reduce teenage smoking," Health Policy, Elsevier, vol. 39(1), pages 55-68, January.
    4. Göhlmann, Silja & Schmidt, Christoph M., 2008. "Smoking in Germany: Stylized Facts, Behavioral Models, and Health Policy," Ruhr Economic Papers 64, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    5. repec:zbw:rwirep:0064 is not listed on IDEAS
    6. Wakefield, Melanie A PhD & Chaloupka, Frank J. PhD, 1999. "Effectiveness of Comprehensive Tobacco Control Programs in Reducing Teenage Smoking: A Review," University of California at San Francisco, Center for Tobacco Control Research and Education qt46n6b9mv, Center for Tobacco Control Research and Education, UC San Francisco.
    7. Silja Göhlmann & Christoph M. Schmidt, 2008. "Smoking in Germany: Stylized Facts, Behavioral Models, and Health Policy," Ruhr Economic Papers 0064, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
    8. Sarah D. Kowitt & Tanha Patel & Leah M. Ranney & Li-Ling Huang & Erin L. Sutfin & Adam O. Goldstein, 2015. "Poly-Tobacco Use among High School Students," IJERPH, MDPI, vol. 12(11), pages 1-13, November.

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