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

Author

Listed:
  • Carolyn C. Johnson

    (Department of Community Health Sciences, Tulane University School of Public Health and Tropical Medicine / 1440 Canal Street, Suite 2301, New Orleans, Louisiana, 70112, USA)

  • Leann Myers

    (Department of Biostatistics, Tulane University School of Public Health and Tropical Medicine / 1440 Canal Street, Suite 2001, New Orleans, Louisiana, 70112, USA)

  • Larry S. Webber

    (Department of Biostatistics, Tulane University School of Public Health and Tropical Medicine / 1440 Canal Street, Suite 2001, New Orleans, Louisiana, 70112, USA)

  • Neil W. Boris

    (Department of Psychiatry and Neurology, Tulane University School of Medicine / 1440 Canal Street, New Orleans, Louisiana, 70112, USA)

  • Hao He

    (Department of Biostatistics, Tulane University School of Public Health and Tropical Medicine / 1440 Canal Street, Suite 2001, New Orleans, Louisiana, 70112, USA)

  • Dixye Brewer

    (Tangipahoa Parish Health Unit, 15481 Club Deluxe Road, Hammond, Louisiana, 70403, USA)

Abstract

A school-based environmental program to reduce adolescent smoking was conducted in 20 schools (10 intervention; 10 control) in south central Louisiana. The 9th 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.

Suggested Citation

  • Carolyn C. Johnson & Leann Myers & Larry S. Webber & Neil W. Boris & Hao He & Dixye Brewer, 2009. "A School-Based Environmental Intervention to Reduce Smoking among High School Students: The Acadiana Coalition of Teens against Tobacco (ACTT)," IJERPH, MDPI, vol. 6(4), pages 1-19, March.
    • Handle: RePEc:gam:jijerp:v:6:y:2009:i:4:p:1298-1316:d:4356
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    References listed on IDEAS

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    1. Midanik, L.T. & Polen, M.R. & Hunkeler, E.M. & Tekawa, I.S. & Soghikian, K., 1985. "Methodologic issues in evaluating stop smoking programs," American Journal of Public Health, American Public Health Association, vol. 75(6), pages 634-638.
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