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

Carolyn C. Johnson, Leann Myers, Larry S. Webber, Neil W. Boris, Hao He and Dixye Brewer
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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

IJERPH, 2009, vol. 6, issue 4, 1-19

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.

Keywords: Smoking prevalence; adolescents; high school; health promotion (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2009
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