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Center for Community
Interventions on Childrearing, Oregon Research Institute, Oregon, USA
Correspondence to: Dr Anthony Biglan, Oregon Research Institute, 1715 Franklin Boulevard, Eugene, Oregon 97403-1983, USA; tony{at}ori.org
Received 14 March 1999; Revision received 15 August 1999;
Accepted 1 September
1999
OBJECTIVE
Experimental
evaluation of comprehensive community wide programme to prevent
adolescent tobacco use.
DESIGN
Eight pairs of
small Oregon communities (population 1700 to 13 500) were randomly
assigned to receive a school based prevention programme or the school
based programme plus a community programme. Effects were assessed
through five annual surveys (time 1-5) of seventh and ninth grade
(ages 12-15 years) students.
INTERVENTION
The
community programme included: (a) media advocacy, (b) youth
anti-tobacco activities, (c) family communications about tobacco use,
and (d) reduction of youth access to tobacco.
MAIN OUTCOME
MEASURE
The prevalence of self reported smoking
and smokeless tobacco use in the week before assessment.
RESULTS
The community
programme had significant effects on the prevalence of weekly cigarette
use at times 2 and 5 and the effect approached significance at time 4. An effect on the slope of prevalence across time points was evident
only when time 2 data points were eliminated from the analysis. The
intervention affected the prevalence of smokeless tobacco among grade 9 boys at time 2. There were also significant effects on the slope of
alcohol use among ninth graders and the quadratic slope of marijuana
for all students.
CONCLUSION
The results
suggest that comprehensive community wide interventions can improve on
the preventive effect of school based tobacco prevention programmes and
that effective tobacco prevention may prevent other substance use.
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