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Tob Control. 2010 Apr;19 Suppl 1:i43-50. doi: 10.1136/tc.2009.030700.

Evaluation of California's in-school tobacco use prevention education (TUPE) activities using a nested school-longitudinal design, 2003-2004 and 2005-2006.

Author information

1
California Department of Public Health, California Tobacco Control Program, PO Box 997377, MS 7206, Sacramento, CA 95899-7377, USA. Hye-Youn.Park@cdph.ca.gov

Abstract

BACKGROUND:

Current legislative language requires the California Department of Public Health, California Tobacco Control Program, to evaluate the effectiveness of the school-based Tobacco Use Prevention Education (TUPE) programme in California every 2 years. The objective of the study was to measure change and to identify the impact of school-based tobacco use prevention education activities on youth smoking prevalence and attitudes over time, spanning two school year surveys (2003-2004 and 2005-2006).

METHODS:

Evaluation focused on school-based tobacco use prevention activities in 57 schools (student sample size, n=16 833) that participated in the in-school administration of the 2003-2004 and 2005-2006 California Student Tobacco Surveys. Hierarchical linear models were used to predict student tobacco use and precursors to tobacco use.

RESULTS:

Overall, student tobacco use, intention to smoke, number of friends smoking and perceived smoking prevalence by peers increased as students moved through grades 9 and 10 to grades 11 and 12. TUPE-related activities showed a suggestive association (p=0.06) with reduced rate in student tobacco use between the two surveys after adjusting for other contextual factors such as each school's socioeconomic characteristics.

CONCLUSIONS:

TUPE activities appears to be beneficial in reducing tobacco use in California high school students over time. Other contextual factors were important moderating influences on student tobacco use.

PMID:
20382650
PMCID:
PMC2976536
DOI:
10.1136/tc.2009.030700
[Indexed for MEDLINE]
Free PMC Article
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