Program for the Prevention of Smoking in Secondary School Students |
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| Authors: | Generoso Gómez Cruz Miguel Barrueco Ferrero Irene Aparicio Coca José Ángel Maderuelo Miguel Torrecilla García |
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| Institution: | 1. Centro de Salud La Guareña, Fuentesaúco, Zamora, Spain;2. Hospital Universitario de Salamanca, Salamanca, Spain;3. Instituto de Enseñanza Secundaria de Fuentesaúco, Fuentesaúco, Zamora, Spain;4. Técnico de Salud, Gerencia de Atención Primaria de Salamanca, Salamanca, Spain;5. Centro de Salud San Juan, Salamanca, Spain;1. Michigan State University, Utah State University, United States;2. Michigan State University, United States;1. Department of Surgery and Oncology, University of Calgary, Room 1006 & 1023, North Tower, 1403-29 Street NW, Calgary, Alberta T2N 2T9, Canada;2. Department of Surgery, University of British Columbia, Diamond Health Care Centre, 5th Floor, 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada;3. Department of Surgery, University of Manitoba, GF441, 820 Sherbrook Street, Winnipeg, Manitoba, Canada R3A 1R9;1. Toxicological Center, University of Antwerp, Universiteitsplein 1, B2610 Antwerp, Belgium;2. Collaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp, Universiteitsplein 1, B2610 Antwerp, Belgium;3. Department of Gastroenterology and Hepatology, University Hospital Antwerp, Wilrijkstraat 10, B2650 Antwerp, Belgium;4. Laboratoire National de Santé, Service de Toxicologie, L3555 Dudelange, Luxembourg;5. Toxicology Laboratory, ZNA Stuivenberg, Lange Beeldekenstraat 267, B2060 Antwerp, Belgium;1. Surgical Oncology Service, Department of General Surgery, Wake Forest School of Medicine, Winston-Salem, NC;2. Department of Pathology, Wake Forest School of Medicine, Winston-Salem, NC;3. Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC;4. Department of Medicine, Section on Hematology and Oncology, Wake Forest School of Medicine, Winston-Salem, NC;5. Department of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC;6. Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC;1. Bioanalytical Instrumentation, CEITEC, Masaryk University, Veve?í 97, 60200 Brno, Czech Republic;2. Institute of Chemistry, Masaryk University, Kotlá?ská 2, 61137 Brno, Czech Republic |
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| Abstract: | Background and ObjectiveSchool smoking prevention programs have never yielded the expected results. The aim of this study was to analyze the efficacy of an intensive smoking prevention program created by the educational community in which it was to be applied.Population and MethodA 3-year smoking prevention program was carried out among the students of Fuentesaúco Secondary School in Zamora, Spain. The Babilafuente Secondary School in Salamanca, Spain was the control group. The program included both prevention and treatment activities. The former were carried out in the school, in out-of-school situations, and in the community. The questionnaire of the European Smoking Prevention Framework Approach was used.ResultsA total of 417 students aged 12 to 17 years participated in the study. Of these, 54.4% belonged to the intervention group and 45.6% to the control group. Smokers represented 36.7% of the population. After the intervention smokers represented 40.1% of the Fuentesaúco students compared with 46.1% of the Babilafuente students, though the difference was not statistically significant. With respect to the cognitive determinants of smoking behavior, after the intervention significant differences in favor of the intervention group were only observed in the subjects’ perception of the behavior of their siblings, peers, and teachers.ConclusionsThe use of smoking prevention programs in schools should be reconsidered, and their evaluation should be based on educational rather than clinical criteria. Proposed changes in the program include decreasing its intensity, starting with students of an earlier age and seeking greater involvement of parents. |
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