Print Email Facebook Twitter Prevention of smoking in adolescents with lower education: A school based intervention study Title Prevention of smoking in adolescents with lower education: A school based intervention study Author Crone, M.R. Reijneveld, S.A. Willemsen, M.C. van Leerdam, F.J.M. Spruijt, R.D. Hira Sing, R.A. Publication year 2003 Abstract Objective: To assess the effect of an antismoking intervention focusing on adolescents in lower education. Students with lower education smoke more often and perceive more positive norms, and social pressure to smoke, than higher educated students. An intervention based on peer group pressure and social influence may therefore be useful to prevent smoking among these students. Design: Group randomised controlled trial. Setting: 26 Dutch schools that provided junior secondary education. Subjects: 1444 students in the intervention and 1118 students in the control group, all in the first grade, average age 13 years. Intervention: Three lessons on knowledge, attitudes, and social influence, followed by a class agreement not to start or to stop smoking for five months and a class based competition. Main outcome measures: Comparison of smoking status before and immediately after and one year after the intervention, using multilevel analysis. Results: In the intervention group, 9.6% of non-smokers started to smoke, in the control group 14.2%. This leads to an odds ratio of 0.61 (95% Cl= 0.41 to 0.90) to uptake smoking in the intervention group compared with the control group. One year after the intervention, the effect was no longer significant. Conclusions: In the short-term, an intervention based on peer pressure decreases the proportion of adolescents with lower education who start smoking. Influencing social norms and peer pressure would therefore be a promising strategy in terms of preventing smoking among adolescents. The results also suggest that additional interventions in later years are needed to maintain the effect. Subject HealthChild behaviorControlled studyEducationHealth programPreventive health serviceSchool health serviceSocial aspectAdolescentAdolescent BehaviorChildFemaleFollow-Up StudiesHealth EducationHealth Knowledge, Attitudes, PracticeHumansMaleNetherlandsOdds RatioPeer GroupSchool Health ServicesSmokingStatistics To reference this document use: http://resolver.tudelft.nl/uuid:29617fb8-c842-4608-be1c-ab2d5cad5cf7 DOI https://doi.org/10.1136/jech.57.9.675 TNO identifier 237256 ISSN 0143-005X Source Journal of Epidemiology and Community Health, 57 (9), 675-680 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.