Dec 31, 2001


This approach was designed to supplement
school-based tobacco-prevention programs with a community intervention in order
to further impact on adolescent smoking behavior. An experimental study based on
16 rural communities indicates that the addition of a community intervention to
the school-based program reduced the rate by which tobacco use typically
increases between 7th- and 9th-grade.


Target population: Communities
with school-based tobacco-prevention programs.

This approach is designed to enhance a school-based
tobacco-prevention program with the addition of several community components
(Biglan, Ary, Smolkowski, Duncan, & Black, 2000). Community components included
media advocacy to encourage adults in the community to support adolescent
tobacco-prevention efforts, community youth anti-tobacco activities, activities
to help parents to express disapproval of tobacco use to their children, and
efforts to reduce tobacco access in the community.


Evaluated population: 16
small rural communities in Oregon with school-based tobacco-prevention programs.
The study sample was nearly evenly split across genders, and was approximately
85% white, 8% Hispanic, 5% Native American, 1% African American, and 1% Asian.

An experimental trial was conducted among eight
pairs of small rural communities in Oregon (Biglan, Ary, Smolkowski, Duncan, &
Black, 2000). Supplementation of the school-based program with the community
intervention dampened the upward trend in smoking prevalence-observed both in
this study’s control group and in the U.S. as a whole-over the course of five
annual surveys of 7th- and 9th-graders in each community. In communities that
received only the school-based intervention, the prevalence of weekly smoking
among 7th- and 9th-graders increased by 6 percentage points, from 8% to 14%,
from the first to the final annual survey. In contrast, communities that
received the school and the community-based component saw only a 2
percentage-point increase, from 10% to 12%, over the same time period.



Biglan, A., Ary, D.V., Smolkowski, K., Duncan, T.,
& Black, C. (2000). A randomised controlled trial of a community intervention to
prevent adolescent tobacco use.Tobacco
9, 24-32.

Program also discussed in the following Child
Trends publication(s):

Hatcher, J. L., & Scarpa, J. (2002). Encouraging
teens to adopt a safe, healthy lifestyle: A foundation for improving future
adult behaviors 

brief). Washington,DC:
Child Trends.

Hatcher, J. L., & Scarpa, J. (2001). Background
for community-level work on physical health and safety in adolescence: Reviewing
the literature on contributing factors. 
DC: Child Trends.

KEYWORDS: Rural and/or Frontier; Substance Use; Marijuana,
Illicit, Prescription Drugs; Tobacco; High School; Adolescents (12-17);
School-based; Community-based; White/Caucasian; Community or Media
Campaign; Skills Training; Co-ed.

Program information last updated 12/31/01.