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Preventing cigarette smoking among school children.

J A Best1, S J Thomson, S M Santi

  • 1Department of Health Studies, University of Waterloo, Ontario, Canada.

Annual Review of Public Health
|January 1, 1988
PubMed
Summary

Effective smoking prevention programs require understanding social, psychological, and biological factors. While social influence curricula show promise for youth, more research is needed on program diffusion and effectiveness for specific populations.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Health Education

Background:

  • Smoking onset is a complex process influenced by social, psychological, and biological factors.
  • Existing smoking prevention programs, particularly social influence curricula, show some efficacy in youth.
  • Key information regarding the diffusion of these programs, including provider and setting influences, is lacking.

Purpose of the Study:

  • To outline essential considerations for developing and disseminating effective smoking prevention programs.
  • To identify critical research gaps hindering the widespread adoption and success of these interventions.
  • To advocate for a balanced approach between program implementation and continued research.

Main Methods:

  • The study synthesizes existing research on smoking prevention program determinants and diffusion.

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  • It emphasizes the need to analyze interactions between program content, participants, providers, and settings.
  • The research calls for empirically grounded principles in program diffusion and rigorous evaluation.

    • Main Results:

    • Social influence curricula demonstrate tentative efficacy for certain youth populations.
    • Significant gaps exist in understanding the factors that facilitate or impede program diffusion.
    • Provider and setting characteristics are identified as crucial areas needing further investigation.

    Conclusions:

    • A cautious approach to the diffusion of smoking prevention programs is recommended due to knowledge gaps.
    • Balancing public health needs with ongoing research is crucial to optimize program effectiveness.
    • Further research should focus on refining interventions, especially for high-risk youth populations.