Helping and harming: evaluating school tobacco programs and policies after 4 years in the COMPASS study
Background The school environment is an equitable avenue to change youth health behaviours; however, there is little guidance for school-based programming. Specifically, the types of interventions schools use to prevent smoking uptake and progression are unknown. This analysis explored changes in s...
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doaj-ccdb35f9fda94337a98dccc0b0092ed42020-11-25T00:30:16ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8455384553Helping and harming: evaluating school tobacco programs and policies after 4 years in the COMPASS studyAdam Cole0Sarah Aleyan1Wei Qian2Scott Leatherdale3University of Waterloo, School of Public Health and Health Systems, CanadaUniversity of Waterloo, School of Public Health and Health Systems, CanadaUniversity of Waterloo, School of Public Health and Health Systems, CanadaUniversity of Waterloo, School of Public Health and Health Systems, CanadaBackground The school environment is an equitable avenue to change youth health behaviours; however, there is little guidance for school-based programming. Specifically, the types of interventions schools use to prevent smoking uptake and progression are unknown. This analysis explored changes in school-based tobacco control programs and policies and the impact on smoking status. Methods COMPASS is a prospective cohort study that collects hierarchical longitudinal data from students and the schools they attend in Canada. Two cohorts of grade 12 students from 38 schools were identified at baseline (Y1) and three years later (Y4). The prevalence of susceptibility to future smoking, ever smoking, and current smoking among cohorts were compared in Y1 and Y4 in control (no change in tobacco control programing or policies) and intervention schools (reported a change in tobacco control programming or policies at any time during the study). Results Between Y1 and Y4, 33/38 schools reported changing their tobacco control programming or policies; 19 schools made a single change over the study period. Changes to enforcement activities and cessation programming were most common and usually involved external support. Few interventions significantly impacted the prevalence of susceptible never-smokers or ever smokers. The prevalence of grade 12 current smokers significantly increased at 12 schools and decreased at 3 schools. Thirteen interventions resulted in significant increases in students' perceptions of support to resist or quit tobacco. Conclusions Many schools implemented new tobacco control programming over three years with support from external organizations; however, few interventions significantly improved the smoking status of students over the long-term. Nevertheless, schools increased awareness of the issue of smoking by making a change to tobacco control programs or policies, which may support the behaviour of future students. The COMPASS study provides the infrastructure to continually monitor and evaluate school-based activities designed to advance youth health.http://www.journalssystem.com/tid/Helping-and-harming-evaluating-school-tobacco-programs-and-policies-after-4-years,84553,0,2.htmlWCTOH |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adam Cole Sarah Aleyan Wei Qian Scott Leatherdale |
spellingShingle |
Adam Cole Sarah Aleyan Wei Qian Scott Leatherdale Helping and harming: evaluating school tobacco programs and policies after 4 years in the COMPASS study Tobacco Induced Diseases WCTOH |
author_facet |
Adam Cole Sarah Aleyan Wei Qian Scott Leatherdale |
author_sort |
Adam Cole |
title |
Helping and harming: evaluating school tobacco programs and policies after 4 years in the COMPASS study |
title_short |
Helping and harming: evaluating school tobacco programs and policies after 4 years in the COMPASS study |
title_full |
Helping and harming: evaluating school tobacco programs and policies after 4 years in the COMPASS study |
title_fullStr |
Helping and harming: evaluating school tobacco programs and policies after 4 years in the COMPASS study |
title_full_unstemmed |
Helping and harming: evaluating school tobacco programs and policies after 4 years in the COMPASS study |
title_sort |
helping and harming: evaluating school tobacco programs and policies after 4 years in the compass study |
publisher |
European Publishing |
series |
Tobacco Induced Diseases |
issn |
1617-9625 |
publishDate |
2018-03-01 |
description |
Background
The
school environment is an equitable avenue to change youth health behaviours;
however, there is little guidance for school-based programming. Specifically,
the types of interventions schools use to prevent smoking uptake and
progression are unknown. This analysis explored changes in school-based tobacco
control programs and policies and the impact on smoking status.
Methods
COMPASS
is a prospective cohort study that collects hierarchical longitudinal data from
students and the schools they attend in Canada. Two cohorts of grade 12
students from 38 schools were identified at baseline (Y1) and three years later
(Y4). The prevalence of susceptibility to future smoking, ever smoking, and
current smoking among cohorts were compared in Y1 and Y4 in control (no change
in tobacco control programing or policies) and intervention schools (reported a
change in tobacco control programming or policies at any time during the study).
Results
Between
Y1 and Y4, 33/38 schools reported changing their tobacco control programming or
policies; 19 schools made a single change over the study period. Changes to
enforcement activities and cessation programming were most common and usually
involved external support. Few interventions significantly impacted the
prevalence of susceptible never-smokers or ever smokers. The prevalence of grade
12 current smokers significantly increased at 12 schools and decreased at 3
schools. Thirteen interventions resulted in significant increases in students'
perceptions of support to resist or quit tobacco.
Conclusions
Many
schools implemented new tobacco control programming over three years with
support from external organizations; however, few interventions significantly
improved the smoking status of students over the long-term. Nevertheless, schools
increased awareness of the issue of smoking by making a change to tobacco
control programs or policies, which may support the behaviour of future students.
The COMPASS study provides the infrastructure to continually monitor and
evaluate school-based activities designed to advance youth health. |
topic |
WCTOH |
url |
http://www.journalssystem.com/tid/Helping-and-harming-evaluating-school-tobacco-programs-and-policies-after-4-years,84553,0,2.html |
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