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Health Education Research Advance Access originally published online on June 15, 2004
Health Education Research 2004 19(6):657-668; doi:10.1093/her/cyg088
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Health Education Research Vol.19 no.6, © Oxford University Press 2004; All rights reserved

Texas Tobacco Prevention Pilot Initiative: processes and effects

A. F. Meshack1,4, S. Hu1, U. E. Pallonen1, A. L. McAlister1, N. Gottlieb2 and P. Huang3

1 Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center, 7000 Fannin, Houston, TX 77030, 2 Department of Kinesiology and Health Education, University of Texas at Austin, Austin, TX 78712 and 3 Bureau of Chronic Disease and Tobacco Prevention, Texas Department of Health, Austin, TX 78756, USA

4 Correspondence to: A. F. Meshack; E-mail: ameshack{at}sph.uth.tmc.edu

The study was designed to examine how intensity of anti-smoking media campaigns and differing types of anti-smoking community-based programs influence young adolescents' tobacco use and related psychosocial variables. Sixth grade students attending 11 middle schools in eight study communities assigned to varying intervention conditions were assessed by a pre-intervention survey conducted in spring 2000. The assessment was followed by summer and fall 2000 media and community interventions that were evaluated by post-intervention data collection taking place with a new cohort of sixth graders in the same 11 schools in late fall 2000. In analyses conducted at the school level, the enhanced school and comprehensive community program conditions outperformed the no intervention program condition to reduce tobacco use and intentions to use tobacco. Combining the intensive or low media campaign with the comprehensive community program was most effective in suppressing positive attitudes toward smoking, while the enhanced school program alone was less effective in influencing attitudes. The most consistent changes, at least short-term, to reduce teen tobacco use, susceptibility to smoking and pro-smoking attitudes were achieved by combining the intensive media campaign with the comprehensive community program condition.


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[Abstract] [PDF]


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