Educational or Curriculum – Environmental Change

Initiative Description: There were five different levels of interventions: individual, group (peer and family), school, community and population including: students’ smoking-related knowledge, attitudes, abstinence self-efficacy and refusal skills; cigarette availability; school smoking policy; and social support of adolescent smoking. The active participation of students and their parents, school administrators and teachers was strongly emphasized during the intervention.

Study Results: Program had a moderate effect on inhibiting the escalation from experimental to regular smoking among Chinese adolescents, but had little effect on the initiation of smoking. The program improved adolescents’ smoking-related knowledge but did not change their attitudes towards smoking.

Reference: Xiaozhong, W., Weiqing, C., Gans, K. M., Colby, S. M., Ciyong, L., Caihua, L., & … Ling, W. (2010). Two-year effects of a school-based prevention programme on adolescent cigarette smoking in Guangzhou, China: a cluster randomized trial. International Journal Of Epidemiology, 39(3), 860-876.

Level of Evidence: 3 out of 5 stars Very Good