Journal
AMERICAN JOURNAL OF PUBLIC HEALTH
Volume 91, Issue 4, Pages 604-610Publisher
AMER PUBLIC HEALTH ASSOC INC
DOI: 10.2105/AJPH.91.4.604
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Funding
- NIDA NIH HHS [DA08125] Funding Source: Medline
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Objectives. This study examined a family-directed program's effectiveness in preventing adolescent tobacco and alcohol use in a general population. Methods. Adolescents aged 12 to 14 years and their families were identified by random-digit dialing throughout the contiguous United States. After providing baseline data by telephone interviews, they were randomly allocated to receive or not receive a family-directed program featuring mailed booklets and telephone contacts by health educators. Follow-up telephone interviews were conducted 3 and 12 months after program completion. Results. The findings suggested that smoking onset was reduced by 16.4% at I year, with a 25.0% reduction for non-Hispanic Whites but no statistically significant program effect for other races/ethnicities. There were no statistically significant program effects for smokeless tobacco or alcohol use onset. Conclusions. The family-directed program was associated with reduced smoking onset for non-Hispanic Whites, suggesting that it is worthy of further application, development, and evaluation.
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