Reported willingness among adolescent nonsmokers to help parents, peers, and others to stop smoking
Nicotine Dependence Center Research Program, Mayo Clinic, Rochester, MN 55905, USA. Preventive Medicine
(Impact Factor: 3.09).
12/2004; 39(6):1099-106. DOI: 10.1016/j.ypmed.2004.04.020
This study of 1025 adolescent nonsmokers aged 11-19 years examined level of interest and factors associated with reported willingness to help someone stop smoking.
Data were collected from a survey distributed primarily in the schools at four geographic and ethnically diverse study sites.
A total of 692 adolescents identified someone close to them who smokes whom they thought should quit. Of these, 90% reported that they would be willing to help this person stop smoking. Multivariate predictors of willingness to help were female gender, less difficulty reading English, and greater level of comfort with talking to the smoker about their smoking. The smoker that the adolescents were willing to help was most often a parent or same age friend.
If this strong interest among adolescents could be tapped, engaging teens as support persons could be a novel public health approach to reaching parents, adolescents, and other smokers in the population.
Available from: Mary Sheehan
- "The researchers found that around one-third to one-half of students reported they had intervened in their friends' illegal drug use, smoking tobacco, drinking too much, and drink driving. Further, Patten et al (2004) found that among adolescent non-smokers (11 to 19 years old), 90% identified someone they thought should stop smoking and reported that they were willing to help that individual. The adolescents were most likely to be willing to help a same age friend or parent. "
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Among the leading causes of adolescent injuries are transport-related factors. School-based curriculum programs are a commonly used method to reduce such injury and these are
typically focused on targeting change in known risk and protective factors particularly alcohol use. Another commonly identified risk factor for adolescent risk-taking is adolescents' relationship with, and the influence of, their peers. The program evaluated in this paper however sought to explicate an alternative role of peers as a protective factor. The program, Skills for Preventing Injury in Youth (SPIY) was an eight lesson curriculum integrated program that has previously demonstrated its effectiveness in reducing road-related risktaking behaviours. The aim of this paper is to provide a better understanding of some of the possible mechanisms of change for SPIY participants and in particular peer intervening behaviour.
Methods used & sources of data/ information Qualitative and quantitative methods were employed to understand adolescent perceptions of protecting and to evaluate change in motivation to protect. Focus groups with adolescents were used to provide a greater depth of understanding regarding intervening in friends' roadrelated
risk-taking and their motivation to do so. The quantitative component included an
evaluation of the effectiveness of SPIY in increasing motivation to intervene. This component of the trial involved 230 intervention and 157 control students completing baseline and sixmonth follow-up surveys.
Results & Conclusions
There was no significant difference between groups on motivation toward protecting their
mates from road-related risk-taking. The qualitative data showed that this was a complex
issue with multiple considerations affecting intervening behaviour including confidence
regarding protection and the context of the risk situation. In sum, it appears that the program based on encouraging protective intervening to improve adolescent road safety can increase motivation to do so and that the issue of mates looking out for mates is a complicated yet relevant road safety strategy for adolescents.
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ABSTRACT: Surveys conducted 1998 to 2008 (530,849 13- to 15-year-olds, 100 countries) by the World Health Organization and the Centers for Disease Control and Prevention found increased tobacco use.
To conduct a systematic review of mentoring to prevent/reduce youth smoking.
Eight electronic peer-reviewed databases and gray literature searched through January 2013.
Studies were included if they were randomized controlled trials, included children or adolescents, employed mentoring (consistent companionship, support, guidance to develop youth competence and character), and reported tobacco use.
Two reviewers independently assessed abstracts and full-text studies. Disagreements were resolved through consensus.
Four randomized controlled trials were identified. Two studies focused exclusively on tobacco outcomes; the other 2 reported on both drug and tobacco use reductions. Only 1 study reported that mentoring (by peers) reduced adolescent smoking. Heterogeneity of both participants and outcome measures did not permit meta-analysis.
There is limited literature on this topic. Further research achieving sample sizes required by power computations, minimizing attrition, and ascertaining mentoring content and achievements from mentor and mentee perspectives is needed.
Available from: rit.edu
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