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American Journal of Public Health, Vol 91, Issue 4 604-610, Copyright © 2001 by American Public Health Association

JOURNAL ARTICLE

The influence of a family program on adolescent tobacco and alcohol use

KE Bauman, VA Foshee, ST Ennett, M Pemberton, KA Hicks, TS King and GG Koch
Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill, USA. kbauman@mindspring.com

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 1 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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