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AJPH First Look, published online ahead of print Nov 30, 2006
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AJPH.2005.065268v1
97/1/171    most recent
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January 2007, Vol 97, No. 1 | American Journal of Public Health 171-177
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2005.065268


RESEARCH AND PRACTICE

A National Survey of Tobacco Cessation Programs for Youths

Susan J. Curry, PhD, Sherry Emery, PhD, Amy K. Sporer, MS, Robin Mermelstein, PhD, Brian R. Flay, DPhil, Michael Berbaum, PhD, Richard B. Warnecke, PhD, Timothy Johnson, PhD, Paul Mowery, PhD, Jennifer Parsons, MA, Lori Harmon, MA, Lisa Hund, MPH and Henry Wells, MS

At the time of the study, Susan J. Curry, Sherry Emery, Amy K. Sporer, Robin Mermelstein, Brian R. Flay, Michael Berbaum, and Richard B. Warnecke were with the Institute for Health Research and Policy, University of Illinois, Chicago. Timothy Johnson, Jennifer Parsons, and Lori Harmon are with the Survey Research Laboratory, University of Illinois, Chicago. At the time of the study, Paul Mowery, Lisa Hund, and Henry Wells were with Research Triangle Institute, Research Triangle Park, NC.

Correspondence: Requests for reprints should be sent to Susan J. Curry, PhD, Institute for Health Research and Policy, University of Illinois at Chicago, 1747 West Roosevelt Road, Room 558, Chicago, IL 60608 (e-mail: suecurry{at}uic.edu).

Objectives. We collected data on a national sample of existing community-based tobacco cessation programs for youths to understand their prevalence and overall characteristics.

Methods. We employed a 2-stage sampling design with US counties as the first-stage probability sampling units. We then used snowball sampling in selected counties to identify administrators of tobacco cessation programs for youths. We collected data on cessation programs when programs were identified.

Results. We profiled 591 programs in 408 counties. Programs were more numerous in urban counties; fewer programs were found in low-income counties. State-level measures of smoking prevalence and tobacco control expenditures were not associated with program availability. Most programs were multisession, school-based group programs serving 50 or fewer youths per year. Program content included cognitive-behavioral components found in adult programs along with content specific to adolescence. The median annual budget was $2000. Few programs (9%) reported only mandatory enrollment, 35% reported mixed mandatory and voluntary enrollment, and 56% reported only voluntary enrollment.

Conclusions. There is considerable homogeneity among community-based tobacco cessation programs for youths. Programs are least prevalent in the types of communities for which national data show increases in youths’ smoking prevalence.







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