Cent Eur J Public Health 2007, 15(4):163-166 | DOI: 10.21101/cejph.a3441
"Our Class Does Not Smoke": The Czech Version of the "Smoke-Free Class Competition" Programme
- Masaryk University, Faculty of Medicine, Department of Preventive Medicine, Brno, Czech Republic
The "Smoke-Free Class Competition" programme stems from a theory of the consequences of cultural and social miming in the onset of smoking addiction: it initiates non-smokers' active encouragement in supporting a non-smoking environment in class groups of teenagers. The first experience with the programme (Our Class Does Not Smoke) in the Czech Republic was obtained from a set of 13 classes from 6 primary schools with 261 14-year-olds who had been acquainted with the programme rules and voluntarily agreed to abide by them.
Methods: Methodological instruction for teachers, school psychologists, pupils and parents providing motivation to various activities (discussion, craft projects, group therapy with smokers, demonstrations of ascertaining exposure and health consequences of smoking) were compiled to support the programme. The one-year programme schedule had a number of control points for assessing its immediate and long-term effect on the prevalence of smoking: (1) prior to programme onset, (2) after a half-year of intensive intervention, (3) after a further 3 months, (4) in the 12th month from programme onset.
Results: A complete abstaining condition in the four-months of the competition period was observed by all pupils in 31% of the classes; the number of smokers dropped in other 23% classes, remained unchanged in the same number of classes and increased in the same number of classes. In the second half of the programme, 38.5% of classes dropped out of the competition; the prevalence of smoking children was identical in 15.5% and higher in 46%, in the 12th month compared to the programme onset. However, the final prevalence of regular smokers in the competition set is only at the level of one third (10.3% versus 29.7%) compared to the same age group of the Czech population.
Conclusion: The programme successfully swayed the smoking habits of children.
Klíčová slova: Smoke-Free Class Competition, Czech Republic
Vloženo: 20. červenec 2007; Revidováno: 17. září 2007; Přijato: 17. září 2007; Zveřejněno: 1. prosinec 2007 Zobrazit citaci
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Reference
- Vartiainen E, Saukko A, Paavola M, Vertio H. "No smoking class" competitions in Finland: their value in delaying the onset of smoking in adolescence. Health Promot Int. 1996 Sep;11(3):189-92.
Přejít k původnímu zdroji...
- Schulze A, Pötschke-Langer M, Edler L, Mons U. Smoke-free Class Competition: a reply to the initiators of the program. Prev Med. 2006 Aug;43(2):151-3. Erratum in: Prev Med. 2007 Feb;44(2):183.
Přejít k původnímu zdroji...
- Hanewinkel R, Wiborg G, Paavola M, Vartiainen E. European smoke-free class competition. Tob Control. 1998 Oct;7(3):326.
Přejít k původnímu zdroji...
- Hrubá D, Zachovalová L, Fiala J, Kyasová M. Evaluation of the level of nicotine dependence among adolescent smokers. Cent Eur J Public Health. 2003 Sep;11(3):163-8.
- Centers for Disease Control and Prevention. Guidelines for school health programs to prevent tobacco use and addiction. MMWR Recomm Rep. 1994 Feb 25;43(RR-2):1-18.
- Mayhew KP, Flay BR, Mott JA. Stages in the development of adolescent smoking. Drug Alcohol Depend. 2000 May 1;59 Suppl 1:S61-81.
Přejít k původnímu zdroji...
- Shadel WG, Shiffman S, Niaura R, Nichter M, Abrams DB. Current models of nicotine dependence: what is known and what is needed to advance understanding of tobacco etiology among youth. Drug Alcohol Depend. 2000 May 1;59 Suppl 1:S9-22.
Přejít k původnímu zdroji...
- Eissenberg T, Balster RL. Initial tobacco use episodes in children and adolescents: current knowledge, future directions. DrugAlcohol Depend. 2000 May 1;59 Suppl 1:S41-60.
Přejít k původnímu zdroji...
- Wiehe SE, Garrison MM, Christakis DA, Ebel BE, Rivara FP.A systematic review of school-based smoking prevention trials with long-term follow-up. J Adolesc Health. 2005 Mar;36(3):162-9.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Schulze A, Mons U, Edler L, Pötschke-Langer M. Lack of sustainable prevention effect of the "Smoke-Free Class Competition" on German pupils. Prev Med. 2006 Jan;42(1):33-9.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Schmid H. Smokefree class competition in Switzerland: does it work with negative peer pressure? Psychol Health. 2006 Aug;21 Suppl 1:176-7.
- de Vries H, Candel M, Engels R, Mercken L. Challenges to the peer influence paradigm: results for 12-13 year olds from six European countries from the European Smoking Prevention Framework Approach Study. Tob Control. 2006 Apr;15(2):83-9.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Sovinová H, Csémy L. Smoking behaviour of Czech adolescents: results of the Global Youth Tobacco Survey in the Czech Republic, 2002. Cent Eur J Public Health. 2004 Mar;12(1):26-31.
- Geckova A, van Dijk JP, van Ittersum-Gritter T, Groothoff JW, Post D. Determinants of adolescents´smoking behaviour: a literature review. Cent Eur J Public Health. 2002 Sep;10(3):79-87.
- Csémy L, Krch FD, Provazníková H, Rážová J, Sovinová H. Lifestyle and health in Czech schoolchildren: results of Health Behaviour in Schoolaged Children (HBSC-WHO study). Prague: Center of Psychiatry; 2005. (In Czech.)