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. 2009 Mar;44(3):229-36.
doi: 10.1016/j.jadohealth.2008.07.012. Epub 2008 Dec 6.

Smoking Patterns in Oregon Youth: Effects of Funding and Defunding of a Comprehensive State Tobacco Control Program

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Smoking Patterns in Oregon Youth: Effects of Funding and Defunding of a Comprehensive State Tobacco Control Program

Barbara A Pizacani et al. J Adolesc Health. .
Free PMC article

Abstract

Purpose: Comprehensive tobacco control programs have included school-based prevention programs as a key strategy to reach adolescents. Unfortunately, these programs have undergone extensive budget reductions in recent years. In 2003, funding for the Oregon Tobacco Prevention and Education Program was reduced by about 70%, and the school component was entirely defunded. To assess the effects of program funding and subsequent defunding on smoking prevalence within targeted Oregon schools, we compared the change in 30-day smoking prevalence between grades 8 and 11 in school districts in two periods: namely, during funding and after funding was eliminated.

Methods: We used annual school-based survey data for grades 8 and 11 to describe district-level changes in smoking prevalence in five age cohorts: two during the funding period and three after defunding. Each cohort was comprised of districts whose 8th-graders completed the survey and participated again 3 years later. Using mixed models, we compared the change in 30-day adjusted smoking prevalence among cohorts in funded districts, defunded districts, and districts that never received funding.

Results: Smoking prevalence growth was significantly higher among cohorts from the defunded period than for cohorts from the funded period (p=.04) and was not significantly different from schools that were never-funded (p=.79).

Conclusions: In Oregon, funding a school component of a comprehensive tobacco control strategy was associated with depressed uptake of smoking. Gains were quickly lost upon program defunding. School programs are an important strategy if they are long term, comprehensive, and reinforced in the larger environment.

Figures

Figure 1
Figure 1
Smoking prevalence growth in never-funded cohorts, Oregon, 1999–2006. Note: each line represents the increase in smoking prevalence from the 8th grade to the 11th grade for a cohort of students from matched, never-funded districts.
Figure 2
Figure 2
Smoking prevalence growth by cohort in funded/defunded districts, Oregon, 1999–2006. Note: each line represents the increase in smoking prevalence from the 8th grade to the 11th grade for a cohort of students from matched, funded or defunded districts.
Figure 3
Figure 3
Pooled smoking prevalence growth in funded, defunded and never-funded cohorts, Oregon 1999–2006. Note: percentage values are unadjusted. The p value for comparision of prevalence growth between never-funded and funded cohorts = .039, and p value for comparision of prevalence growth between neverfunded and defunded cohorts = .786.

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