Targeting early antecedents to prevent tobacco smoking: findings from an epidemiologically based randomized field trial

Am J Public Health. 1998 Oct;88(10):1490-5. doi: 10.2105/ajph.88.10.1490.


Objectives: This study examined whether interventions aimed at aggressive/disruptive classroom behavior and poor academic achievement would reduce the incidence of initiation of smoking.

Methods: An epidemiologically based, universal randomized preventive trial involved 2311 children in 2 classroom-based preventive interventions or controls. Each intervention was directed at 1 of the aforementioned 2 antecedents over first and second grades in 19 urban schools.

Results: Smoking initiation was reduced in both cohorts for boys assigned to the behavioral intervention.

Conclusions: Targeting early risk antecedents such as aggressive behavior appears to be an important smoking prevention strategy.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Baltimore / epidemiology
  • Behavior Therapy / methods
  • Child
  • Child Behavior*
  • Female
  • Humans
  • Male
  • Risk-Taking
  • Schools
  • Sex Factors
  • Smoking / epidemiology
  • Smoking Prevention*
  • Survival Analysis