Cluster Randomized Trial of Teens Against Tobacco Use: Youth Empowerment for Tobacco Control in El Paso, Texas

Brown, Louis D.; Bandiera, Frank C.; Harrell, Melissa B.

doi:10.1016/j.amepre.2019.06.013

Cited by 13 publications

(23 citation statements)

References 27 publications

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“…Unfortunately, social acceptance may lead to consistent use of e-cigarettes and potentially of other tobacco products ( 17 ). School-based prevention efforts likely provide an opportunity to reach youth's social environment and peer-led programs may deter social acceptability ( 36 ). We did not find a significant relation between social acceptability and current use.…”

Section: Discussionmentioning

confidence: 99%

“…To identify predictors of e-cigarette initiation and current use over time, we analyzed data collected at baseline and again at follow-up during the 2016–2017 school year as part of an evaluation of Teens Against Tobacco Use (TATU), a school-based peer-led tobacco prevention intervention ( 36 ). Two Title I middle schools in El Paso, Texas with students in grades 6–8 enrolled in that study.…”

Section: Methodsmentioning

confidence: 99%

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Predictors of e-cigarette initiation and use among middle school youth in a low-income predominantly Hispanic community

Gaddy

Vasquez

Brown

2022

Front. Public Health

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IntroductionE-cigarette use among middle and high school youth increased from 2. 5 million in 2014 to 9.2 million in 2019, becoming the most common tobacco product used among youth. Hispanic youth, the largest ethnic minority in the United States, have higher rates of tobacco use, including e-cigarettes, than non-Hispanics. Identifying factors that put youth at risk for future e-cigarette use is vital to focusing prevention efforts. Informed by social cognitive theory, this study identifies predictors of e-cigarette uptake among e-cigarette naïve youth in a predominantly low-income Hispanic community.Methods1,249 students (6–8th grades) from two middle schools in El Paso, Texas consented to participate in this longitudinal survey during the 2016–2017 school year. The study sample for analysis was restricted to e-cigarette naïve students (n = 862). Outcome measures were e-cigarette initiation and current use at follow-up. Logistic regression models tested six hypotheses about predictors of e-cigarette initiation and current use: (1) intention, (2) outcome expectations, (3) knowledge, (4) friendship network exposure, (5) normative beliefs, and (6) social acceptability.ResultsAmong e-cigarette naïve students at baseline, 8% (n = 71) reported initiation at follow-up; of these, 3% (n = 23) reported current use. Significant predictors of initiation were intention (AOR = 2.46; 95% CI 1.69–3.59; p < 0.001), outcome expectations (AOR = 1.73; 95% CI 1.14–2.61; p = 0.009), friendship network exposure (AOR = 1.53; 95% CI 1.11–2.11; p =0.01), normative beliefs (AOR = 2.12; 95% CI 1.47–3.08; p < 0.001), and social acceptability (AOR = 1.91; 95% CI 1.28–2.85; p = 0.002). Significant predictors of current use were intention (AOR = 1.98; 95% CI 1.07–3.69; p = 0.03) and friendship network exposure (AOR = 1.69; 95% CI 1.06–2.70; p = 0.03).ConclusionsWith the increasing popularity of e-cigarettes, age appropriate and culturally sensitive prevention strategies tailored at altering these predictive factors are essential in preventing future e-cigarette use.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Predictors of e-cigarette initiation and use among middle school youth in a low-income predominantly Hispanic community

Gaddy

Vasquez

Brown

2022

Front. Public Health

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“…The identification of the drivers governing adolescent health behaviours is crucial in a public health context, because such information can be used in the design of intervention strategies. There are many examples of such interventions and policies aimed at reducing an individual's likelihood of partaking in adverse health behaviours (Lantz et al, 2000), many of which can be classified as neighbourhood (Lewit et al, 1997) or social network (Brown et al, 2019; Starkey et al, 2009; Valente, 2012) strategies.…”

Section: Introductionmentioning

confidence: 99%

A Bayesian Spatio-Network Model for Multiple Adolescent Adverse Health Behaviours

Gerogiannis

Tranmer

Lee

et al. 2022

Journal of the Royal Statistical Society Series C: Applied Statistics

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The use of alcohol, cigarettes and marijuana among adolescents are major public health concerns, and a number of epidemiological studies have been conducted to understand the drivers of these individual health behaviours. However, there is no literature that jointly models these health behaviours with the aim of understanding the relative importance of individual factors, friendship effects and spatial effects in determining the prevalence of alcohol, cigarette and marijuana use among adolescents. To address this gap in the literature, we propose a novel multivariate spatio-network model for jointly modelling all three of these behaviours, with inference conducted in a Bayesian setting using Markov chain Monte Carlo simulation. The model is motivated by survey data from five schools in Los Angeles, California, and the results indicate the important roles that individual factors and friendship networks play in driving the uptake of these health behaviours.

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“…They also regard the use of tobacco as a functional stress-management strategy. Health and family are strong motivators to avoid nicotine products ( Brown et al, 2019 ). Youth are often unaware of the level of nicotine in the devices they use.…”

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confidence: 99%

“…As many previous studies around the world have shown ( Alves et al, 2020 ; Brown et al, 2021 ; Chavan & Charanrajhave, 2020 ; Di Giuseppe et al, 2020 ; Shilco et al, 2020 ), there is a need to strengthen the multi-professional healthcare system and, for example, various school-based smoking risk campaigns to arouse awareness, to enable early detection, and to implement strategies to prevent nicotine addiction among adolescents. According to Brown et al (2019) , peer-to-peer discussion of tobacco experiences and perceptions may help correct the incongruent viewpoints of the use of tobacco products.…”

mentioning

confidence: 99%

Influencing adolescents’ attitudes towards nicotine products: A systematic review

Vaihekoski

Lagström

Eloranta

et al. 2022

Nordic Studies on Alcohol and Drugs

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Background and aim: Use of nicotine can harm adolescents’ brains and increase risk for future addiction to other drugs. Several international studies show that an acceptable attitude towards nicotine products increases the initiation or use of the products. Adolescents have limited or distorted knowledge about nicotine products. Many of them have a positive image of the properties and effects of nicotine products, which increases the chances of smoking or using snus. Yet, we know little about the relationship between youth nicotine use, youth attitudes towards nicotine products and the interventions to influence these attitudes. This systematic review synthesised adolescents’ attitudes towards nicotine products and the ways to influence them. Methods: Systematic searches were carried out from PubMed, MEDLINE, CINAHL, and MEDIC databases and were targeted to randomised controlled trial (RCT) studies published in 2010–2021. Results: A total of seven RCT studies were reviewed with a total population (age range 9–17 years, adolescents 11–17 years) of 15,974. Findings were classified into four categories: school-based interventions, tobacco prevention campaigns, advertisements’ influence on adolescents’ opinions towards nicotine products, and their responses to cigarette pack warnings. Conclusion: Based on this systematic literature review, particularly school-based interventions have an effect on adolescents’ attitudes towards smoking and preventing them from starting to smoke, when they are targeted before the age of puberty. School-based interventions should be further implemented and strengthened, as the school has been shown to have significant potential to support youth’s health. There is a need for further information about the most effective interventions in the different age groups and the qualitative studies on the topic.

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Cluster Randomized Trial of Teens Against Tobacco Use: Youth Empowerment for Tobacco Control in El Paso, Texas

Cited by 13 publications

References 27 publications

Predictors of e-cigarette initiation and use among middle school youth in a low-income predominantly Hispanic community

Predictors of e-cigarette initiation and use among middle school youth in a low-income predominantly Hispanic community

A Bayesian Spatio-Network Model for Multiple Adolescent Adverse Health Behaviours

Influencing adolescents’ attitudes towards nicotine products: A systematic review

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