Tobacco In Schools: Prevention Of Tobacco Use In Public Schools
Prevention of Tobacco Use
With tobacco use (smoking and smokeless) beginning earlier than ever, the best strategy is to prevent such use from ever starting. Recent surveys indicate that both U.S. smokers and nonsmokers strongly favor policies to prevent use of tobacco by youths. Such policies include
(a) Mandated public-school education on tobacco,
(b) An absolute ban of smoking in the school environment by students and all staff,
(c) Increased restrictions on tobacco advertising and promotion,
(d) Enforcement of laws banning tobacco sales to minors, and
(e) Increases in tobacco taxes. School programs are crucial to the success of prevention efforts. Such prevention programs, which teach students to identify social influences that encourage smoking and train them in skills to resist those influences, have significantly reduced smoking prevalence among youths; however, these effects have lasted from 1 to 3 years only. School programs to prevent use of smokeless tobacco, based on methods comparable to the smoking prevention model, have had similar limited success. School programs, however, are only part of the solution. Evidence suggests that school-based prevention curricula are enhanced when they are combined with community programs that include
(a) Involvement of parents,
(b) Mass media,
(c) Counter advertising,
(d) Community organizations, and
(e) Other segments of the school-aged child’s environment.
The American Academy of Pediatrics (AAP) has
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