Journal of Health and Environmental Research

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Effects of School-based Smoking Prevention Education by Physician After Eight Years: A School Randomized Controlled Trial

Received: 12 November 2020    Accepted: 30 November 2020    Published: 08 December 2020
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Abstract

Numerous studies have examined whether school-based smoking prevention education for minors reduces smoking rates, but consensus has not been established. Moreover, there are few reports about non-smoking classes offered by physicians with long-term results. Volunteer doctors have provided tobacco prevention classes in Kanazawa, Japan since 1998. The aim of this article is to assess whether the education by physicians was effective after eight years. A community area having 14 elementary schools was selected for this study. The study groups comprised randomized schools receiving the 45 minutes non-smoking education by physicians for 12-year-old sixth graders once a year and control schools with no intervention during three years from 2007 to 2009. A randomized controlled trial was conducted among 4,014 (1,615 educated and 2,399 control) students. After eight years, a questionnaire survey on the smoking behaviors of 20-year-old young adults within the community was conducted and 1,634 (631 educated and 1,003 control) replies were collected. The smoking rates of the two groups were compared. At the eight-year follow-up, the smoking rates in the educated group significantly decreased compared to those in the control, especially among males. The school-based smoking prevention education by physicians was effective in reducing the smoking rates among 12-year-old students 8 years later.

DOI 10.11648/j.jher.20200604.13
Published in Journal of Health and Environmental Research (Volume 6, Issue 4, December 2020)
Page(s) 119-127
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Smoking, Prevention, Education, Physician, Long-term Results

References
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Author Information
  • Vascular Surgery, Jouhoku Hospital, Kanazawa, Japan

  • Iwaki Clinic of Internal Medicine, Kanazawa, Japan

  • Nonprofit Organization (NPO) Non-smoking Network Ishikawa, Kanazawa, Japan

  • Nonprofit Organization (NPO) Non-smoking Network Ishikawa, Kanazawa, Japan

  • General Medical Department, Kanazawa University Hospital, Kanazawa, Japan

  • Kanazawa University, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa, Japan

  • Postgraduate School of Public Health, Faculty of Medicine, Kyoto University, Kyoto, Japan

  • Faculty of Health Sciences, Komatsu University, Komatsu, Japan

  • Faculty of Health Sciences, Komatsu University, Komatsu, Japan

  • Morita Clinic, Kanazawa, Japan

  • Douniwa Clinic, Kanazawa, Japan

  • Respiratory Medicine, NHO Kanazawa Medical Center, Kanazawa, Japan

Cite This Article
  • APA Style

    Endo Masamitsu, Iwaki Norio, Fukuda Tamutsu, Yoshida Kenji, Nomura Hideki, et al. (2020). Effects of School-based Smoking Prevention Education by Physician After Eight Years: A School Randomized Controlled Trial. Journal of Health and Environmental Research, 6(4), 119-127. https://doi.org/10.11648/j.jher.20200604.13

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    ACS Style

    Endo Masamitsu; Iwaki Norio; Fukuda Tamutsu; Yoshida Kenji; Nomura Hideki, et al. Effects of School-based Smoking Prevention Education by Physician After Eight Years: A School Randomized Controlled Trial. J. Health Environ. Res. 2020, 6(4), 119-127. doi: 10.11648/j.jher.20200604.13

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    AMA Style

    Endo Masamitsu, Iwaki Norio, Fukuda Tamutsu, Yoshida Kenji, Nomura Hideki, et al. Effects of School-based Smoking Prevention Education by Physician After Eight Years: A School Randomized Controlled Trial. J Health Environ Res. 2020;6(4):119-127. doi: 10.11648/j.jher.20200604.13

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  • @article{10.11648/j.jher.20200604.13,
      author = {Endo Masamitsu and Iwaki Norio and Fukuda Tamutsu and Yoshida Kenji and Nomura Hideki and Kido Teruhiko and Takahashi Yuko and Ikeda Michiko and Nakashima Motoko and Morita Masato and Douniwa Kenichi and Kita Toshiyuki},
      title = {Effects of School-based Smoking Prevention Education by Physician After Eight Years: A School Randomized Controlled Trial},
      journal = {Journal of Health and Environmental Research},
      volume = {6},
      number = {4},
      pages = {119-127},
      doi = {10.11648/j.jher.20200604.13},
      url = {https://doi.org/10.11648/j.jher.20200604.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.jher.20200604.13},
      abstract = {Numerous studies have examined whether school-based smoking prevention education for minors reduces smoking rates, but consensus has not been established. Moreover, there are few reports about non-smoking classes offered by physicians with long-term results. Volunteer doctors have provided tobacco prevention classes in Kanazawa, Japan since 1998. The aim of this article is to assess whether the education by physicians was effective after eight years. A community area having 14 elementary schools was selected for this study. The study groups comprised randomized schools receiving the 45 minutes non-smoking education by physicians for 12-year-old sixth graders once a year and control schools with no intervention during three years from 2007 to 2009. A randomized controlled trial was conducted among 4,014 (1,615 educated and 2,399 control) students. After eight years, a questionnaire survey on the smoking behaviors of 20-year-old young adults within the community was conducted and 1,634 (631 educated and 1,003 control) replies were collected. The smoking rates of the two groups were compared. At the eight-year follow-up, the smoking rates in the educated group significantly decreased compared to those in the control, especially among males. The school-based smoking prevention education by physicians was effective in reducing the smoking rates among 12-year-old students 8 years later.},
     year = {2020}
    }
    

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    T1  - Effects of School-based Smoking Prevention Education by Physician After Eight Years: A School Randomized Controlled Trial
    AU  - Endo Masamitsu
    AU  - Iwaki Norio
    AU  - Fukuda Tamutsu
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    AU  - Nomura Hideki
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    JF  - Journal of Health and Environmental Research
    JO  - Journal of Health and Environmental Research
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    AB  - Numerous studies have examined whether school-based smoking prevention education for minors reduces smoking rates, but consensus has not been established. Moreover, there are few reports about non-smoking classes offered by physicians with long-term results. Volunteer doctors have provided tobacco prevention classes in Kanazawa, Japan since 1998. The aim of this article is to assess whether the education by physicians was effective after eight years. A community area having 14 elementary schools was selected for this study. The study groups comprised randomized schools receiving the 45 minutes non-smoking education by physicians for 12-year-old sixth graders once a year and control schools with no intervention during three years from 2007 to 2009. A randomized controlled trial was conducted among 4,014 (1,615 educated and 2,399 control) students. After eight years, a questionnaire survey on the smoking behaviors of 20-year-old young adults within the community was conducted and 1,634 (631 educated and 1,003 control) replies were collected. The smoking rates of the two groups were compared. At the eight-year follow-up, the smoking rates in the educated group significantly decreased compared to those in the control, especially among males. The school-based smoking prevention education by physicians was effective in reducing the smoking rates among 12-year-old students 8 years later.
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