Learning Objectives: Describe key outcomes and accomplishments of Full Court Press Project, a comprehensive community intervention to reduce youth tobacco use in Tucson, Arizona.
Abstract: It is widely known that smoking is the leading cause of preventable death. While the literature identifies key factors that play important roles in the tobacco uptake process, we have yet to find a consistently effective intervention strategy for preventing tobacco use by youth. A promising strategy is a comprehensive, community-wide strategy that encompasses schools, communities, workplaces, and strict federal and local tobacco policies. Full Court Press, funded by the Robert Wood Johnson Foundation, is a prototype of such a strategy. To document and examine the nature and extent of FCP's impact on Tucson youth, student surveys were conducted in three waves in 1996, 1998, and 2000. Results show that there was a 27% reduction in smoking among Tucson students from 1996 to 2000. The magnitude of the reduction was significantly larger than the national and the statewide trends. It is also demonstrated that the effect was specific to tobacco rather than adolescent indicators of risk in general. Given that the results of school-based programs have been found to be limited in either the duration of their impact or the magnitude of their impact, the Full Court Press experience shows that it is possible that programs targeted at individuals need to be reinforced by interventions targeted at broader community designed to change norms and policies in order to achieve large and sustained reduction in youth tobacco use.
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