Effectiveness of a Community and School-Based Intervention to Control and Prevent of Tobacco Use in Adolescents: A Field Randomized Controlled Trial

摘要

This article contains the authors' experience of aschool and community-based intervention in Iranto prevent and reduce smoking in high schoolstudents. This has lessons for health school andcommunity-based interventions. Adolescence isassociated with several risky behaviors, such asincreased use of tobacco (1). If the current trendcontinues, 250 million living children and adolescentswho continue tobacco use into adulthoodwill die of health problems related to tobacco use(2). Given the global epidemiologic transitionfrom poverty diseases to non-communicable diseases,the burden of disease and health risksamong adolescents and young adults has changedsignificantly due to the undeniable role of substanceuse (3), including Iran (4). Therefore, aneed for prevention and control programs of tobaccoamong adolescents and different implementationmethods cannot be understated. Tobaccouse prevention programs administered inschools are effective in reducing future smokers(5), although the interpretation of evidence forschool-based prevention programs are affectedby methodological issues.