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Workshop3 j mucsi
 

Workshop3 j mucsi

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  • Develop and enforce a school policy on tobacco use. Provide instruction about the short- and long-term negative physiologic and social consequences of tobacco use, social influences on tobacco use, peer norms regarding tobacco use, and refusal skills. Provide tobacco-use prevention education in kindergarten through 12th grade; this instruction should be especially intensive in junior high or middle school and should be reinforced in high school. Provide program-specific training for teachers. Involve parents or families in support of school-based programs to prevent tobacco use. Support cessation efforts among students and all school staff who use tobacco. Assess the tobacco-use prevention program at regular intervals.
  • Develop and enforce a school policy on tobacco use. Provide instruction about the short- and long-term negative physiologic and social consequences of tobacco use, social influences on tobacco use, peer norms regarding tobacco use, and refusal skills. Provide tobacco-use prevention education in kindergarten through 12th grade; this instruction should be especially intensive in junior high or middle school and should be reinforced in high school. Provide program-specific training for teachers. Involve parents or families in support of school-based programs to prevent tobacco use. Support cessation efforts among students and all school staff who use tobacco. Assess the tobacco-use prevention program at regular intervals.

Workshop3 j mucsi Workshop3 j mucsi Presentation Transcript

  • School-based smoking prevention program in Gödöllő Action for Prevention Budapest, 30-31 May, 2011 Janos Mucsi MD Hungarian Alliance for Tobacco Control Anna Mucsi Török Ignác Gymnasium, Gödöllő
  • Students after 1st cigarette Global Youth Tobacco Survey, Hungary, 2003-2008 n=4484 (2003) n=3861 (2008) %
  • Waterpipe is an emerging outbreak Global Youth Tobacco Survey, Hungary, 2008 (n=3861)
  • Danger of smoking in the regular education
    • Rate of students getting education at school about danger of smoking.
    Global Youth Tobacco Survey, Hungary, 2008. age: 13-15 yrs 48,6% 57,2%
  • Smoker brother/friend… real danger % Global Youth Tobacco Survey, Magyarország, 2008. age: 13-15 yrs
  • Students already tried tobacco in Gödöllö % (December, 2006, n=2948) age (years) Mucsi J., Mucsi A.: Tüdőgyógyászat, 2008.
  • One of two students leaves school as smoker in Gödöllő (n=32) (n=214) (n=243) (n=334) (n=337) (n=323) (n=321) (n=371) (n=273) (n=2346) age (years) Mucsi J., Mucsi A.: Tüdőgyógyászat, 2008.
  • Why don’t students want to smoke?
    • Smoking is
      • Stinking
      • Expensive
      • Unhealthy
  • Smoking Prevention Program, Gödöllö
    • (non-)Smoking Policy at school
    • Having information about smoking!
      • Short/long time unhealthy effects of smoking
      • Social effects of smoking
      • Peer opinion, education
      • Be able to say „NO!”
    • Smoking prevention education from kindergarden to 18 years of age
      • Most intensive in age of 10 to 14 years
      • Reminder/strenghten in age of 14 to 18 years
    Elements of smoking prevention program Based on CDC recommendation, 1994
  • Smoking Prevention Program, Gödöllö
    • Smoking and program specific training for teachers
    • Inform/involve parents to support the program
    • Smoking cessation program for teachers and students
    • Regular activities during the school year
    Elements of smoking prevention program II. Based on CDC recommendation, 1994
  • Our dream: Smokefree schools
    • First goal: less students try and start to smoke!
    • Background:
      • 80-90% of active smokers start to smoke <18 years of age
      • Quitting
        • difficult
        • expensive
        • unsuccessful
    • Prevention is more effective than smoking cessation treatment
  • Be positive and motivated
    • Focusing on short time
    • benefits and handicaps
    Programs for teachers X X
    • Why is smoking good for you?
    • Relationship building
    • Quiet down
    • Keeping concentration
    • Why is smoking bad for you?
    • Stinking
    • Expensive
    • Unhealthy
    • Why is non-smoking good for you?
    • Non-stinking
    • Keeping pocket money
    • healthy
    • Why is non-smoking bad for you?
    • Being alone (no friends)
    • Nervous
    • Not able to concentrate
  • Preparing prevention campaign
    • November 2006.
      • Finalize questionnaire
      • Prepare action plan
      • Program consultations
        • Directors of schools
        • School doctor, school nurse, pulmonologist, psychiatrist, medical officers
        • Health and education committee of city, mayor
        • National experts
      • Getting approvals
        • Director of schools, chief medical officer
      • sponsorship
        • Mayor, deputy mayor, municipal foundations
  • Starting Smoking Prevention Program
    • December 2006.
      • Copying questionnaire (4500 pieces)
      • Performing survey
      • „ Smokefree classes competiton”
      • Teachers’ education, gaining fiends, supporters
      • Informational letter to parents
      • Launch of campaign
        • Movie „Thank you for smoking!”
        • Articles in local media
  • Thank you for smoking!
    • Like movie club
      • 5-6. classes (10-12 yrs)
      • 7-10. classes (13-16 yrs)
      • 10-12. classes (16-18 yrs)
    • Introduction
      • Focusing for what
    • Closing discussion
      • Teacher, physician, peer
    • Take home message
  • Smoking Prevention Program, Gödöllő
    • January-May, 2007.
      • Regular lessons about smoking
      • Meet the parents (class/semester based)
      • Continouos consultation with teachers
      • Getting support of Students’ Council
        • Peer coordinators (education, starting)
      • Web support
        • Background materials on web
        • www.megved.hu , www.tudobeteg.hu , www.tig.hu , www.godollo.hu
  • Smokefree class competition
    • Nominated:
      • 5 schools, 37 classes
      • 942 students
    • Successful (smokefree) final:
      • 4 schools
      • 22 classes
      • 567 students remained smokefree
  • Individual competition for a Smokefree Life Focusing on students age of 10-12 yrs)
  • Drawing competition 7 schools, 62 drawings
  •  
  • Role of Program Coordinator
    • Control the program
    • Consultation with stakeholders
    • Organizing education
      • teachers
      • parents
      • students
    • Media
      • website
      • Media related relationship building
    • Evaluation and development of program
  • Student Research
    • Involving students into research regarding tobacco control
      • How does influence smoking the opinion of students about smoking?
      • Does influence smoking vital signs of teenagers?
    • Award winning presentations on National Scientific Conference of Hungarian Student Research Association.
  • Smoking changes opinion of smoker students regarding smoking Question: What do you think, what is smoking like? (classes 11-12.) n=137 n=45 n=22 * * * * * * * *
  • Change of pulse rate after physical excercise Pulse rate (beat/minute)
  • Change of diastolic blood pressure after physical excercise Blood pressure (mmHg)
  • Expensive drug
    • 1 box of cigarette = 2 Euros
    • 1 year = 365 days
    • 1 year = 730 Euros
    • 5 years = 4000 Euros (5%)
    • 10 years 10.000 Euros
    • 15 év alatt 18.000 Euros
  • Have you ever tried waterpipe?
  • Waterpipe
    • coal
    • tobacco
    • additives
    • liquid
    • people
    • 45 minutes = 100 inhalations
    • 1 inhalation = 3 sec
  • Waterpipe and carbonmonoxid (CO)
    • Smoke of waterpipe: 0,34% - 1,40% CO
    • Smoke of cigarette: 0,41% CO
    • Smaller waterpipes produce more CO
    CO-hemoglobin(%) 1832 volunteers ( Saudi-Arabian men ) after 10-40 smoking
  • Other risks of waterpiping
    • Waterpiping at least once
      • increases trying cigarettes 8x
    • Danger of additives
      • Alcohol , drugs
    • Particle materials
  • Continuous train the trainer program
    • Pool of educational material
    • School nurses and teachers will organize the educational programs at schools
    • 1 full job health education officer in local surgeon general’s office
  • Problems and hopes
    • Problems
    • Fund raising
    • Schools are not interested in regular/continuous tobacco prevention program
    • Hopes
    • Smokefree low effective from Jan/2012
    • Increasing tobacco prices
    • Smoking cessation will be reimbursed
    • More educated teachers and school nurses
  • Smokers try illicit drugs Have you ever tried any drug (e.g. Extasy, cannabis, cocain, heroin)? 15-19 yrs of age (n=1328) 1,5% 7,3% 28,8% 54,0% 54% Non-smoker Not in last 30 days Not every day Every day (dependent) Ever drug user 3 48 79 107 Not tried any drug 194 611 195 91