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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.
  • Transcript

    • 1. 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
    • 2. Students after 1st cigarette Global Youth Tobacco Survey, Hungary, 2003-2008 n=4484 (2003) n=3861 (2008) %
    • 3. Waterpipe is an emerging outbreak Global Youth Tobacco Survey, Hungary, 2008 (n=3861)
    • 4. 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%
    • 5. Smoker brother/friend… real danger % Global Youth Tobacco Survey, Magyarország, 2008. age: 13-15 yrs
    • 6. Students already tried tobacco in Gödöllö % (December, 2006, n=2948) age (years) Mucsi J., Mucsi A.: Tüdőgyógyászat, 2008.
    • 7. 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.
    • 8. Why don’t students want to smoke?
      • Smoking is
        • Stinking
        • Expensive
        • Unhealthy
    • 9. 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
    • 10. 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
    • 11. 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
    • 12. 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
    • 13. 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
    • 14. 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
    • 15. 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
    • 16. 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
    • 17. Smokefree class competition
      • Nominated:
        • 5 schools, 37 classes
        • 942 students
      • Successful (smokefree) final:
        • 4 schools
        • 22 classes
        • 567 students remained smokefree
    • 18. Individual competition for a Smokefree Life Focusing on students age of 10-12 yrs)
    • 19. Drawing competition 7 schools, 62 drawings
    • 20.  
    • 21. 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
    • 22. 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.
    • 23. 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 * * * * * * * *
    • 24. Change of pulse rate after physical excercise Pulse rate (beat/minute)
    • 25. Change of diastolic blood pressure after physical excercise Blood pressure (mmHg)
    • 26. 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
    • 27. Have you ever tried waterpipe?
    • 28. Waterpipe
      • coal
      • tobacco
      • additives
      • liquid
      • people
      • 45 minutes = 100 inhalations
      • 1 inhalation = 3 sec
    • 29. 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
    • 30. Other risks of waterpiping
      • Waterpiping at least once
        • increases trying cigarettes 8x
      • Danger of additives
        • Alcohol , drugs
      • Particle materials
    • 31. 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
    • 32. 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
    • 33. 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

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