Smoking in secondary school students in Zagreb

Prevalence of smoking was studied in two secondary schools in Zagreb. Data were collected from 637 pupils by questionnaires. Depending on school, between 31 to 45% pupils smoke. Different trends were observed in boys and girls. In boys from the families of a higher parental education prevalence is 28%; in those from lower 42% (p < 0.02). Smoking in girls still increases: in both populations girls surpassed boys (p < 0.001): observed frequencies are 47% in lower and 40% in a group with higher parental education. Higher frequency of smoking was observed in smoking families (p < 0.001). A majority of smokers begin smoking in the last grade of primary school, mostly because of peer group pressure and curiosity. Approximately 50% of regular smokers smoke more than half a pack daily. They comprise 12% of the surveyed population. Smokers do not assign low risk to smoking any more, but knowledge about diseases connected with smoking is insufficient. To reduce smoking among adolescents it is necessary to create negative attitude toward smoking and social-resistance skills during primary school education.     

Using the internet to assist smoking prevention and cessation in schools: A randomized, controlled trial.

Objective: To evaluate the impact of a classroom-based, Web-assisted tobacco intervention addressing smoking prevention and cessation with adolescents. Design: A two-group randomized control trial with 1,402 male and female students in grades 9 through 11 from 14 secondary schools in Toronto, Canada. Participants were randomly assigned to a tailored Web-assisted tobacco intervention or an interactive control condition task conducted during a single classroom session with e-mail follow-up. The cornerstone of the intervention was a five-stage interactive Web site called the Smoking Zine (http://www.smokingzine.org) integrated into a program that included a paper-based journal, a small group form of motivational interviewing, and tailored e-mails. Main Outcome Measure: Resistance to smoking, behavioral intentions to smoke, and cigarette use were assessed at baseline, postintervention, and three- and six-month follow-up. Multilevel logistic growth modeling was used to assess the effect of the intervention on change over time. Results: The integrated Smoking Zine program helped smokers significantly reduce the likelihood of having high intentions to smoke and increased their likelihood of high resistance to continued cigarette use at 6 months. The intervention also significantly reduced the likelihood of heavy cigarette use adoption by nonsmokers during the study period. Conclusion: The Smoking Zine intervention provided cessation motivation for smokers most resistant to quitting at baseline and prevented nonsmoking adolescents from becoming heavy smokers at 6 months. By providing an accessible and attractive method of engaging young people in smoking prevention and cessation, this interactive and integrated program provides a novel vehicle for school- and population-level health promotion. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Concurrent brief versus intensive smoking intervention during alcohol dependence treatment.

Alcohol dependent smokers (N=118) enrolled in an intensive outpatient substance abuse treatment program were randomized to a concurrent brief or intensive smoking cessation intervention. Brief treatment consisted of a 15-min counseling session with 5 min of follow-up. Intensive intervention consisted of three 1-hr counseling sessions plus 8 weeks of nicotine patch therapy. The cigarette abstinence rate, verified by breath carbon monoxide, was significantly higher for the intensive treatment group (27.5%) versus the rate for the brief treatment group (6.6%) at 1 month after the quit date but not at 6 months, when abstinence rates fell to 9.1% for the intensive treatment group and 2.1% for the brief treatment group. Smoking treatment assignment did not significantly impact alcohol outcomes. Although intensive smoking treatment was associated with higher rates of short-term tobacco abstinence, other, perhaps more intensive, smoking interventions are needed to produce lasting smoking cessation in alcohol dependent smokers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of cigarette smoking on electrodermal orienting reflexes to stimulus change and stimulus significance

Skin conductance responses (SCRs) evoked by novel, signal, and frequent tone stimuli were measured in 20 male heavy smokers and 10 male nonsmokers over two sessions. All smokers abstained from smoking for 12 hr prior to each session. Half of the smokers smoked a cigarette of their preferred brand prior to SCR measurement in the first session, whereas the remaining smokers smoked in the second session. Nonsmokers did not smoke. Results combined across the two sessions indicated that abstinence was associated with selective depression of SCRs to the novel tone. Separate analyses of results from each session revealed that, in the second session, SCRs to both novel and signal tones were depressed in abstinent smokers, partially replicating previous findings. By contrast, first session results showed no significant effects of smoking or abstinence. Results were interpreted in terms of nicotine's effects on nonspecific arousal, with some reservations.     

Advances in periodontal diagnosis. 7. Proteolytic and hydrolytic enzymes link with periodontitis

Tobacco use poses one of the greatest health problems at school. Its prevention through health education should be assumed up by all members of the school community and health personnel (especially family and respiratory physicians). We designed an anti-tobacco program lasting three years aimed at all the students of the 6th, 7th and 8th grades at school as well as those in the pre-university years that was implemented in a rural area. This study reports the results of the attitudes of the 610 students (256 boys and 354 girls, between 11 and 20 years old) collected at the end of the program. 59.4% of the boys and 44.1% of the girls reported having smoked on some occasion. The mean age at the time of the first contact with tobacco was 11.8 +/- 2.4 years, this being significantly different between the boys and the girls. The main reasons for starting to smoke tobacco were quoted as peer pressure (57.1%) and curiosity (55.5%). That their parents smoked was only adduced as a reason by 29.5% of the students. Knowledge of the harmful effects of tobacco was limited and only 57% related tobacco smoking to lung cancer and only 41% to coronary pathology. At the end of the program 13.6% of the students involved smoked. 93.9% of those who quit smoking related this event to the program. Of those still smoking, 63.6% said they would like to quit. This justifies the need to reinforce the knowledge that will allow them to switch attitudes and stop smoking. Intervention programs in school populations have proved to be useful in the struggle to decrease smoking among school children. If an adolescent can avoid smoking it is likely that s/he will not smoke in adulthood. It is necessary to further develop this type of anti-tobacco program as reflected in this paper.     

Efficacy of a smoking cessation program for hospital patients

BACKGROUND: Hospitalization may be an opportune time to change smoking behavior because it requires smokers to abstain from tobacco at the same time that illness can motivate them to quit. A hospital-based intervention may promote smoking cessation after discharge. METHODS: We tested the efficacy of a brief bedside smoking counseling program in a randomized controlled trial at Massachusetts General Hospital, Boston. The 650 adult smokers admitted to the medical and surgical services were randomly assigned to receive usual care or a hospital-based smoking intervention consisting of (1) a 15-minute bedside counseling session, (2) written self-help material, (3) a chart prompt reminding physicians to advise smoking cessation, and (4) up to 3 weekly counseling telephone calls after discharge. Smoking status was assessed 1 and 6 months after hospital discharge by self-report and validated at 6 months by measurement of saliva cotinine levels. RESULTS: One month after discharge, more intervention than control patients were not smoking (28.9% vs 18.9%; P=.003). The effect persisted after multiple logistic regression analyses adjusted for baseline group differences, length of stay, postdischarge smoking treatment, and hospital readmission (adjusted odds ratio, 2.19; 95% confidence interval, 1.34-3.57). At 6 months, the intervention and control groups did not differ in smoking cessation rate by self-report (17.3% vs 14.0%; P=.26) or biochemical validation (8.1% vs 8.7%; P=.72), although the program appeared to be effective among the 167 patients who had not previously tried to quit smoking (15.3% vs 3.7%; P=.01). CONCLUSIONS: A low-intensity, hospital-based smoking cessation program increased smoking cessation rates for 1 month after discharge but did not lead to long-term tobacco abstinence. A longer period of telephone contact after discharge might build on this initial success to produce permanent smoking cessation among hospitalized smokers.     

A School-Based Group Play/Activity Therapy Intervention with Learning Disabled Preadolescents Exhibiting Behavior Problems.

While play therapy has been a recognized mode of treatment for children with social, emotional, and behavioral problems for decades, preadolescents may find the traditional playroom juvenile. Modifying the playroom and activities to specifically meet the needs of preadolescents, this study examined the effectiveness of group play/activity therapy as a school-based intervention with fourth and fifth grade learning disabled preadolescents exhibiting behavior problems. A pre-test, post-test control group design in which volunteer preadolescents were randomly assigned to either the control or treatment group was used. The group play/activity therapy intervention followed humanistic principles and was designed to address the cognitive and social-emotional needs of preadolescence. Statistical analysis revealed that preadolescents who participated in group play/activity therapy demonstrated a reduction in problem behavior. Effect size was calculated for each composite scale and subscale to determine practical significance of the experimental group. It was determined that group play therapy had a large overall treatment effect (d=.82) on the problem behavior of learning disabled preadolescents. Qualitative data was examined to determine clinical significance of the intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Long-term effectiveness of two Dutch work site smoking cessation programs

This article reports on one of the few experimental studies in Europe to examine work site smoking cessation. The study examined whether a comprehensive intervention (self-help manuals, group courses, a mass media campaign, smoking policies, and a second-year program) is more effective than a minimal intervention (self-help manuals only). Eight work sites participated in the study. The effect of treatment on smoking cessation depended on nicotine dependency levels: Heavy smokers had more success with the comprehensive smoking cessation intervention than with the minimal intervention (with respect to both 14-month quit rate and 6-month prolonged abstinence). For heavy smokers, exposure to mass media exhibitions or to group courses had a beneficial effect on prolonged abstinence. Comprehensive programs may be most appropriate in Dutch work sites with large proportions of heavily addicted smokers.     

Sex preferences in sociometric choices.

Sex biases in children's sociometric preferences were examined developmentally using rating-scale data from 195 girls and 191 boys in kindergarten through the third grade (Study 1) and from 91 girls and 88 boys in the third through sixth grades (Study 2). Results of both studies indicated that children at each grade level rated opposite-sex classmates significantly lower than same-sex classmates. Furthermore, there was a significant linear trend for children's sex biases to increase with age, with this trend being particularly pronounced in the younger grades (i.e., kindergarten to Grade 3). Specifically, children received significantly lower ratings from opposite-sex peers in Grade 3 than they received in kindergarten, Grade 1, and Grade 2. Results are discussed in terms of future research in the area of sociometric assessment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Surfing the urge: Brief mindfulness-based intervention for college student smokers.

The current study investigates effects of a brief mindfulness-based instruction set, based on Marlatt’s “urge surfing” technique (Marlatt & Gordon, 1985), on smoking-related urges and behavior. Undergraduate smokers (N = 123) who were interested in changing their smoking, but not currently involved in a cessation program, participated in a cue exposure paradigm designed to elicit urges to smoke. They were randomly assigned either to a group receiving brief mindfulness-based instructions or to a no-instruction control group. Results suggest that groups did not differ significantly on measures of urges. However, those in the mindfulness group smoked significantly fewer cigarettes over a 7-day follow-up period as compared to those in the control group. These findings suggest that the mindfulness techniques may not initially reduce urges to smoke but may change the response to urges. The study provides preliminary data for future studies examining both mechanisms and effectiveness of mindfulness-based interventions for cigarette smoking. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Chloramphenicol-induced amnesia for passive avoidance training in the day-old chick

In all, 56 triads of same-sex 3rd-, 4th-, and 5th-grade children were observed during an intimate discussion, a cooperative puzzle task, a competitive game, and free play. Observers coded triadic interaction using a Q sort and individual process ratings. Of particular interest was how gender and the pattern of friendship ties among group members related to children's behavior. Triads of girls were more intimate, exchanged more information, and were less aggressive than were triads of boys. Analyses of within-gender variability revealed 2 prototypical types of triads among boys but only 1 among girls. Girls and boys expressed similar attitudes toward triadic interaction in postsession interviews. However, girls', but not boys', attitudes were closely linked to the quality of interactions during the session. For both sexes, interaction was not strongly influenced by the initial configuration of friendship ties among triad members.     

Smokers on Bloemfontein schools: profile and standpoint

Primary prevention is now the first priority of research on smoking. A study was made of 1 505 children of 12 high schools situated in a conservative Afrikaans-speaking community in an attempt to determine the characteristics of the smoking and non-smoking groups. Of the total group 16% were smokers. The male/female ratio was 3:1. The mean age at which smoking commenced was 15,5 years. A positive relationship was found between the smoking habits of the smokers and those of their parents and best friends. The majority of pupils think that smoking is addictive. In addition, they believe that it is unhealthy and leads to poor sporting achievements. The great majority of smokers and non-smokers agree that non-smokers do better at school. Fathers of both smokers and non-smokers do not favour the habit. Ninety per cent of the boys and 83% of the girls started smoking between 12 and 18 years of age. The critical age for a preventive programme is thus 11 years.     

The influence of social environment and social image on adolescent smoking.

This purpose of this article is to explore differences by gender and school grade in patterns of association among social influences and tobacco use. Data from the 1999 (N = 15,038) and 2000 (N 35,828) National Youth Tobacco Survey (American Legacy Foundation, 1999, 2000), a nationally representative, repeated cross-sectional survey, were used in the analysis. The authors compared effects on adolescent smoking. Direct paths from social environment to current smoking increased from middle school to high school. Indirect paths with social image mediating this relationship revealed a smaller increase. The pattern was constant across subsamples. Social image of smokers mediated the influence of social environment on adolescent smoking. Social image had a greater effect on smoking among middle school boys and high school girls. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adenocarcinoma arising in "J" pouch after total proctocolectomy for familial polyposis coli

Cigarette smoking has a major impact both on oral health and general systemic health. Because up to 70 percent of smokers see their dentists each year, the dentist is in a very powerful position to intervene with the smokers to help them stop smoking. I have suggested a four-step program for assisting patients to quit, based on the National Cancer Institute's suggested protocol for the dental office, which uses techniques shown in clinical trials to be effective for helping smokers quit. The core of the NCI program involves identifying smokers, advising them to quit, providing assistance to patients trying to quit, and following-up on patients as a means of enhancing success rates. Dentists who implement an effective smoking cessation program in their practices can expect to achieve quit rates up to 10 to 15 percent each year among their patients who smoke. Such a rate of success, if established nationwide and continued over a period of years, would markedly reduce the prevalence of smoking in the United States.     

In smoke's way: Socioemotional reactions to another's smoking.

Assessed the immediate impact of second-hand cigarette smoke on interpersonal attraction and personal feelings. 75 US Army and Air Force enlisted men who were either nonsmokers or smokers and who either refrained or indulged during the session interacted with a stranger who either did not smoke, smoked courteously, or smoked discourteously. Following the encounter, Ss rated the other person on several evaluative dimensions and also rated their own affective state. Nonsmoking Ss made more favorable evaluations and reported a more pleasant affective experience after interacting with a nonsmoking stranger as compared to either a courteous or a discourteous smoker. Smoking Ss who refrained made their most positive ratings in the presence of a courteous smoking other and their most negative ratings in the company of a discourteous one. In contrast to both nonsmokers and smokers who refrained, smokers who indulged during the session made the most favorable ratings when exposed to an indiscriminant smoking stranger. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mood influences on acute smoking responses are independent of nicotine intake and dose expectancy.

Acute responses to smoking are influenced by nicotine and by nonpharmacological factors such as nicotine dose expectancy and sensory effects of smoke inhalation. Because negative mood increases smoking reinforcement, the authors examined whether these effects may be altered by mood context. Smokers (n=200) participated in 2 sessions, negative or positive mood induction, and were randomized to 1 of 5 groups. Four groups comprised the 2×2 balanced placebo design, varying actual (0.6 mg vs. 0.05 mg yield) and expected nicotine dose (expected nicotine vs. denicotinized [denic]) of cigarettes. A fifth group was a no-smoking control. Smoking, versus not smoking, attenuated negative affect, as well as withdrawal and craving. Negative mood increased smoking reinforcement. However, neither actual nor expected nicotine dose had much influence on these responses; even those smokers receiving and expecting a denic cigarette reported attenuated negative affect. A follow-up comparison suggested that the sensory effects of smoke inhalation, but not the simple motor effects of smoking behavior, were responsible. Thus, sensory effects of smoke inhalation had a greater influence on relieving negative affect than actual or expected nicotine intake. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The smoking of psychology.

Studied cigarette smoking and its correlates among 344 academic psychologists. Results show that males were less likely to smoke than unselected US adult males but were similar to most professional comparison groups. Females were more likely to smoke than the men because relatively fewer had stopped. Most smokers reported the expectation of reducing or stopping smoking in the future. Substantial proportions of both sexes who had ever smoked and who had reached middle age had in fact stopped. Among those of advanced academic rank, smokers were significantly higher in book and article authorship. The sex differences are interpreted in terms of sex roles and role stress. The productivity data are interpreted relative to personality differences, work roles, and the arousal effect of nicotine. (24 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Leaving work to smoke

Work-place smoking bans have not only reduced work-day cigarette consumption but also been associated with going outside to smoke during working hours. We examined the extent of "exiled smoking", estimated how much work-day cigarette consumption can be attributed to it, and examined proximal predictors of both these two variables. Some 794 smokers from 42 medium-sized work-places were surveyed as the baseline for an intervention study. A self-completed questionnaire assessed smoking behaviour on work and non-working days, leaving work to smoke, and beliefs and opinions about smoking and smoking bans. Multiple regressions were used to examine predictors of leaving work to smoke, and of the amount smoked when doing so. Smokers reported consuming an average of 5.4 cigarettes during work breaks, 3.5 of which were associated with deliberately seeking opportunities to smoke; 39% reported leaving work to smoke one or more times per day during non-break periods. Indices of addiction were significant predictors of both leaving work to smoke and of cigarette consumption while doing so. Leaving work to smoke is in part an activity of addicted smokers, presumably to maintain blood nicotine levels. There is the potential to further reduce rates of cigarette consumption associated with work-place smoking bans if this "exiled smoking" can be reduced. This may be easier to achieve in light smokers.     

Mid-term evaluation of a help program for smokers

BACKGROUND: Medical counsel to smokers is an intervention that has proved useful to motivate smokers to stop smoking. This study pretends evaluate the long-term impact (2 years and 9 months) of systematic and structured health counsel on the smoke habit from the primary health care. MATERIAL AND METHODS: In April 1990, in four primary care centers from Barcelona and Zaragoza, Spain, a program of systematic counselling to stop smoking with an offer of subsequent follow-up was initiated in all adult smokers (15-65 years of age). According to the answer, every patient was classified on one of seven established categories that allowed a individualized follow-up. Data from the total population included in the program from the beginning till January 1993, are analyzed. RESULTS: From 683 known smokers (59.2% males and 40.8% women), 20 were excluded for different reasons and 343 were included in the program (56.4% cover). Average age of included smokers was 35.1 years (SE = 0.6) and average number of visits of 5.3 (SE = 0.2) which was significantly higher than those not included in the program (33.4; SE = 0.6, and 2.7; SE = 0.1). An average follow-up of 14.3 months (SE = 0.5) and of 2.6 (SE = 0.1) interventions on each individual were done. The average daily number of cigarettes was 18.4 (SE = 0.6) in the initial period and 13.3 (SE = 0.6) on the last program evaluation. The final answers showed a 18.1% of quitters and a decrease of more than 50% on the initial consume on 32.6%. In 12% the answer was negative. CONCLUSIONS: Programs of systematic help for smokers show a higher level of favourable responses than does normal counselling.