Reaching Jewish ultra-orthodox adolescents: results from a targeted smoking prevention trial
-
Barry Knishkowy
,
Gina Verbov
Abstract
Background: Ultra-orthodox, Jewish adolescent boys are considered to have relatively high smoking rates, but are generally not targeted by Israel’s smoking prevention programs.
Objective: The objective of this trial was to test the effectiveness of a religion-based tobacco control intervention in reducing smoking prevalence among these youth.
Methods: The study population participants were 340 boys from 63 religious boys’ schools in Jerusalem. The intervention consisted of a mailing that included a pamphlet describing the health effects of and rabbinical prohibitions on smoking. A cluster randomized trial was conducted between March and May, 2005. The primary endpoint was current smoking status. Secondary endpoints were future intent to smoke and attitudes towards smoking. Generalized estimating equations and mixed models of analysis of variance were used to perform the analyses.
Results: The intervention did not significantly affect current smoking, intent to smoke or attitudes towards smoking. Prevalence of smoking and future intent to smoke were higher in schools without enforced smoking regulations [odds ratio (OR) 2.74, p=0.026, OR 3.38, p=0.018]. Increased smoking prevalence was associated with a high prevalence of smoking among friends (p=0.031) and not finding smoking repulsive (p=0.024).
Conclusions: This study adds to the public health literature linking smoke-free schools and peer influences to adolescent smoking. Pamphlets containing rabbinic prohibitions on smoking initiation did not affect smoking behavior or intent to smoke.
©2012 by Walter de Gruyter Berlin Boston
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Articles in the same Issue
- Masthead
- Masthead
- Editorial
- Dean Ornish should receive the Nobel prize in medicine
- Review Articles
- Adolescent suicide in New York City: plenty of room for new research
- Consequences of prenatal substance use
- The need for evidence-based, non-drug medicine
- Teaching medical professionals and trainees about adolescent suicide prevention: five key problems
- Original Articles
- Sexual violence and associated factors among women in HIV discordant and concordant relationships in Uganda
- Educational impact of peer-intervention on the knowledge and attitudes about HIV/AIDS in adolescents in Panama
- Tobacco brand preference among Mexican adolescents
- Spirituality and substance use in a sample of Russian adolescents
- Collaborative evaluation and management of students’ health-related physical fitness: applications of cluster analysis and the classification tree
- Body weight satisfaction among New Zealand adolescents: findings from a national survey
- Prevalence of common mental disorders among Dutch medical students and related use and need of mental health care: a cross-sectional study
- Reaching Jewish ultra-orthodox adolescents: results from a targeted smoking prevention trial
- Case Report
- Rare cases of disorders of sex development (DSD) in adolescents with female phenotype
