Journal of Community Health

, Volume 31, Issue 3, pp 225–248 | Cite as

Parents’ perceptions of the role of schools in tobacco use prevention and cessation for youth

  • Jodi Wyman
  • James H. Price
  • Timothy R. Jordan
  • Joseph A. Dake
  • Susan K. Telljohann


The purpose of this study was to examine Ohio parents’ perceptions of the role of schools in smoking prevention, cessation, and anti-tobacco policy for their children. A 46-item questionnaire was based on the CDC Guidelines for School Health Programs to Prevent Tobacco Use and Addiction. Surveys (n = 800) were sent to a stratified random sample of parents of junior high and high school aged students and 57% responded. Parents were supportive of smoking prevention activities, but almost two-thirds believed their child’s school should get parents’ input. Furthermore, mothers/step-mothers were more likely than fathers/step-fathers to agree that the school had a role in smoking prevention activities. The majority of parents were also supportive of smoking cessation activities. However, only 8% of parent respondents supported schools providing nicotine gum or patches to students trying to quit smoking. Overall, the majority of parents were supportive of the seven recommendations developed by the CDC as guidelines for school health programs to prevent tobacco use and addiction. Schools have the opportunity to impact student smoking through prevention and cessation activities. Schools need to know that parents are supportive of these activities and want to be included in the process of implementing effective prevention or cessation programs.


parent perceptions role of schools adolescent tobacco use tobacco prevention tobacco cessation 



Acknowledgment for funding of this study goes to the Ohio Tobacco Use Prevention and Control Foundation.


  1. 1.
    Houston T, Kolbe LJ, Eriksen MP (1998) Tobacco-use cessation in the ‘90s–not “adults only” anymore. Prev Med 27:A1–A2CrossRefPubMedGoogle Scholar
  2. 2.
    Centers for Disease Controland Prevention (1996) Projected smoking-related deaths among youth-United States. MMWR 45:971–974Google Scholar
  3. 3.
    Peto R, Lopez A, Boreham J, Thun M, Health C. Mortality from smoking in developing countries 1950–2000: indirect estimates from National vital statistics. Oxford University, 1994Google Scholar
  4. 4.
    Dozois DN, Farrow JA, Miser A (1995) Smoking patterns and cessation motivations during adolescence. Int J Addict 30:1485–1498PubMedGoogle Scholar
  5. 5.
    Everett SA, Warren CW, Sharp D, Kann L, Husten CG, Crossett LS (1999) Initiation of cigarette smoking and subsequent smoking behavior among U.S. high school students. Prev Med 29:327–333CrossRefPubMedGoogle Scholar
  6. 6.
    Flint AJ, Yamada EG, Novotny TE (1998) Black–white differences in cigarette smoking uptake: progression from adolescent experimentation to regular use. Prev Med 27:358–364CrossRefPubMedGoogle Scholar
  7. 7.
    Pederson LL, Lefcoe NM (1987) Short- and long-term prediction of self-reported cigarette smoking in a cohort of late adolescents: report of an 8-year follow-up of public school students. Prev Med 16:432–447CrossRefPubMedGoogle Scholar
  8. 8.
    United States Department of Health and Human Services (1994) Preventing tobacco use among young people: a report of the surgeon general. US Department of Health and Human Services Public Health Service Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office of Smoking and Health, Atlanta GAGoogle Scholar
  9. 9.
    Centers for Disease Control and Prevention. Effectiveness of school-based programs as a component of a statewide tobacco control initiative-Oregon, 1999–2000. MMWR 2001; 50: 663–666. Retrieved March 17, 2005, Scholar
  10. 10.
    Noland MP, Kryscio RJ, Riggs RS, Linville LH, Ford VY, Tucker TC (1998) The effectiveness of a tobacco prevention program with adolescents living in a tobacco producing region. Am J Pub Health 88:1862–1865PubMedCrossRefGoogle Scholar
  11. 11.
    Centers for Disease Control and Prevention. (2001) SHPPS 2000: the school health policies and programs study. J Sch Health. 71:249–350Google Scholar
  12. 12.
    Centers for Disease Control and Prevention. Cigarette sales to underage persons in Ohio for 1998. State Tobacco Activities Tracking and Evaluation System. Available at: Accessed August 12, 2003Google Scholar
  13. 13.
    Centers for Disease Control and Prevention. Smoking attributable deaths, Ohio-1999. Tobacco Information and Prevention Source. Available at: Accessed August 12, 2003Google Scholar
  14. 14.
    Clark PI, Scarisbrick-Hauser A, Gautam SP, Wirk SJ (1999) Anti-tobacco socialization in homes of African-American and white parents, and smoking and nonsmoking parents. J Adolesc Health 25:329–339CrossRefGoogle Scholar
  15. 15.
    Centers for Disease Control and Prevention (1994) Guidelines for school health programs to prevent tobacco use and addiction. MMWR 43(RR-2):1–18Google Scholar
  16. 16.
    Salant P, Dillman DA. (1994) How to Conduct Your Own Survey. John Wiley and Sons Inc., New YorkGoogle Scholar
  17. 17.
    King K, Pealer L, Bernard A. (2001) Increasing response rates to mail questionnaires: a review of inducement strategies. Am J Health Educ 32:4–15Google Scholar
  18. 18.
    Edwards P, Roberts I, Clarke M, DiGuiseppi C, Pratap S, Wentz R, Kwan I. (2002) Increasing response rates to postal questionnaires: systematic review. BMJ 324:1183–1192CrossRefPubMedGoogle Scholar
  19. 19.
    Fleming CB, Kim H, Harachi TW, Catalano RF. (2002) Family processes for children in early elementary school as predictors of smoking initiation. J Adolesc Health 30:184–189CrossRefPubMedGoogle Scholar
  20. 20.
    Sussman S. (2001) School-based tobacco use prevention and cessation: where are we going?. Am J Health Behav 25:191–199PubMedGoogle Scholar
  21. 21.
    Mayhew KP, Flay BR, Mott JA (2000) Stages in the development of adolescent smoking. Drug Alcohol Depend. 59(Suppl 1):S61–S81CrossRefPubMedGoogle Scholar
  22. 22.
    Grunbaum JA, Kann L, Kinchen SA, Williams B, Ross JG, Lowry R, Kolbe L (2002) Youth risk behavior surveillance – United States 2001. J Sch Health. 72(8):313–328PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Jodi Wyman
    • 1
  • James H. Price
    • 2
  • Timothy R. Jordan
    • 2
  • Joseph A. Dake
    • 3
  • Susan K. Telljohann
    • 2
  1. 1.Department of Public HealthThe University of ToledoToledoUSA
  2. 2.The University of ToledoToledoUSA
  3. 3.Wayne State UniversityDetroitUSA

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