Changes in Youth Cigarette Use and Intentions Following Implementation of a Tobacco Control Program

Abstract

Context Many states are developing tobacco use prevention and reduction programs, and current data on tobacco use behaviors and how these change over time in response to program activities are needed for program design, implementation, and evaluation.Objectives To assess changes in youth cigarette use and intentions following implementation of the Florida Pilot Program on Tobacco Control.Design, Setting, and Participants Self-administered survey conducted prior to program implementation (1998), and 1 and 2 years (1999, 2000) later among a sample of Florida public middle school and high school students who were classified as never users, experimenters, current users, and former users of cigarettes based on survey responses.Main Outcome Measures Changes in cigarette use status, intentions, and behaviors among students over a 2-year period.Results Surveys were completed by 22,540, 20,978, and 23,745 students attending 255, 242, and 243 Florida public middle and high schools in 1998, 1999 and 2000, respectively. Response rates for the 3 survey years ranged from 80% to 82% and 72% to 82% for the middle school and high school surveys, respectively. After 2 years, current cigarette use dropped from 18.5% to 11.1% (P