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Bauman, Karl E.; Foshee, Vangie Ann; Ennett, Susan T.; Pemberton, Michael; Hicks, Katherine A.; King, Tonya S.; & Koch, Gary G. (2001). The Influence of a Family Program on Adolescent Tobacco and Alcohol Use. American Journal of Public Health, 91(4), 604-610. PMCID: PMC1446646


Objectives: This study examined a family-directed program's effectiveness in preventing adolescent tobacco and alcohol use in a general population.
Methods: Adolescents aged 12 to 14 years and their families were identified by random-digit dialing throughout the contiguous United States. After providing baseline data by telephone interviews, they were randomly allocated to receive or not receive a family-directed program featuring mailed booklets and telephone contacts by health educators. Follow-up telephone interviews were conducted 3 and 12 months after program completion.
Results: The findings suggested that smoking onset was reduced by 16.4% at 1 year, with a 25.0% reduction for non-Hispanic Whites but no statistically significant program effect for other races/ethnicities. There were no statistically significant program effects for smokeless tobacco or alcohol use onset.
Conclusions: The family-directed program was associated with reduced smoking onset for non-Hispanic Whites, suggesting that it is worthy of further application, development, and evaluation.


Reference Type

Journal Article

Year Published


Journal Title

American Journal of Public Health


Bauman, Karl E.
Foshee, Vangie Ann
Ennett, Susan T.
Pemberton, Michael
Hicks, Katherine A.
King, Tonya S.
Koch, Gary G.