Longitudinal effects of the European smoking prevention framework approach (ESFA) project in Spanish adolescents

Carles Ariza, Manel Nebot, Zoa Tomás, Emmanuel Giménez, Sara Valmayor, Visitación Tarilonte, Hein De Vries

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


Background: To describe the effects of a Spanish smoking prevention programme in the context of an European project on regular smoking, in a sample of Barcelona adolescents. Method: A quasi-experimental design was conducted. An experimental group (EG) (1080 pupils) was exposed to programme and compared with a control group (CG) (872 students). The intervention included a school-based programme (16 sessions in 3 years), reinforcement of a smoke-free school policy, smoking cessation for teachers, brochures for parents and other community-based activities involving youth clubs and tobacco sales. Results: At 12 months, 4.5% of boys and 5.6% of girls were new smokers in the EG versus 6.7% and 11.7% in the CG (P < 0.001). At 36 months, 18.6% of boys and 31.2% of girls in the EG were regular smokers versus 21.6% of boys and 38.3% of girls in the CG (P < 0.001). The main factors associated with progression to regular smoking at 36 months were to be girl, to attend to a public school and to belong to the CG. Conclusion: These results endorse the effectiveness of multi-modal smoking prevention programmes, which include strategies with adults who influence adolescents.

Original languageEnglish (US)
Pages (from-to)491-497
Number of pages7
JournalEuropean Journal of Public Health
Issue number5
StatePublished - Oct 2008
Externally publishedYes


  • Adolescence
  • Effect evaluation
  • Multi-modal programme
  • Smoking prevention

ASJC Scopus subject areas

  • Medicine(all)


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