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Healthy Tobacco-Free Schools CDC’s Division of Adolescent and School Health (DASH). DASH’s Mission. To promote the health and well being of children and adolescents so they become healthy and well-functioning adults. 3/10/2014. Key Health Issues for Young People.

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Healthy Tobacco-Free Schools CDC’s Division of Adolescent and School Health (DASH)

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Healthy Tobacco-Free Schools

CDC’s Division of Adolescent and School Health (DASH)


DASH’s Mission

To promote the health and well being of children and adolescents so they become healthy and well-functioning adults.

3/10/2014


Key Health Issues for Young People

Intentional and unintentional injuries

Alcohol/drug use

Sexual risk behaviors

Tobacco use

Physical inactivity

Poor eating habits

Asthma

Mental health


Coordinated School Health Programs

Health Education

Physical Education

Family and Community Involvement

Health Services

Health

Promotion

for Staff

Nutrition

Services

Healthy and Safe School Environment

Counseling, Psychological, and Social Services


CDC/DASH-Funded Coordinated School Health Programs

WA

ME

ND

Nez Perce Tribe

MN

MA

ID

SD

WI

NY

MI

CT

OH

NJ

WV

CO

CA

KY

NC

AZ

AR

SC

MS

Funded States


School Health Guidelines


Guidelines Review Process

  • Literature search

  • Convene DASH workgroup

  • Code articles (approx. 500)

  • Copies stored in hard copy and Ref. Mgr.

  • Draft list of strategies

  • Convene experts/partner panel

  • Draft for CDC internal review/partner review

  • CDC clearance process


1994 Guidelines for School Health Programs to Prevent Tobacco Use and Addiction

1.Policy

2.Instruction

3.Curriculum

4.Training

5.Family

Involvement

6.Tobacco-Use

Cessation

7.Evaluation


2010 Guidelines Revisions

  • Health Services: school health nurses, health care providers, counselors; cessation programs

  • Community + School Efforts

  • Parental Involvement

  • School Staff Involvement

  • After School/Advocacy Programs

  • Tobacco Awareness Events

  • Media/Advertising

  • Effects of Secondhand Smoke


Comprehensive School Tobacco-Free Environment

  • Creation of a strong tobacco-free policy

  • Communication of the policy

  • Enforcement of the policy

  • Prohibiting advertising and promotion

  • Tobacco-use cessation advice and referral

  • Tobacco-use prevention instruction


Tobacco-Free Environment

  • Emphasis on total tobacco-free environment at all times (24/7)

  • New research on secondhand smoke’s lingering effects in buildings

  • Secondhand smoke and asthma

  • Influence of role modeling by teachers, staff, visitors, and parents


Exposure to Secondhand Smoke

2006 Surgeon General’s Report:

  • There is no “risk-free” level of exposure to secondhand smoke.

  • Only eliminating smoking in indoor spaces fully protects non-smokers from exposure to secondhand smoke. Separating smokers from non-smokers, cleaning the air, and ventilating buildings cannot eliminate exposure.


Exposure to Secondhand SmokeSGR, 2006, continued

  • Secondhand smoke exposure causes disease and premature death in children and adults who do not smoke.

  • Children exposed to secondhand smoke are at increased risk for SIDS, acute respiratory infections, ear problems, and more severe asthma.


Guidelines also cover…

Effects on students from :

- Attitudes of teachers and parents

toward school tobacco-free policies

- Harmful effects of minimal

exposure to secondhand smoke

- Secondhand smoke and impaired

cognition

- Schools and students raising

tobacco crops


Tobacco-Free Policy: Cornerstone

  • Prohibit all tobacco use on all school property, in school vehicles, at school- sponsored events (on and off school property) for students, staff, and visitors 24/7.


School, District, and State Tobacco-Use Prevention Policies

  • Schools: 64%

  • Districts: 55%

  • States: 38%

  • Policies are least likely to address smokeless tobacco use and tobacco use among visitors

Source: CDC, School Health Policies and Programs Study 2006


School Policies Prohibiting Tobacco Advertisements

  • In school buildings, outside on school grounds, on school buses or other vehicles, in school

  • publications, through sponsorship of school events

  • Source: CDC, School Health Policies and Programs Study 2006


Communication and Enforcement of the Policy

  • Clear communication to students, staff, visitors, contractors, and the community

  • Remedial* sanctions work best for students.

    *Remedial = counseling, alternatives to suspension programs instead of suspension or expulsion, cessation programs, etc.


Recommendations for School-based Tobacco-Use PreventionEducationCommunity Guide to Preventive Services, 2004

  • The Task Force recommends use of school-based interventions when combined or coordinated with mass media campaigns and community education activities based on strong evidence of effectiveness in reducing tobacco use by students.

  • There is insufficient evidence to determine the effectiveness of school-based education (classroom programs) and other activities when implemented without additional community activities.


Tobacco-Use Prevention Education

Classroom programs should be delivered in conjunction with community and media messages.

Instruction should be K-12 and include:

  • Short- and long-term health consequences

  • Social influences

  • Peer norms

  • Refusal skills

  • Life and decision-making skills

  • Emphasis during middle and high school


  • Guidance, tools, and resources for a clear, complete, and consistent analysis of health education curricula

  • Based on CDC School Health Guidelines and National Health Education Standards

  • Identifies common characteristics of effective health education curricula

  • Higher expectations for and greater rigor in curriculum development and selection

  • Improved health education


Tobacco-Use Cessation for Students and Staff

  • Schools should identify students and staff who need assistance

  • Schools should give “brief advice” on quitting to students and staff

  • Schools should refer students and staff to outside providers

  • Schools should refer to the CDC guidance document if adopting an evaluated program or if developing its own program


CDC’s Guidance Tool

“Youth Tobacco Cessation: A Guide to Making Informed Decisions” (2004)

Contributors:

Youth Tobacco Cessation Collaborative

American Legacy Foundation

National Cancer Institute

Canadian Tobacco Control Research Initiative


Parent Involvement

  • Program planning

  • Reinforcing messages

  • Role modeling

  • Garner community support for tobacco-free policies and programs

  • Encourage smoke-free homes and cars


Classroom

Education

Community

School

Media

Parents

Environment

Student Led Programs

School + Community Model


  • Enables schools to identify strengths and weaknesses of health policies and programs

  • Enables schools to develop an action plan for improving student health

  • Engages teachers, parents, students, and the community in promoting health enhancing behaviors and better health

http://www.cdc.gov/HealthyYouth/SHI


School Health Index Topics

  • Physical activity

  • Healthy eating

  • Tobacco use prevention

  • Unintentional injuries and violence prevention (safety)

  • Asthma


A national cadre of master trainers for DASH tools, including the SHI and the HECAT

DASH

Dissemination and Diffusion: “D-Train”


National Association of State Boards of Education


Resources

  • www.cdc.gov/healthyyouth

    (CDC/DASH)

  • www.nsba.org/schoolhealth

    (National School Boards Association)

  • www.nasbe.org

    (National Association of State Boards of Education)

    Linda Crossett: LCrossett@cdc.gov


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