Boerm Melynda, Gingiss Phyllis, Roberts-Gray Cynthia
Health Network for Evaluation and Training Systems (HNETS), Department of Health and Human Performance, University of Houston, 3855 Holman, 104 Garrison Gym, Houston, TX 77204-6015, USA.
J Sch Health. 2007 Apr;77(4):207-14; quiz 215-7. doi: 10.1111/j.1746-1561.2007.00192.x.
Texas does not require health education or tobacco use prevention education (TUPE) in its middle schools. During planning for the Texas Tobacco Prevention Initiative, this baseline research was conducted to (1) describe tobacco prevention and control practices in middle schools prior to the pilot, (2) analyze implementation of a state law prohibiting tobacco use on campuses and at school events, and (3) identify how schools are influenced by district policies requiring health education.
Written surveys derived from the 2000 School Health Education Profile Tobacco Module developed by the Centers for Disease Control and Prevention were completed by principals and health coordinators at schools in districts requiring health education (n = 31) and schools without district requirements (n = 32).
School tobacco policy familiarity and enforcement were consistently reported in response to a state law with rigorous recommendations prohibiting tobacco use. Significantly more activity in numerous components of TUPE was reported in schools in districts with a health education requirement.
Results have implications for intervention programs planned in schools located in states seeking to develop or strengthen state laws, or in states without health education or specific health content requirements.
得克萨斯州的中学不要求开展健康教育或烟草使用预防教育（TUPE）。在规划得克萨斯州烟草预防倡议期间，开展了这项基线研究，目的是：（1）描述试点前中学的烟草预防与控制措施；（2）分析一项禁止在校园和学校活动中使用烟草的州法律的实施情况；（3）确定学校如何受到要求开展健康教育的学区政策的影响。
由疾病控制与预防中心制定的《2000年学校健康教育概况烟草模块》衍生而来的书面调查问卷，由有健康教育要求的学区（n = 31）和无学区要求的学校（n = 32）的校长和健康协调员填写。
针对一项有严格建议禁止烟草使用的州法律，学校对烟草政策的熟悉程度和执行情况得到了一致报告。在有健康教育要求的学区的学校中，报告的TUPE众多组成部分的活动明显更多。
研究结果对那些寻求制定或加强州法律的州，或没有健康教育或特定健康内容要求的州的学校所规划的干预项目具有启示意义。
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