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A longitudinal effect study of contract signing for preventing alcohol use among Swedish school children.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Med kraft och vilja - Forskning om idéburna organisationers ANDT-förebyggande arbete)ORCID iD: 0000-0002-5093-4958
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Med kraft och vilja - Forskning om idéburna organisationers ANDT-förebyggande arbete)ORCID iD: 0000-0003-0185-0851
2015 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 25, no Suppl. 3Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background: Around 40% of the primary schools in Sweden have programs to prevent tobacco and alcohol use. One popular program is carried out by the Non-Governmental Organization SMART. The aim is to prevent or postpone alcohol, tobacco and other drug use among children through positive reinforcement and signing of contracts. The contract in this longitudinal study also contains items on good conduct behavior. Are there differences in youth problem behaviors between those who signed the contract all years versus those who signed the contract shorter time? What factors characterize those who signed the contract all the years compared to the others?                                                                         

Methods: Students in five schools in a middle-sized municipality in Sweden answered class-room questionnaires in three waves: 7th (n=432), 8th (n=458), and 9th (n=422) grade. Response rates were 88%. Students are divided into three groups, based on response at T3 on many years of contract signing: long-attendees, short-attendees, sporadic- or non-attendees. A repeated measure ANOVA was conducted to analyze changes over time. Binge drinking was the outcome measure in this analysis. Identifying predictors for duration of the contract signing will be analyzed with multiple logistic regressions.                              

Results:  Short-attendees, 40%, signed contract only two to four consecutive years starting in 4th grade. Long-attendees, 22.5%, signed contract five to six years. Sporadic- or non-attendees, 20.5%, signed contract only in some non-consecutive, or none of the years. 17.2% missing-response. Long-attendees have significant lower levels of binge drinking in 9th grade (M=1.72) compared to short-attendees (M=2.43) and sporadic- or non-attendees (M=2.41). F(2,408) = 9.52, p=<.001.                                                                  Conclusion: Schools are an important setting for alcohol and tobacco prevention. Promising results were found regarding binge drinking for students that were long-attendees in the program. Further analysis of different outcomes and predictors, mediators and moderators is on-going.                                                                                                                  

Main messages: There is a need for longitudinal evaluations of preventive programs in national contexts.

Place, publisher, year, edition, pages
Oxford, England: Oxford University Press, 2015. Vol. 25, no Suppl. 3
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
URN: urn:nbn:se:oru:diva-45917OAI: oai:DiVA.org:oru-45917DiVA: diva2:856543
Conference
8th European Public Health Conference. Health in Europe – from global to local policies, methods and practices. Milan, Italy, 14 - 17 October, 2015
Funder
Swedish National Institute of Public Health
Available from: 2015-09-24 Created: 2015-09-24 Last updated: 2017-10-17Bibliographically approved

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Bortes, CristianGeidne, SusannaEriksson, Charli
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