School-based health promotion: the physician as advocate

 

Table 2: Example of how the CSH approach can be used to coordinate school and community efforts to prevent and reduce tobacco use*
LocationInstruction ServicesSocial supportPhysical environment
Classroom(T) Improve content and materials used in prevention program   (T) Add smoking to school peer helper program or start peer program  
Home (A) Involve parents in take-home activities    (D,P,PH,M) Encourage parents to quit smoking
School (S) Organize showing of anti-smoking ads in cafeteria (PH) Conduct tobacco health needs assessment in community (A) Create friendly place in school for youth to hang out (A) Adopt smoke-free policy for school; (P,D) advocate for such school policies
Neighbourhood (D) Support peer and youth programs; support health fairs and workshops (PH,C,S) Monitor tobacco sales to minors in local stores (A) Organize information meeting for parents; (D) volunteer as speaker  
School district (SB) Approve mandatory health curriculum   (SB )Adopt smoke-free policy for board offices 
Community   (PH,C) Offer cessation programs for youth; (D) refer adolescents to cessation programs (PH,C) Organize community awareness activities (C) Advocate for smoke-free public spaces
*Reprinted, with permission, from reference 28; T = teachers, A = administrators, D = physicians, P = parents, PH = public health officials, M = local media, S = students, C = community organizations, SB = school board.

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| CMAJ May 1, 1997 (vol 156, no 9) / JAMC le 1er mai 1997 (vol 156, no 9) |

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