ArticlePloS one2018
Evaluation of the Tobacco-Use Prevention Education (TUPE) program in California.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed, 11 citations in OpenAlex.
- School Staff Perspectives on Tobacco Prevention: Findings From a Statewide Educator Survey.Health education & behavior : the official publication of the Society for Public Health Education · 2026Article
- Student and Staff Knowledge of School Tobacco Policies and Student E-Cigarette Use, California 2022-2023.The Journal of school health · 2026Article
- The Prevention of Nicotine use in the State of Arkansas that has Geographic Tobacco use Disparities: the Perceived Prevention Needs and Realities of School Professionals.Journal of community health · 2025Article
- Article
- Tobacco Smoke Exposure, School Engagement, School Success, and Afterschool Activity Participation Among US Children.The Journal of school health · 2022Article
- Public Health Interventions Targeting the Prevention of Adolescent Vaping: A Scoping Review.Public health nursing (Boston, Mass.)Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsThe California Tobacco-Use Prevention Education (TUPE) program promotes the use of evidence-based tobacco-specific prevention and cessation programs for adolescents within the school setting. Through a competitive grant process, schools are funded to provide programs for grades 6-12. This research evaluates the association between TUPE funding and tobacco prevention activities and tobacco use prevalence.
methodsThis study utilized two data sources: (1) 2016 California Educator Tobacco Survey (CETS), and (2) 2015-2016 California Student Tobacco Survey (CSTS). The CETS collected data from educators about school prevention efforts, priority of tobacco prevention, and confidence in addressing tobacco issues with students. A total of 3,564 educators from 590 schools participated in CETS. The CSTS collected data from 8th, 10th, and 12th graders in California on their exposure to, attitudes about, and utilization of tobacco products. A total of 47,981 students from 117 schools participated in CSTS.
resultsThis study found that TUPE-funded schools were more likely to provide tobacco-specific health education programs, to place a priority on tobacco-prevention efforts, and to prepare educators to address tobacco use than non-TUPE schools. Educators at both types of schools felt better prepared to talk with students about traditional tobacco products than about emerging products such as e-cigarettes. Overall, students at TUPE-funded schools were more likely to report receiving anti-tobacco messages from school-based programs than those at non-TUPE schools. The former were also less likely to use tobacco products, even when the analysis controlled for demographics and school-level characteristics (OR = 0.82 [95% CI = 0.70-0.96]).
conclusionsTUPE funding was associated with an increase in schools' tobacco-specific prevention activities and these enhanced activities were associated with lower tobacco use among students. This study also found that education and prevention efforts regarding emerging tobacco products need to be strengthened across all schools.
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