{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T19:11:54Z","timestamp":1771009914344,"version":"3.50.1"},"reference-count":8,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tob Control"],"published-print":{"date-parts":[[2001,3,1]]},"abstract":"<jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>To evaluate the effectiveness of primary health care teams in maintaining a group of young people aged 10\u201315 years as non-smokers.<\/jats:p><\/jats:sec><jats:sec><jats:title>DESIGN<\/jats:title><jats:p>Randomised controlled trial using postal questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>SETTING<\/jats:title><jats:p>Oxfordshire, UK.<\/jats:p><\/jats:sec><jats:sec><jats:title>SUBJECTS<\/jats:title><jats:p>2942 young people who were initially self declared non-smokers.<\/jats:p><\/jats:sec><jats:sec><jats:title>INTERVENTION<\/jats:title><jats:p>Information about smoking, sent under signature of the subject's general practitioner, certificates and posters intended to reinforce non-smoking behaviour.<\/jats:p><\/jats:sec><jats:sec><jats:title>MAIN OUTCOME MEASURES<\/jats:title><jats:p>Changes in smoking behaviour, attitudes measured after one year.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>After a year, smoking uptake was 7.8% in the control group compared with 5.1% in the intervention group (odds ratio (OR) 1.6, 95% confidence interval (CI) 1.1 to 2.2). Among boys the corresponding results were 5.2% and 2.4% (OR 2.3, 95% CI 1.2 to 4.6), and among girls 10.0% and 7.5% (OR 1.4, 95% CI 0.9 to 2.1). Among boys aged 14\u201315 the uptake rate was 12.8% in the control group compared with 5.4% in the intervention group. However, among girls of the same age the intervention was less effective, with smoking uptake of 15.1% in the control group and 12.8% in the intervention group. The intervention was more effective among young people whose initial attitudes identified them as definite non-smokers than those who were potential smokers.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The intervention substantially reduced smoking uptake among the young people, particularly boys. Primary health care teams can play an important role in maintaining the non-smoking status of their young patients. Confidential postal contact from the doctor direct to the young person at home is influential and cost-effective.<\/jats:p><\/jats:sec>","DOI":"10.1136\/tc.10.1.23","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T10:38:40Z","timestamp":1027766320000},"page":"23-26","source":"Crossref","is-referenced-by-count":19,"title":["A prescription for health: a primary care based intervention to maintain the non-smoking status of young people"],"prefix":"10.1136","volume":"10","author":[{"given":"Wendy","family":"Fidler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor W","family":"Lambert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2001,3,1]]},"reference":[{"key":"2024051401365615000_10.1.23.1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/19.2.323"},{"key":"2024051401365615000_10.1.23.2","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1136\/bmj.303.6808.947","article-title":"Adolescent smokers seen in general practice: health, lifestyle, physical measurements, and response to antismoking advice.","volume":"303","author":"Townsend","year":"1991","journal-title":"BMJ"},{"key":"2024051401365615000_10.1.23.3","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1136\/tc.7.2.194","article-title":"A new health education strategy to reduce smoking among young people.","volume":"7","author":"Jamrozik","year":"1998","journal-title":"Tobacco Control"},{"key":"2024051401365615000_10.1.23.4","first-page":"1517","article-title":"Preventing children from smoking. How family physicians and pediatricians can help.","volume":"41","author":"Thomas","year":"1995","journal-title":"Can Fam Physician"},{"key":"2024051401365615000_10.1.23.5","unstructured":"Leppanenn A Alen H (1999) Young people and tobacco. Qualitative research on perception, thoughts and feelings of young people. (Cancer Society of Finland, Helsinki)."},{"key":"2024051401365615000_10.1.23.6","unstructured":"Bewley BR Day I Ide L (1973) Smoking by children in Great Britain. (Social Science Research Council and Medical Research Council, London)."},{"key":"2024051401365615000_10.1.23.7","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1136\/bmj.317.7155.366b","article-title":"Teenage girls start smoking to lose weight.","volume":"317","author":"Brooks","year":"1998","journal-title":"BMJ"},{"key":"2024051401365615000_10.1.23.8","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.94.07030472"}],"container-title":["Tobacco Control"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/tc.10.1.23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T10:24:15Z","timestamp":1715682255000},"score":1,"resource":{"primary":{"URL":"https:\/\/tobaccocontrol.bmj.com\/lookup\/doi\/10.1136\/tc.10.1.23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,3,1]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2001,3,1]]},"published-print":{"date-parts":[[2001,3,1]]}},"alternative-id":["10.1136\/tc.10.1.23"],"URL":"https:\/\/doi.org\/10.1136\/tc.10.1.23","relation":{},"ISSN":["0964-4563","1468-3318"],"issn-type":[{"value":"0964-4563","type":"print"},{"value":"1468-3318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,3,1]]}}}