Shu-Hong Zhu Ph.D. , Katherine Braden M.P.H. , Yue-Lin Zhuang Ph.D. , Anthony C. Gamst Ph.D. , Joanna Sun , Jijiang Wang Ph.D. , Christopher M. Anderson , Carey Blakely , Adam G. Cole Ph.D.
{"title":"California's School-Based Tobacco Use Prevention Program After Proposition 56: Results From a Statewide Evaluation","authors":"Shu-Hong Zhu Ph.D. , Katherine Braden M.P.H. , Yue-Lin Zhuang Ph.D. , Anthony C. Gamst Ph.D. , Joanna Sun , Jijiang Wang Ph.D. , Christopher M. Anderson , Carey Blakely , Adam G. Cole Ph.D.","doi":"10.1016/j.jadohealth.2025.11.024","DOIUrl":"10.1016/j.jadohealth.2025.11.024","url":null,"abstract":"<div><h3>Purpose</h3><div>California's longstanding, comprehensive tobacco control program includes the school-based Tobacco-Use Prevention Education (TUPE) program. Following passage of Proposition 56 in 2016, TUPE was expanded. This study investigated whether exposure to TUPE programming after Proposition 56 was associated with decreased youth tobacco use.</div></div><div><h3>Methods</h3><div>Data from the 2019–2020 California Student Tobacco Survey, a state-representative survey of students in grades 8, 10, and 12, were used. The survey was conducted in 358 schools. A total of 160,106 students (49,244 from TUPE-funded schools and 110,862 from non-TUPE-funded schools) were included in this study. The association of TUPE programming with student tobacco use was examined using logistic regression, controlling for the effects of personal and school variables.</div></div><div><h3>Results</h3><div>Students from TUPE and non-TUPE schools had similar rates of exposure to tobacco-related advertising, whether promoting vaping (16.4% vs. 16.8%, respectively), discouraging vaping (36.3% vs. 38.7%), promoting smoking (11.4% vs. 11.4%), or discouraging smoking (27.6% vs. 29.4%; all <em>p</em>'s > 0.05). However, TUPE students were more likely to receive school-based education against tobacco use (71.0% vs. 63.8%; <em>p</em> < 0.001) and to participate in antitobacco activities (15.2% vs. 10.6%; <em>p</em> < 0.001). After controlling for the effects of personal and school variables, TUPE students were less likely to use tobacco (6.5%) than non-TUPE students (8.1%; <em>p</em> = 0.012).</div></div><div><h3>Discussion</h3><div>TUPE students were exposed to more school-based educational messaging and participated in more tobacco-related prevention activities. The greater focus on tobacco in TUPE-funded schools was associated with lower rates of tobacco use among their students.</div></div>","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"78 3","pages":"Pages 456-462"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"17. Co-Creating Solutions: Youth and Stakeholder-Driven Approaches to Increase HIV Testing and PrEP Uptake Among Adolescents and Young Adults","authors":"Errol Fields MD, PhD, MPH , Devin Valdes MPH , Simone Guambana ACP, MS, CHES , Raquel Hernandez MD, MPH","doi":"10.1016/j.jadohealth.2025.12.018","DOIUrl":"10.1016/j.jadohealth.2025.12.018","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"78 3","pages":"Page S10"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146161820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"61. Unequal Treatment: Limited Therapeutic and Specialist Access for Adolescents with Obesity","authors":"Elvira Chiccarelli MD","doi":"10.1016/j.jadohealth.2025.12.064","DOIUrl":"10.1016/j.jadohealth.2025.12.064","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"78 3","pages":"Pages S35-S36"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146161867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mary Kate Shapley-Quinn MPH , Erica Browne MS , Alondra Jaime-Aguilar BA , Marie Stoner PhD , Miranda Diaz BA , Sue Napierala PhD , Paula Nordstrom Miranda BA , Marissa Raymond-Flesch MD, MPH , Alexandra Minnis PhD, MPH
{"title":"73. STI Testing Uptake in Emerging Adulthood Among Latine Youth: integrating in-person and mail-in testing into an ongoing cohort study","authors":"Mary Kate Shapley-Quinn MPH , Erica Browne MS , Alondra Jaime-Aguilar BA , Marie Stoner PhD , Miranda Diaz BA , Sue Napierala PhD , Paula Nordstrom Miranda BA , Marissa Raymond-Flesch MD, MPH , Alexandra Minnis PhD, MPH","doi":"10.1016/j.jadohealth.2025.12.076","DOIUrl":"10.1016/j.jadohealth.2025.12.076","url":null,"abstract":"","PeriodicalId":56278,"journal":{"name":"Journal of Adolescent Health","volume":"78 3","pages":"Page S42"},"PeriodicalIF":4.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146162099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}