Our results indicate that an advocacy curriculum, designed
to engage high school students in activities related
to the advertising, availability, and use of tobacco in their
communities, was more effective in achieving reductions
in regular smoking than the control curriculum in which
students learned about drug and alcohol abuse prevention.
Furthermore, students in the treatment high schools
showed significantly more positive changes in constructs
related to social cognitive theory that may lie in the causal
pathway to smoking. These changes were achieved in continuation
high schools in which students have exceptionally
high rates of cigarette smoking.