1. Primary prevention of social isolaton and substance abuse among adolescents
Dr Tiina Laatikainen

2. Alcohol
Smoking
Other substance abuse
Health problems
Poor performance
Social problems
Depression
Anxiety

3. ESFA
Narcotics
Alcohol use
Initiation of smoking 5 10 15 20
Depression and anxiety symptoms
Poor performance, social problems
SYKE

4. Prevalence of 14-18 years old using tobacco products daily
Rimpelä A et al. Health behaviour among Finnish adolescents 2005

5. Alcohol use among Finnish school aged children in 2000-2004
Once a month
Twice a month
Once a week or more
8th and 9th grade students 1st and 2nd grade in high school
Stakes: School Health Survey

6. School-based interventions
Information based, increasing awareness
Hardly any impact
Competitions
Short term impact
Students have active role
Coping with social pressure
Social skills training
Effective
Boosters, peer groups
Combination models
Most effective, also long term effects shown
Focused programmes

7. European Smoking Prevention Framework Approach
ESFA
European Smoking Prevention
Framework Approach

8. ESFA –Study FINLAND (European Smoking Prevention Framework Approach)
Three year smoking prevention intervention among 7th-9th grade students in Helsinki
27 schools randomized to intervention and control schools (n=2745)
14 lessons on smoking, addiction, social denial skills and coping with social pressure
Smoke Free competition

9. Incidence of smoking after 7th grade in ESFA Study%
OR=2,18
(1,42-3,36)
OR=1,49
(1,13-1,96)

10. Prevalence of smoking at 9th grade according to performance at school%

11. Conclusions
School based programme actively involving students can prevent initiation of smoking
Supportive activities and involvement of for example parents and teachers is important
Poor performance smoking
Focused programmes needed

12. SYKE SYrjäytymisKehityksen Ehkäisyohjelma
School based project to prevent development of social isolation and
symptoms of depression and anxiety

13. SYKE
A school-based project to prevent social isolation, depressive and anxiety symptoms use of addictive substances
Based on FRIENDS approach developed in Australia
5th grade students in Helsinki
Pilot study in
KTL, School health and education sectors, Aseman lapset ry (NGO)

14. The world's leading school-based anxiety prevention program
FRIENDS for Life helps children and teenagers cope with feelings of fear, worry, and depression by building resilience and self-esteem and teaching cognitive and emotional skills in a simple, well-structured format

15. Together against addictive substances
School based programme on prevention of smoking and alcohol use among adolescents in Pitkäranta, Republic of Karelia, Russia

16. Background Health collaboration since 1991 between Finland and the
Republic of Karelia, Russia
Two health surveys
among school children
carried out in
Pitkäranta in 1995, 2004

17. Daily smoking 1995,2004 (Pitkäranta 9th grade students)%
p=0.104
p=0.015
Tiina Laatikainen / KTL

18. Possibility to purchase tobacco products if under 16 years and 2004 (Pitkäranta 9th grade students)
Boys
Girls
Tiina Laatikainen / KTL

19. Possibility to smoke on school yard 1995 and 2004 (Pitkäranta 9th grade students)
Boys
Girls
Tiina Laatikainen / KTL

20. Together against addictive substances
Three year project in Pitkäranta
4 intervention schools – 4 control schools
Activities involving
Students and teachers
Parents
Society
Baseline and follow-up evaluation
Seminar on experiences, material package for dissemination