Tobacco use among adolescents remains a critical public health issue with long-term health consequences. This study evaluated the effectiveness of a peer-led smoking cessation program in three urban high schools involving 600 adolescents aged 14–18 years. The program included peer counseling, behavioral therapy sessions, educational workshops, and follow-up support. Outcomes measured included self-reported smoking behavior, nicotine dependence (using the Fagerström Test), and cessation rates over six months. Results indicated a 28% reduction in daily tobacco use, a 35% decrease in nicotine dependence scores, and a 22% six-month cessation rate. Peer-led interventions were particularly effective due to relatability and increased engagement. These findings suggest that school-based peer interventions are an effective strategy to reduce adolescent tobacco use and promote lifelong healthy behaviors.

Keywords:
Smoking Cessation, Adolescents, Peer Education, Public Health, Tobacco Control