The Influence of School Smoking Policies on Student Tobacco Use
Open accessAbstract
OBJECTIVE: To investigate the association between smoking behavior among secondary school students and school smoking policies. DESIGN: Cross-sectional provincially representative study. SETTING: Quebec secondary schools. PARTICIPANTS: Complete data were available for 763 of 1058 students aged 13 years in 50 schools and for 768 of 1160 students aged 16 years in 57 schools. School principals provided data on school smoking policies. Main Exposure School smoking policies. Outcome Measure Student tobacco use. RESULTS: Of students aged 13 years, 3.8% of boys and 7.1% of girls smoked daily; 21.0% of boys and 25.2% of girls aged 16 years smoked daily. Of schools, 28.0% permitted staff to smoke indoors, 84.1% permitted staff to smoke outdoors on school grounds, and 83.2% permitted students to smoke outdoors on school grounds. Daily smoking was not associated with policies targeting student smoking or those targeting indoor smoking by staff. In multilevel analyses, girls aged 13 years were almost 5 times more likely to be daily smokers if they attended schools at which staff were permitted to smoke outdoors. CONCLUSIONS: Younger girls may be more susceptible to social influences at school related to tobacco use. School policies banning smoking by teachers and other school personnel within and outside the school should be an important component of comprehensive adolescent smoking prevention programs.
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In some studies, teachers' smoking behaviors on school grounds were strongly linked (2- to 5-fold relation) to students' smoking.
“Interestingly, in some studies, teachers’ smoking behaviors on school grounds were also strongly linked (2- to 5-fold relation) to students’ smoking.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [446]
In some cross-sectional observational studies, students at schools with stronger policies restricting tobacco use were less likely to be current smokers.
“In some, but not other, cross-sectional observational studies, students at schools with stronger policies restricting tobacco use were less likely to be current smokers.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [446]
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- Authors
- Barnett, T. A., Gauvin, L., Lambert, M., O’Loughlin, J., Paradis, G., & McGrath, J. J.
- Affiliations
- Centre Hospitalier Universitaire Sainte-Justine (CA)
- Corresponding author
- Barnett, Tracie A.
- Venue
- Archives of Pediatrics & Adolescent Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2007-09-01
- Volume
- 161
- Issue
- 9
- Pages
- 842
- ISSN
- 1072-4710 (ISSN-L)
- PMC
- PMC5758338
- OpenAlex
- W2154172238
- Cited by
- 56
- References
- 23
- Citations by year
- 2024: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 4 · 2013: 6 · 2012: 8
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Archives of Pediatrics and Adolescent Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Canadian Institutes of Health Research (79897_1)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- school smoking policy, adolescent tobacco use, high school students, youth smoking prevention, gender differences in smoking, social influence
- MeSH terms
- Smoking Prevention, Adolescent, Adolescent Behavior, Cross-Sectional Studies, Female, Humans, Male, Peer Group, Quebec, Schools, Smoking, Social Environment, Students, Health Behavior, Organizational Policy
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