Perceived enforcement of school tobacco policy and adolescents' cigarette smoking
Open accessAbstract
Objectives School tobacco use policies are part of a comprehensive strategy for preventing or reducing adolescent cigarette smoking. This study examines the relationship between perceived tobacco policy enforcement at the school level and smoking behaviors among students.Methods 21,281 middle and high school students of 255 schools participated in the 2006 Oregon Health Teens Survey. Multilevel logistic regression was conducted, using a school-level policy enforcement measure based on aggregated student reports, and individual-level characteristics (e.g., age, gender, cigarette smoking before age 12, personal beliefs about smoking) as predictors of past-30-day cigarette smoking behaviors (e.g., any smoking, daily smoking, heavy episodic smoking, smoking on school property).Results Higher levels of perceived enforcement of anti-smoking policy at the school level were inversely associated with the prevalence of past-30-day smoking behaviors, independent of individual-level predictors.Conclusions Stricter enforcement of school policies against tobacco use may help prevent or reduce adolescents' cigarette smoking on and outside of school property.
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Cross-sectional observational studies evaluating the level of enforcement of school tobacco policies more consistently found links between stronger enforcement and lower rates of smoking among students.
“In contrast to studies assessing the presence of anti-tobacco policies, cross-sectional observational studies evaluating the level of enforcement of these policies more consistently found links between stronger enforcement and lower rates of smoking among students.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [454]
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Prudhomme, S., & Gallien, T. (2013) · HELIN Digital Commons
- Authors
- Lipperman-Kreda, S., Paschall, M. J., & Grube, J. W.
- Affiliations
- Pacific Institute For Research and Evaluation (US)
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 48
- Issue
- 6
- Pages
- 562-566
- ISSN
- 0091-7435 (ISSN-L)
- PMC
- PMC2748128
- OpenAlex
- W2009610123
- Cited by
- 59
- References
- 29
- Citations by year
- 2026: 2 · 2025: 3 · 2023: 2 · 2022: 8 · 2021: 6 · 2020: 4 · 2019: 5 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 5 · 2013: 4 · 2012: 3
- FWCI
- 2.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (T32AA014125, R01AA014958)
- National Cancer Institute (CA086169, R01CA086169)
- 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 tobacco policies, policy enforcement, adolescent cigarette smoking, smoking prevention, daily smoking, middle and high school students
- MeSH terms
- Smoking Prevention, Adolescent, Adolescent Behavior, Age Factors, Child, Female, Health Policy, Health Surveys, Humans, Male, Oregon, Risk-Taking, School Health Services, Schools, Smoking, Social Perception, Students, Prevalence, Logistic Models
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