The Relationship Between School Policies and Youth Tobacco Use*
Open accessAbstract
BACKGROUND: The school setting is frequently used both to educate youth about risks involved in tobacco use and to implement tobacco prevention and cessation programs. Given that school‐based programs have resulted in limited success, it is necessary to identify other setting‐level intervention strategies. School tobacco policies represent a type of universal intervention that might have some promise for preventing or reducing tobacco use. METHODS: Hierarchical linear modeling was used to assess whether school tobacco policies were related to observations of tobacco use and current smoking among 16,561 seventh through twelfth graders attending 40 middle and high schools in Illinois. RESULTS: Results indicated that the enforcement of school tobacco policies, but not the comprehensiveness of those policies, was associated with fewer observations of tobacco use by minors on school grounds as well as lower rates of current smoking among students. CONCLUSIONS: The school setting is a key system to impact youth tobacco use. Findings underscore the need to train school personnel to enforce school tobacco policy.
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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 [453]
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- Authors
- Adams, M. L., Jason, L. A., Pokorny, S., & Hunt, Y.
- Affiliations
- DePaul University (US)
- University of Florida Health (US)
- National Cancer Institute (US)
- Corresponding author
- Adams, Monica L.
- Venue
- Journal of School Health
- Publisher
- Wiley
- Published
- 2008-12-19
- Volume
- 79
- Issue
- 1
- Pages
- 17-23
- ISSN
- 0022-4391 (ISSN-L)
- 1746-1561
- PMC
- PMC2826219
- OpenAlex
- W2116899702
- Cited by
- 72
- References
- 41
- Citations by year
- 2025: 3 · 2023: 3 · 2022: 7 · 2021: 7 · 2020: 5 · 2019: 7 · 2018: 1 · 2017: 3 · 2016: 5 · 2015: 4 · 2014: 4 · 2013: 7 · 2012: 5
- FWCI
- 2.48
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of School Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA080288)
- 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, youth tobacco use, adolescent smoking, policy enforcement, policy comprehensiveness, school-based prevention, universal interventions, school staff training, middle and high school students
- MeSH terms
- Smoking Prevention, Adolescent, Adolescent Behavior, Female, Health Education, Humans, Illinois, Male, School Health Services, Schools, Smoking, Linear Models, Organizational Policy, Smoking Cessation
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