The Impact of School Tobacco Policies on Student Smoking in Washington State, United States and Victoria, Australia
Open accessAbstract
This paper measures tobacco polices in statewide representative samples of secondary and mixed schools in Victoria, Australia and Washington, US (N = 3,466 students from 285 schools) and tests their association with student smoking. Results from confounder-adjusted random effects (multi-level) regression models revealed that the odds of student perception of peer smoking on school grounds are decreased in schools that have strict enforcement of policy (odds ratio (OR) = 0.45; 95% CI: 0.25 to 0.82; p = 0.009). There was no clear evidence in this study that a comprehensive smoking ban, harsh penalties, remedial penalties, harm minimization policy or abstinence policy impact on any of the smoking outcomes.
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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 [456]
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- Authors
- Evans-Whipp, T. J., Bond, L., Ukoumunne, O. C., Toumbourou, J. W., & Catalano, R. F.
- Affiliations
- Murdoch Children's Research Institute (AU)
- MRC/CSO Social and Public Health Sciences Unit (GB)
- Royal Children's Hospital (AU)
- Deakin University (AU)
- University of Washington (US)
- Corresponding author
- Evans-Whipp, Tracy J.
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2010-02-26
- Volume
- 7
- Issue
- 3
- Pages
- 698-710
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC2872326
- OpenAlex
- W2142086953
- Cited by
- 35
- References
- 27
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 2 · 2021: 4 · 2020: 1 · 2019: 5 · 2017: 3 · 2015: 2 · 2014: 2 · 2013: 5 · 2012: 6
- FWCI
- 2.60
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Victoria University Research Repository (Victoria University) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion)
- Funders
- Medical Research Council
- National Health and Medical Research Council (436914, 491241)
- National Institute on Drug Abuse (DA012140-05, R01DA012140)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24HD042828)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Keywords
- school tobacco policies, student smoking, high school students, peer smoking, smoking bans, policy enforcement, tobacco control, Washington State, Victoria, Australia
- MeSH terms
- Adolescent, Cross-Sectional Studies, Female, Humans, Male, Smoking, Social Class, Students, Nicotiana, Victoria, Washington, Organizational Policy
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