Evolution of attitudes, trends and perceptions of smoking among middle and secondary school students in the Gharb Region, Morocco, 2010–2015

Abstract

Background Tobacco use is an important public health issue. Morocco implemented a tobacco control programme, which has been ongoing among students at middle and secondary schools since 2010. Aim This study aims to compare the trend in smoking among the programme beneficiaries with the results of the initial study conducted prior to the implementation of the programme. Setting This study was conducted in middle and secondary schools of the Gharb Region in Morocco between 2010 and 2015. Methods Two cross-sectional studies were conducted in 2010 and 2015 in the middle and secondary schools of the Gharb Region. Multistage cluster sampling was used. The information was collected using a self-administered questionnaire. Results In the first study in 2010, 5312 students participated, and in the second one in 2015, 4208 students participated. The level of information on smoking and its effects was higher in 2015 (94.0%) than in 2010 (92.5%). In 2010, parents, primary schools and television and radio were more involved in student information on smoking compared to 2015. The proportion of students claiming that tobacco was not a pleasure (86.3%) and that it does not calm nerves (76.5%) was significantly higher in 2015 than in 2010. The prevalence of smoking increased significantly in 2015 (2.9%) against 2010 (1.8%). Conclusion This study reports the general positive evolution in knowledge about smoking and its effects. Despite that the prevalence of smokers increased in 2015. The results suggest the need to address family influences on adolescent smoking and to investigate participation of schools in education and training students in tobacco dependence prevention.

Subjective knowledge of Brazilian adolescent students about the health effects of smoking: association with smoking status / Conhecimento subjetivo dos estudantes adolescentes brasileiros sobre os efeitos do fumo na saúde: associação com o status de fumante

“…High rates of low SK were observed, especially about the effects on oral health and the second-hand effects, indicating possibilities for improvements. These findings agree with several previous studies that observed low levels of knowledge on the harms of smoking among adolescents using objective measurements [5][6][7][8][9][10][11][12][13][14] .…”

“…Many adolescents may not be aware that smoking is harmful for their health [4][5][6][7][8][9] , especially regarding second-hand smoking [10][11][12][13] and oral health effects 14 . A lack of knowledge about the hazards of smoking has been described as a predictor of smoking status 13,[15][16][17][18] and susceptibility to smoking [19][20][21] in this population group.…”