School tobacco policies and adolescent smoking in six European cities in 2013 and 2016: A school-level longitudinal study

Mélard, Nora; Grard, Adeline; Robert, Pierre-Olivier; Kuipers, Mirte A G; Schreuders, Michael; Rimpelä, Arja; Leão, Teresa; Hoffmann, Laura; Richter, Michael; Kunst, Anton E.; Lorant, Vincent

doi:10.1016/j.ypmed.2020.106142

Cited by 34 publications

(29 citation statements)

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“…However, this might not have interfered with the current findings because we did not see different results in the subgroup analysis by self-efficacy level and the number reasons to quit. Finally, school and family environments are among the most critical factors that strongly influence adolescents [8,[44][45][46][47]. However, our study did not include these factors, including parental smokers, parental disapproval of smoking, and number of peer smokers.…”

Section: Discussionmentioning

confidence: 98%

Effect of Additional Motivational Interviewing on Smoking Abstinence for 1-Year among Korean Adolescents: Results from A Comparative Retrospective Study in Quitline

Tran

Park

et al. 2020

IJERPH

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The aim of this study was to evaluate the effect of additional motivational enhancement through telephone-based counseling on short- and long-term smoking abstinence among Korean adolescents. Methods: A comparative retrospective study was conducted based on the longitudinal follow up in Quitline from 2010 to 2017. A total of 533 and 178 adolescent smokers voluntarily participated in the 1-year quitting counseling only (group A, who were ready to quit) and the additional 4-week motivational interviewing before 1-year quitting counseling (group B, who were ambivalent about quitting), respectively. The outcomes were self-reported continuous abstinence at 30-day, 6-month, and 1-year follow up. Logistic regression was applied to estimate the effect of potential factors, including motivational enhancement, on cessation outcome. Results: At baseline, adolescents in group B had a lower motivation to quit than those in group A (p < 0.001). The successful quit rates at 30-day, 6-month, and 1-year follow up were 37.2%, 12.8%, and 11.4% in group A and 33.7%, 15.2%, and 11.2% in group B, respectively. After adjusting factors as appropriate, successful quit rates in group B were not significantly different from the rates in group A. Higher self-efficacy increased the successful quit rate at 30-day, 6-month, and 1-year follow up, similar in subgroup analysis by gender. Never-drinking showed significant association with 30-day successful quit in the whole population and among boys. The lower number of smoking triggers was associated with an increased 30-day successful quit rate among boys only. Conclusions: Counseling for motivational enhancement could be a promising approach for better quitting outcomes. Improving self-efficacy and eliminating smoking triggers should be continuously strengthened during the quitting process.

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Section: Discussionmentioning

confidence: 98%

Effect of Additional Motivational Interviewing on Smoking Abstinence for 1-Year among Korean Adolescents: Results from A Comparative Retrospective Study in Quitline

Tran

Park

et al. 2020

IJERPH

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“…Indeed, the stigmatization associated with smoking is reversible: for stigmatization to cease, it is enough for an individual to leave the school premises. STPs were not found to decrease smoking just outside school premises, meaning that smoking remained visible [33]. Moreover, exposure to friends smoking outside school premises limits the effect of denormalization on smoking.…”

Section: Plos Onementioning

confidence: 91%

“…Overall, staff and student perceptions of STPs were significantly correlated (r = 0.46, p = 0.0034). Their scores were also significantly correlated for policy comprehensiveness (r = 0.55, p = 0.0003) and for policy enforcement (r = 0.51, p = 0.0010) [33]. The second variable was the proportion of weekly smokers in each school.…”

Section: Measurementsmentioning

confidence: 93%

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The effect of school smoke-free policies on smoking stigmatization: A European comparison study among adolescents

et al. 2020

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The increasing denormalization of smoking by tobacco control policies and a normative smoke-free climate may shift power towards adolescent non-smokers. It is unclear, however, how common stigmatization of smokers is among adolescents or how stigmatization relates to the denormalization of smoking in their school and social environment. This paper aims to measure (1) whether stigmatization among European adolescents varies according to smoking status and socioeconomic position (SES), and (2) whether stigmatization is greater in school environments in which smoking is denormalized (i.e. those with low smoking rates and strong school tobacco policies). Data on 12,991 adolescents were collected in 55 schools in seven European countries (SILNE R-survey, 2016/17). We applied Stuber's adapted scale of perceived stereotyping and discrimination towards smokers to smoking status and five variables indicating a power shift towards non-smokers: the school's tobacco control policy (STP) score, the percentage of adolescents in the school who smoke, parents' level of education, students' academic performance, and the percentage of their friends who smoke. Multilevel regressions were applied to the global score for perceived stigmatization. Discrimination against smokers and stereotyping of smokers were frequently reported. Smokers reported less 'perceived stigmatization of smoking' than non-smokers (Beta =-0.146, p < 0.001). High-SES students reported stereotyping and discrimination more frequently than lower-SES students. The perception of stigmatization was lower among students whose academic performance was poor (Beta =-0.070, p < 0.001) and among those who had friends who smoked (Beta =-0.141, p < 0.001). Stigmatization was lower in schools with greater exposure to smoking and was not associated with the school's STP score. Perceived stigmatization of smoking is common among European adolescents. Smokers themselves, however, perceive stigmatization less often than non-smokers. Strong school tobacco policies do not increase stigmatization, but a social environment that is permissive of smoking decreases perceived stigmatization.

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“…Die wahrgenommene Prävalenz des Rauchens im Jugendalter ist von herausragender Bedeutung für die Tabakprävention, da ei-ne hohe Wahrnehmung des Rauchens in der unmittelbaren Lebenswelt -wie der Schule -nicht nur mit Rauchinitiierung und positiven Einstellungen gegenüber Tabakrauchen [22], sondern auch leichterem Zugang zu Zigaretten [23] und einer nachgiebigen Umsetzung von schulischen Rauchverboten assoziiert ist [22,24]. Der lokale [25] und der schulische [24,26] Kontext von Tabakkontrolle sind für Ungleichheiten in der Sichtbarkeit [22] des Rauchens als sozialräumliche Sozialisationsorte zentral, wobei sie stadtoder länderübergreifend variieren [27,28].…”

Section: Forschungsstand Zur Implementierung Schulischer Tabakkontrolleunclassified

Der Zusammenhang zwischen schulischer Tabakkontrolle und der wahrgenommenen Raucherprävalenz Jugendlicher

Mlinarić

Günther

Winter

et al. 2020

Bundesgesundheitsbl

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Zusammenfassung Hintergrund Für Deutschland sind kaum Daten zur Implementierung schulischer Tabakkontrolle bekannt, die sowohl die Perspektive von Lehrer- als auch von Schüler*innen einbeziehen. Ziel der Studie ist es, den Zusammenhang zwischen implementierter schulischer Tabakkontrollpolitik und der wahrgenommenen Raucherprävalenz auf den Ebenen des Schulpersonals und der Jugendlichen zu untersuchen. Methoden Die wiederholte Querschnittsstudie (2013 und 2017) basiert auf gepoolten Angaben von 13- bis 17-jährigen Jugendlichen (N = 2393) und Schulpersonal (N = 85) aus 25 Schulen in der westdeutschen Metropolregion Hannover. In linearen Regressionsmodellen werden durchschnittlich marginale Effekte (AMEs) mit 95 %-Konfidenzintervallen (KI95 %) und robuste Standardfehler für die wahrgenommenen Tabakprävalenzen getrennt für die von Lehrer- und Schüler*innen bewertete schulische Tabakkontrollpolitik (Skala 0–6) unter Kontrolle soziodemografischer, schul- und rauchspezifischer Variablen berichtet. Ergebnisse Die Jugendlichen nehmen durchschnittlich eine Raucherprävalenz von 30 % ($$\overline{x}=30,2$$ x ‾ = 30,2 ; s: 24,0) für ihre Schule wahr. Eine strikte schulische Tabakkontrolle ist konsistent mit einer geringeren schulischen Raucherprävalenz assoziiert, sowohl aus Sicht von Lehrer- (AME: −3,54 KI95 % −6,49 bis −0,58) als auch der Schüler*innen (AME: −1,69 KI95 % −2,52 bis −0,86). Die Anzahl rauchender Freunde (z. B. „die meisten“ +14 %: AME: 14,13 KI95 % 10,46–17,80) und der Schultyp sind die relevantesten Determinanten für eine hohe schulische Raucherprävalenz. Nichtgymnasiale Schulformen berichten eine 15 % (AME: 15,03 KI95 % 10,13–19,93) höhere Raucherprävalenz im Vergleich zu Gymnasien. Diskussion Progressive schulische Tabakkontrollpolitiken sollten den Fokus auf nichtgymnasiale Schulformen, Risikogruppen und jene Schulen legen, die Tabakkontrolle nicht strikt durchsetzen.

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School tobacco policies and adolescent smoking in six European cities in 2013 and 2016: A school-level longitudinal study

Cited by 34 publications

References 48 publications

Effect of Additional Motivational Interviewing on Smoking Abstinence for 1-Year among Korean Adolescents: Results from A Comparative Retrospective Study in Quitline

Effect of Additional Motivational Interviewing on Smoking Abstinence for 1-Year among Korean Adolescents: Results from A Comparative Retrospective Study in Quitline

The effect of school smoke-free policies on smoking stigmatization: A European comparison study among adolescents

Der Zusammenhang zwischen schulischer Tabakkontrolle und der wahrgenommenen Raucherprävalenz Jugendlicher

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