Smoking Among Adolescents: Population Study on Parental and School Influences

Yáñez, Aina M.; Lopez, Ricardo L.; Serra-Batllés, Joan; Roger, N.; Arnau, A.; Roura, P.

doi:10.1016/s1579-2129(06)60109-2

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…For example, teacher behavior, the educational center, and the attitudes of parents have all been associated with the initiation of tobacco use [7,26]. In addition, the prevalence of smoking among adolescents is lower when smoking is not permitted at home, especially if there is a complete ban; interestingly, this effect is independent of whether the parents are smokers [15].…”

Section: Discussionmentioning

confidence: 99%

“…For example, several transverse studies have shown that the percentage of smokers varies widely among educational centers [5-7]. Furthermore, a longitudinal study involving 166 secondary schools in England [6] found that the school influenced the percentage of students that smoked, independent of the students’ characteristics.…”

Section: Discussionmentioning

confidence: 99%

“…Some countries have reported a change in the pattern of initial consumption in recent years, with more girls beginning to smoke, especially among younger age groups [4]. Within any given country, a high variability in smoking behavior is seen across schools [5-7]. …”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of a complex intervention in reducing the prevalence of smoking among adolescents: study design of a cluster-randomized controlled trial

Leiva

Estela²,

Torrent

et al. 2014

BMC Public Health

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BackgroundThe likelihood of an adolescent taking up smoking may be influenced by his or her society, school and family. Thus, changes in the immediate environment may alter a young person’s perception of smoking.Methods/DesignThe proposed multi-center, cluster-randomized controlled trial will be stratified by the baseline prevalence of smoking in schools. Municipalities with fewer than 100,000 inhabitants will be randomly assigned to a control or intervention group. One secondary school will be randomly selected from each municipality. These schools will be randomized to two groups: the students of one will receive any existing educational course regarding smoking, while those of the other school will receive a four-year, class-based curriculum intervention (22 classroom lessons) aimed at reinforcing a smoke-free school policy and encouraging smoking cessation in parents, pupils, and teachers. The intervention will also include annual meetings with parents and efforts to empower adolescents to change the smoking-related attitudes and behaviors in their homes, classrooms and communities.We will enroll children aged 12-13 years as they enter secondary school during two consecutive school years (to obtain sufficient enrolled subjects). We will follow them for five years, until two years after they leave secondary school. All external evaluators and analysts will be blinded to school allocation.The aim of this study is to analyze the effectiveness of a complex intervention in reducing the prevalence of smoking in the third year of compulsory secondary education (ESO) and two years after secondary school, when the participants are 14-15 and 17-18 years old, respectively.DiscussionMost interventions aimed at preventing smoking among adolescents yield little to no positive long-term effects. This clinical trial will analyze the effectiveness of a complex intervention aimed at reducing the incidence and prevalence of smoking in this vulnerable age group.Trial registrationCurrent Controlled Trials: NCT01602796.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of a complex intervention in reducing the prevalence of smoking among adolescents: study design of a cluster-randomized controlled trial

Leiva

Estela²,

Torrent

et al. 2014

BMC Public Health

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Effectiveness of a complex intervention on smoking in adolescents: A cluster-randomized controlled trial

Leiva

Estela

Bennasar‐Veny

et al. 2018

Preventive Medicine

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El instituto, la familia y el tabaquismo en adolescentes

et al. 2013

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Resumen AbstractThe socio-cultural environment is an important factor involved with the onset of smoking during adolescence. Initiation of cigarette smoking occurs almost exclusively during this stage. In this context we aimed to analyze the association of school and family factors with adolescent smoking by a cross-sectional study of 16 secondary schools randomly selected from the Balearic Islands involved 3673 students and 530 teachers.The prevalence of regular smoking (at least one cigarette per week) was 4.8% among first year students, 11.6% among second year students, 14.1% among third year students, 20.9% among fourth year students and 22% among teachers.Among first and second year students, there were independent associations between regular smoking and adolescents' perception of being allowed to smoke at home, belonging to a single parent family, poor relationship with parents, poor academic performance, lack of interest in studies and teachers' perception of smoking in the presence of pupils.Among third and fourth year students, there were independent associations between regular smoking and poor relationship with parents, adolescents' perception of being allowed to smoke at home, poor academic performance, lack of control over student misbehavior and the school attended.The school policies and practices affect student related health behavior regarding smoking, independent of individual and family factors.Key words: smoking, adolescence, schools, teachers, family.El entorno socio-cultural es un importante factor implicado en el inicio del tabaquismo durante la adolescencia. El inicio del tabaquismo ocurre casi exclusivamente en esa etapa. En este contexto, el objetivo era analizar la asociación entre factores escolares y familiares y tabaquismo en adolescentes, mediante un estudio transversal a una muestra aleatoria de 16 centros escolares de las Islas Baleares, donde participaron un total de 3673 escolares de Educación Secundaria Obligatoria (ESO) y 530 profesores de dichos centros. La prevalencia de tabaquismo regular (al menos un cigarrillo por semana) fue de 4,8% entre los estudiantes de primero de ESO, el 11,6% entre los estudiantes de segundo de ESO, el 14,1% entre los estudiantes de tercero de ESO, el 20,9% entre los estudiantes de cuarto de ESO y del 22% entre los profesores. Entre los estudiantes de primero y segundo año, había asociaciones independientes entre el tabaquismo regular y: poder fumar en casa, pertenecer a una familia monoparental, tener una mala relación con los padres, bajo rendimiento académico, falta de interés en los estudios y la propia percepción de los profesores de consumo de tabaco por parte del profesorado en presencia de alumnos. Entre los alumnos de tercero y cuarto de ESO las variables que se mostraron independientemente asociadas al tabaquismo regular fueron: una mala relación con los padres, poder fumar en casa, bajo nivel académico, mayor transigencia del centro escolar sobre la mala conducta del estudiante y el propio centro escolar. Las políticas y prácticas esco...

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Smoking Among Adolescents: Population Study on Parental and School Influences

Cited by 3 publications

References 21 publications

Effectiveness of a complex intervention in reducing the prevalence of smoking among adolescents: study design of a cluster-randomized controlled trial

Effectiveness of a complex intervention in reducing the prevalence of smoking among adolescents: study design of a cluster-randomized controlled trial

Effectiveness of a complex intervention on smoking in adolescents: A cluster-randomized controlled trial

El instituto, la familia y el tabaquismo en adolescentes

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