Anti-tobacco policy in schools: upcoming preventive strategy or prevention myth? A review of 31 studies

Galanti, Maria Rosaria; Coppo, Alessandro; Jonsson, Erland; Bremberg, Sven; Faggiano, Fabrizio

doi:10.1136/tobaccocontrol-2012-050846

Cited by 69 publications

(89 citation statements)

References 47 publications

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“…There are many different school smoking policies and ways of implementing and enforcing these policies. A review by Galanti et al 8 suggested that some school smoking policies may be effective in the prevention of smoking among adolescents. For example, several studies suggested that strict bans on smoking in and around schools may decrease smoking prevalence 9–13.…”

Section: Introductionmentioning

confidence: 99%

School smoking policies and educational inequalities in smoking behaviour of adolescents aged 14–17 years in Europe

Kuipers

Korte

Soto

et al. 2015

J Epidemiol Community Health

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Section: Introductionmentioning

confidence: 99%

School smoking policies and educational inequalities in smoking behaviour of adolescents aged 14–17 years in Europe

Kuipers

Korte

Soto

et al. 2015

J Epidemiol Community Health

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“…Anti-smoking policy in Chinese schools is seemingly a well-structured system with education, monitoring, and enforcement processes. However, consistent with evaluations of the effectiveness of tobacco management in the West (Galanti et al, 2014), the policy does not appear to be effective.…”

Section: Discussionmentioning

confidence: 88%

“…The structural power between teachers and students at school is, therefore, likely to prompt students to challenge any health imperative from the school's authority (e.g., looking for the loopholes in tobacco management; Cothran & Ennis, 1997; S. Lewis & Russell, 2013). This finding also helps to explain why previous studies identified the positive associations between teachers' smoking and student smoking (Galanti et al, 2014;Paek, Hove, & Oh, 2013;Sinha, Gupta, Dobe, & Prasad, 2007).…”

Section: Discussionmentioning

confidence: 89%

“…-From a form teacher Schools are ideal for anti-smoking education programmes because they can be implemented to a substantial number of students in a short period of time (Galanti et al, 2014;Thomas et al, 2013). However, no school is a vacuum and, thus, the productivity of school-based interventions is mediated by factors from social milieus outside of schools.…”

Section: Effectiveness Of a Tpb-based Smoking Interventionmentioning

confidence: 99%

“…Schools appear to be an ideal environment for tobacco control due to relatively low cost and ease of implementation (Galanti, Coppo, Jonsson, Bremberg, & Faggiano, 2014;Thomas et al, 2015). With 66.9 million secondary school students currently in China (Ministry of Education of the People's Republic of China, 2016), school-based programmes have the potential to prevent smoking efficiently.…”

Section: Introductionmentioning

confidence: 99%

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A Theory-Based Smoking Intervention for Chinese High School Students: Development, Implementation, and Evaluation

Zhao¹

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Background: With 316 million smokers, China is the world's largest tobacco consumer.Adolescent smoking rates are increasing among females, and remain at a high level among males. Reducing smoking behaviour and associated cognitions in this transitional period is important to curb smoking in early adulthood.Objective: There were two objectives in this PhD: (i) to explore the psychological mechanisms underlying Chinese adolescents' smoking behaviour (Study 1); and (ii) to develop, implement, and evaluate a school-based smoking intervention among Chinese adolescents (Study 2). The latter objective was based on the former.Design: Mixed approaches were utilised. Study 1 used semi-structured focus groups based on the Theory of Planned Behaviour (TPB) among high school students. Following the Consensual Qualitative Research (CQR) methods, data were coded into seven domains.Based on the findings in Study 1, a belief-driven smoking programme ("Achieve my healthy future") was designed, and incorporated life skills training. After the implementation of the programme, smoking behaviour, associated cognitions, and skills were evaluated in a longitudinal design (3 time-points). Study 2 also included a qualitative study of the perceptions of school-based tobacco management among high school students and teaching staff members, using focus groups and interviews.Setting: Two middle schools in Kunming, Yunnan Province, China (February -October 2016). Participants: Thirty 10th graders in Study 1 (50% female and 50% male); 207 10 th graders enrolled in Study 2 (106 in the intervention group; 101 in the control group).ii Measurements: Two qualitative studies and one quantitative study were included. For the elicitation study (Study 1), focus groups was used. For the qualitative study (Study 2), smoking behaviour, associated cognitions (intention, attitude, subjective norm, perceived behavioural control, willingness, prototype), and life skills (stress coping, decision making, assertiveness, pragmatics, dispositions towards critical thinking) were tested. For the perception study (Study 2), mixed data from focus groups, interviews, and field observations were used.Intervention: Based on the findings of Study 1, a four-session classroom-based intervention was designed. The programme focused on psychological constructs (attitude, subjective norm, perceived behavioural control, and prototype) as well as life skills (stress coping, decision making, assertiveness and pragmatics, and critical thinking). Each session lasted for 40 minutes.Key findings: (i) Study 1 identified seven domains, namely, advantages, disadvantages, approvers, disapprovers, facilitators, barriers, and smoker images. Smoking as a gendered behaviour, smoking as influenced by cultural and environmental contexts, smoking as a strategy to cope with stress, and awareness of the harm of smoking, are highlighted themes across domains. Based on the elicited beliefs, a smoking intervention programme was designed. Study 2 showed that (ii) the pilot intervention based o...

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School policies for preventing smoking among young people

Coppo¹,

Galanti

Giordano

et al. 2014

Cochrane Database of Systematic Reviews

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Anti-tobacco policy in schools: upcoming preventive strategy or prevention myth? A review of 31 studies

Cited by 69 publications

References 47 publications

School smoking policies and educational inequalities in smoking behaviour of adolescents aged 14–17 years in Europe

School smoking policies and educational inequalities in smoking behaviour of adolescents aged 14–17 years in Europe

A Theory-Based Smoking Intervention for Chinese High School Students: Development, Implementation, and Evaluation

School policies for preventing smoking among young people

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