Multilevel Analysis of the Impact of School‐Level Tobacco Policies on Adolescent Smoking: The Case of Michigan

Paek, Hye‐Jin; Hove, Thomas; Oh, Hyun Jung

doi:10.1111/josh.12081

Cited by 23 publications

(33 citation statements)

References 39 publications

(135 reference statements)

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“…School tobacco policies can influence schools' social environments (Paek, Hove, & Oh, 2013), but this could not be taken into consideration in this study. As well, although several school characteristics were measured in the survey, there was no comprehensive school connectedness measure.…”

Section: Limitationsmentioning

confidence: 99%

Smoking Among Off-Reserve First Nations, Métis, and Inuit High School Students

Bougie

Kohen

2018

iipj

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Using data from the 2012 Aboriginal Peoples Survey (APS), this study investigated associations between smoking and a number of school, peer, and family characteristics among off-reserve First Nations (n = 2,308), Métis (n = 2,058), and Inuit (n = 655) high school students aged 12 to 21 years. Logistic regressions revealed important group differences in Indigenous youths' correlates of smoking. Characteristics that were negatively associated with smoking included attending a school with a positive environment or having peers with high educational aspirations among First Nations students; participating in school-based club extra-curricular activities or living in a smoke-free home among Métis; and living in higher-income families among Inuit. A consistent risk factor for smoking among all Indigenous students was having close friends who engaged in risk behaviours.

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Section: Limitationsmentioning

confidence: 99%

Smoking Among Off-Reserve First Nations, Métis, and Inuit High School Students

Bougie

Kohen

2018

iipj

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“…Paek et al 18 found that communicating smoking policies to students and staff may be important in making policies effective in practice. However, other studies did not support this conclusion 10 19.…”

Section: Introductionmentioning

confidence: 99%

“…Some previous studies suggest that enforcement of policies by sanctioning students who violate non-smoking rules may be an effective strategy to reduce smoking prevalence 13 18 20–22. Other studies confirm that enforcement might reduce smoking rates, finding lower smoking rates in a school where there was stronger adherence to the smoking rules,23 monitoring smoking behaviour20 and staff perception of enforcement of smoking bans 24.…”

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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“…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: 90%

“…As reported by students and informants, some well-reported functions of smoking such as an academic stress coping strategy might be also learnt by social osmosis (e.g., media, social interactions) from wider society (Davey & Zhao, 2012b;Nichter et al, 2007;Zhao et al, 2017). Since the effectiveness of school-based smoking interventions hinge on the social environment outside of schools, aggressive and comprehensive anti-smoking policies in wider society should be implemented (Au, Ma, Zhu, Chen, & Tang, 2016;Paek et al, 2013;L. Wang et al, 2017;G.…”

Section: Discussionmentioning

confidence: 99%

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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Multilevel Analysis of the Impact of School‐Level Tobacco Policies on Adolescent Smoking: The Case of Michigan

Cited by 23 publications

References 39 publications

Smoking Among Off-Reserve First Nations, Métis, and Inuit High School Students

Smoking Among Off-Reserve First Nations, Métis, and Inuit High School Students

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

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