Tabakprävention in Schulen

Rakete, Gerd; Strunk, Mareike; Lang, P. T.

doi:10.1007/s00103-009-1011-5

Cited by 13 publications

(2 citation statements)

References 20 publications

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“…Annual representative surveys conducted by the German Federal Centre of Health Education indicate that between 2001 and 2011, the proportion of 12- to 17-year-old smokers dropped by more than half (from 27.5% to 11.7%) [57]. Despite this positive overall trend, according to the same dataset, relative educational differences in smoking behaviour between secondary school types remained rather stable or even rose over time [57,58]. Further studies showed that relative socioeconomic differences in adolescent smoking behaviour have either persisted (e.g., Germany 1994–2002 [13]) or increased in the past decades (West of Scotland 1990–2003 [59], Denmark 1991–2006 [60] and Finland 1977–2007 [11]).…”

Section: Discussionmentioning

confidence: 99%

Educational Differences in Smoking among Adolescents in Germany: What is the Role of Parental and Adolescent Education Levels and Intergenerational Educational Mobility?

Kuntz

Lampert

2013

IJERPH

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Background: Adolescence is the period in which smoking onset usually occurs and the course for future socioeconomic status (SES) is set. However, because of the transitional nature of adolescence, it is questionable whether health inequalities are best measured by indicators of parental SES or rather by indicators of the adolescents’ own developing SES. We examine the independent effects of parental and adolescent education and intergenerational educational mobility on adolescent smoking behaviour while controlling for differences in parental and close friends’ smoking behaviour. Methods: The study is based on data from a subsample (12–17 years, n = 5,053) of the nationally representative German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Participants reported their education level as well as their personal and close friends’ smoking behaviour. Information on parental education and smoking behaviour was obtained via parent interviews. Adolescent and parental education data were dichotomized (low/high), leading to four categories of intergenerational educational mobility: stable high, potentially upwardly mobile, potentially downwardly mobile, and stable low. Results: After adjustment for parental and close friends’ smoking behaviour, adolescent smoking habits were strongly related to their personal education level, but not that of their parents. Among boys, both stable low and downwardly mobile adolescents had a 2.7-fold increased risk of being a smoker compared with peers with a stable high education. Among girls, only those with a stable low education had a 2.2-fold increased risk of smoking. Among both genders, educational upward mobility was associated with significantly lower smoking rates compared with peers with a stable low education (boys: OR 0.32; 95% CI 0.20–0.53; girls: OR 0.52; 95% CI 0.37–0.73). Conclusions: Our results show that the risk of an adolescent smoking is influenced by their own education level rather than that of their parents. Educational upward mobility seems to be protective against becoming a smoker in youth. Boys who experience downward mobility tend to have a significantly higher inclination to smoke than their peers with a stable high education. These findings illustrate the potential public health benefits of investments in education and help identify high-risk groups for smoking onset.

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Section: Discussionmentioning

confidence: 99%

Educational Differences in Smoking among Adolescents in Germany: What is the Role of Parental and Adolescent Education Levels and Intergenerational Educational Mobility?

Kuntz

Lampert

2013

IJERPH

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“…Aufklärung findet im Unterricht, durch Freunde, Massenmedien [13] sowie mittels offizieller Stellen und Infomaterial [14] statt. Thematisch stehen Drogenmissbrauch [15,16] und Tabak [17,18] meist im Mittelpunkt, darüber hinaus wird jedoch beispielsweise von der Bundeszentrale für gesundheitliche Aufklärung eine thematisch breite Palette abgedeckt [19]. Ein weiterer Ansatz soll Gegenstand dieses Artikels sein: Zur Vermittlung von Informationen und Kontaktadressen im Falle persönlicher oder mittelbarer Betroffenheit entwickelte der Leipziger Verein "Irrsinnig Menschlich e. V." in Kooperation mit der Barmer GEK und gesundheitsziele.de die Info-Pocket-Guides (IPG) [20,21].…”

Section: Originalarbeit 129unclassified