The association between smoke-free school policies and adolescents' perceived anti-smoking norms

Detalhes bibliográficos
Autor(a) principal: Schreuders, Michael
Data de Publicação: 2019
Outros Autores: van den Putte, Bas, Mlinarić, Martin, Mélard, Nora, Perelman, Julian, Richter, Matthias, Rimpela, Arja, Kuipers, Mirte A G, Lorant, Vincent, Kunst, Anton E
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/88513
Resumo: © The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.
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spelling The association between smoke-free school policies and adolescents' perceived anti-smoking normsmoderation by school connectednessSDG 3 - Good Health and Well-being© The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.BACKGROUND: Many European schools implement smoke-free school policies (SFSPs). SFSPs may decrease adolescent smoking by causing adolescents to perceive stronger anti-smoking norms, yet there exists no quantitative evidence that indicates for which norms and for whom such effects may occur. This study therefore assessed to what extent adolescents' perceived anti-smoking norms among best friends, teachers, and society at large were associated with SFSPs, and whether these associations were moderated by adolescents' level of school connectedness. METHODS: Survey data were collected in 2016/2017 on 10,653 14-16-year-old adolescents and 315 staff members in 55 schools from seven European cities. Associations of adolescent-perceived SFSPs and staff-reported SFSPs with best friend, teacher and societal anti-smoking norms were estimated in multilevel logistic regression models, adjusted for demographics and school-level smoking prevalence. We tested for interaction between school connectedness and SFSPs. RESULTS: Adolescent-perceived SFSPs were positively associated with anti-smoking norms by teachers (OR:1.46, 95%CI:1.15-1.85), were negatively associated with anti-smoking norms by best friends (OR:0.81, 95%CI:0.67-0.99), but were not significantly associated with anti-smoking norms by society at large (OR:0.87, 95%CI:0.74-1.02). All interaction tests between adolescent-perceived SFSPs and school connectedness were non-significant. Staff-reported SFSPs were not associated with any norm and showed no significant interaction with school connectedness. CONCLUSIONS: We found that SFSPs are associated with adolescents' perception of more anti-smoking norms by teachers, but less anti-smoking norms by best friends, irrespective of adolescents' level of school connectedness. IMPLICATIONS: Smoke-free school policies, just as many other tobacco control policies, are assumed to foster adolescents' perception of anti-smoking norms. Still, current evidence does not demonstrate which anti-smoking norms may be influenced by SFSPs and whether this influence is equal for adolescents with different levels of school connectedness. This study suggests that SFSPs foster adolescents' perception of anti-smoking norms by teachers, but may concurrently lead to the perception of less anti-smoking norms by best friends, irrespective of adolescents' school connectedness. SFSPs may therefore need to be complemented with interventions that target anti-smoking norms in adolescent peer groups.Escola Nacional de Saúde Pública (ENSP)Centro de Investigação em Saúde Pública (CISP/PHRC)RUNSchreuders, Michaelvan den Putte, BasMlinarić, MartinMélard, NoraPerelman, JulianRichter, MatthiasRimpela, ArjaKuipers, Mirte A GLorant, VincentKunst, Anton E2019-11-26T23:25:49Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/88513eng1462-2203PURE: 15589082https://doi.org/10.1093/ntr/ntz212info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:39:22Zoai:run.unl.pt:10362/88513Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:36:51.651329Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The association between smoke-free school policies and adolescents' perceived anti-smoking norms
moderation by school connectedness
title The association between smoke-free school policies and adolescents' perceived anti-smoking norms
spellingShingle The association between smoke-free school policies and adolescents' perceived anti-smoking norms
Schreuders, Michael
SDG 3 - Good Health and Well-being
title_short The association between smoke-free school policies and adolescents' perceived anti-smoking norms
title_full The association between smoke-free school policies and adolescents' perceived anti-smoking norms
title_fullStr The association between smoke-free school policies and adolescents' perceived anti-smoking norms
title_full_unstemmed The association between smoke-free school policies and adolescents' perceived anti-smoking norms
title_sort The association between smoke-free school policies and adolescents' perceived anti-smoking norms
author Schreuders, Michael
author_facet Schreuders, Michael
van den Putte, Bas
Mlinarić, Martin
Mélard, Nora
Perelman, Julian
Richter, Matthias
Rimpela, Arja
Kuipers, Mirte A G
Lorant, Vincent
Kunst, Anton E
author_role author
author2 van den Putte, Bas
Mlinarić, Martin
Mélard, Nora
Perelman, Julian
Richter, Matthias
Rimpela, Arja
Kuipers, Mirte A G
Lorant, Vincent
Kunst, Anton E
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Centro de Investigação em Saúde Pública (CISP/PHRC)
RUN
dc.contributor.author.fl_str_mv Schreuders, Michael
van den Putte, Bas
Mlinarić, Martin
Mélard, Nora
Perelman, Julian
Richter, Matthias
Rimpela, Arja
Kuipers, Mirte A G
Lorant, Vincent
Kunst, Anton E
dc.subject.por.fl_str_mv SDG 3 - Good Health and Well-being
topic SDG 3 - Good Health and Well-being
description © The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.
publishDate 2019
dc.date.none.fl_str_mv 2019-11-26T23:25:49Z
2020
2020-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/88513
url http://hdl.handle.net/10362/88513
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1462-2203
PURE: 15589082
https://doi.org/10.1093/ntr/ntz212
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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