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School-Based Tobacco Control and Smoking in Adolescents: Evidence from Multilevel Analyses
- Source :
- International Journal of Environmental Research and Public Health, Volume 17, Issue 10, International Journal of Environmental Research and Public Health, Vol 17, Iss 3422, p 3422 (2020)
- Publication Year :
- 2020
-
Abstract
- Since 2015, universal comprehensive school-based tobacco control programs have been provided in all primary and secondary schools in Korea. This study explored the association of school-level tobacco control with adolescent smoking, and the interactions to investigate whether gender moderates the impact of school tobacco control programs and school-level norms. Both school- and individual-level data were drawn from the 2015 School-Based Tobacco Prevention Program Survey. Multilevel logistic regression analyses were performed using data from 4631 students (ages 10&ndash<br />18 years) who were nested in 62 secondary schools in Seoul, Korea. Students who participated in more prevention programs were less likely to smoke (OR = 0.47, 95% CI 0.30&ndash<br />0.74). The effect of the programs was significantly moderated by gender. For boys, exposure to a greater number of programs decreased the risk of smoking (OR = 0.32, 95% CI 0.18&ndash<br />0.57) but not for girls. At the school level, the school norm regarding tobacco control regulations was negatively associated with smoking (OR = 0.28, 95% CI 0.11&ndash<br />0.76), and its effect was significant for girls only (OR = 0.35, 95% CI 0.17&ndash<br />0.76). This study highlights how the school environment is associated with adolescent smoking behavior, and the effects of programs and norms are different by gender. The findings suggest the need to develop strategies to enhance school-based tobacco control programs and the school norm considering gender differences.
- Subjects :
- Male
Adolescent
Seoul
Health, Toxicology and Mutagenesis
education
lcsh:Medicine
030508 substance abuse
Smoking Prevention
Article
03 medical and health sciences
Comprehensive school
0302 clinical medicine
Negatively associated
Environmental health
Republic of Korea
Tobacco
school-based tobacco control
Humans
030212 general & internal medicine
School level
Child
Schools
lcsh:R
Tobacco control
Smoking
Public Health, Environmental and Occupational Health
Adolescent Behavior
Multilevel Analysis
School environment
School based
Female
Norm (social)
0305 other medical science
Psychology
social norm
Adolescent smoking
Subjects
Details
- ISSN :
- 16604601
- Volume :
- 17
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- International journal of environmental research and public health
- Accession number :
- edsair.doi.dedup.....99232faaa7de064dcd267ee253ecef1d