ArticleTobacco control2001
School smoking policies and smoking prevalence among adolescents: multilevel analysis of cross-sectional data from Wales.
Article in Tobacco control, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.
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Who cites it
49 citing papers in PubMed, 1 synthesis or guideline pooled it, 183 citations in OpenAlex.
- School policies for preventing smoking among young people.The Cochrane database of systematic reviews · 2014Pooled it
- Perception of health professions students of their role model status in Toombak cessation: A cross-sectional study from Sudan.PloS one · 2019Trial
- Gaps in learning about dangers of tobacco products use at school amid comprehensive tobacco control in Panama. Results from the Global Youth Tobacco Surveys 2002, 2008, 2012, 2017, and 2023.Public health in practice (Oxford, England) · 2026Article
- Programme theory and realist evaluation of the 'Smoke-Free Vocational Schools' research and intervention project: a study protocol.BMJ open · 2021Article
- Places to Smoke: Exploring Smoking-Related Practices among Danish Adolescents.International journal of environmental research and public health · 2021Article
- Evaluation of the Implementation of a 25-Year Outdoor School Ground Smoking Ban: A Qualitative Interview Study With Implications for Prevention Practise.Frontiers in public health · 2021Article
- Caffeinated energy drink consumption and predictors of use among secondary school students over time in the COMPASS cohort study.Preventive medicine reports · 2019Article
- School Policy, Administrator Perceptions, and Student E-cigarette Use.Health behavior and policy review · 2018Article
- Article
- Sustainability of outdoor school ground smoking bans at secondary schools: a mixed-method study.European journal of public health · 2018Article
- What theory, for whom and in which context? Reflections on the application of theory in the development and evaluation of complex population health interventions.SSM - population health · 2017Article
- School Context and American Indian Substance Use.The Social science journal · 2017Article
- Changing the Smoking Trajectory: Evaluating the Impact of School-Based Tobacco Interventions on Changes to Susceptibility to Future Smoking.International journal of environmental research and public health · 2017Article
- Tobacco use patterns, knowledge, attitudes towards tobacco and availability of tobacco control training among school personnel from a rural area in Poland.Tobacco induced diseases · 2017Article
- Do stronger school smoking policies make a difference? Analysis of the health behaviour in school-aged children survey.European journal of public health · 2016Article
- An analysis of global youth tobacco survey for developing a comprehensive national smoking policy in Timor-Leste.BMC public health · 2016Article
- Schools as smoke-free zones? Barriers and facilitators to the adoption of outdoor school ground smoking bans at secondary schools.Tobacco induced diseases · 2016Article
- Correlates of gambling on high-school grounds.Addictive behaviors · 2015Article
- State Education Standards for Tobacco Prevention and Classroom Instruction.Health behavior and policy review · 2015Article
- Longitudinal effects of school drug policies on student marijuana use in Washington State and Victoria, Australia.American journal of public health · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the association between school smoking policies and smoking prevalence among pupils.
designMultilevel analysis of cross-sectional data from surveys of schools and pupils.
setting55 secondary schools in Wales. SUBJECTS: 55 teachers and 1375 pupils in year 11 (aged 15-16).
main outcome measuresSelf-reported smoking behaviour.
resultsThe prevalence of daily smoking in schools with a written policy on smoking for pupils, teachers, and other adults, with no pupils or teachers allowed to smoke anywhere on the school premises, was 9.5% (95% confidence interval (CI) 6.1% to 12.9%). In schools with no policy on pupils' or teachers' smoking, 30.1% (95% CI 23.6% to 36.6%) of pupils reported daily smoking. In schools with an intermediate level of smoking policy, 21.0% (95% CI 17.8% to 24.2%) smoked every day. School smoking policy was associated with school level variation in daily smoking (p = 0.002). In multilevel analysis, after adjusting for pupils' sex, parents' and best friends' smoking status, parental expectations, and alienation from school, there was less unexplained school level variation, but school smoking policy remained significant (p = 0.041). The association of smoking policy with weekly smoking was weaker than for daily smoking, and not significant after adjustment for pupil level variables. Both daily and weekly smoking prevalence were lower in schools where pupils' smoking restrictions were always enforced. Enforcement of teacher smoking restrictions was not significantly associated with pupils' smoking.
conclusionsThis study demonstrates an association between policy strength, policy enforcement, and the prevalence of smoking among pupils, after having adjusted for pupil level characteristics. These findings suggest that the wider introduction of comprehensive school smoking policies may help reduce teenage smoking.
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