ArticleInternational journal for equity in health2009
School-related mediators in social inequalities in smoking: a comparative cross-sectional study of 20,399 adolescents.
Article in International journal for equity in health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Interpersonal Risk and Protective Factors for Adolescents' Psychosocial Wellbeing in Secondary Education: A Latent Profile Analysis.Psychosocial intervention · 2025Article
- Socioeconomic inequalities in tobacco smoking in women aged 15-54 in Iran: a multilevel model.Journal of preventive medicine and hygiene · 2021Article
- School Achievement and Oral Health Behaviour Among Adolescents in Finland: A National Survey.Oral health & preventive dentistry · 2020Article
- Low schoolwork engagement and schoolwork difficulties predict smoking in adolescence?European journal of public health · 2019Article
- Socioeconomic differences in adolescents' smoking: a comparison between Finland and Beijing, China.BMC public health · 2016Article
- Importance of physical health and health-behaviors in adolescence for risk of dropout from secondary education in young adulthood: an 8-year prospective study.International journal for equity in health · 2015Article
- Prevalence of smoking among health science students in Vietnam in 2018 and associated factors: A cross-sectional study.Health psychology openArticle
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Authors and funding
5 authors.
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Abstract
backgroundThe aim of this study was to examine the associations between social inequalities and daily smoking among 13 and 15 year olds, and to determine the role of students' academic achievement and school satisfaction in these associations.
methodsHBSC is an international study including adolescents from 32 countries in Europe, Israel, and North America. The present study was based on information from 20,399 adolescents from Denmark, Sweden, Norway, Finland and the United Kingdom. Data were analysed by regression models.
resultsThe initial analyses showed significant inequality in daily smoking in all countries except for Sweden. When adjusted for the mediating role of academic achievement, estimates were attenuated, but remained significant in three countries.
conclusionThe study found social inequality in daily smoking in Denmark, Sweden, Norway, Finland and United Kingdom, as well as inequalities in students' academic achievement and school satisfaction. The analyses also showed that above average academic achievement was associated with lower OR of smoking. Teachers and politicians may find this information useful, and allocate resources to give higher priority to a supportive environment in schools especially for children and adolescents in lower social groups. Subsequently this prioritisation might contribute to reducing smoking in this group.
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