ArticleEuropean journal of public health2016
Do stronger school smoking policies make a difference? Analysis of the health behaviour in school-aged children survey.
Article in European journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Access-related factors and e-cigarette use among 11-17-year-olds: a thematic synthesis of European studies using the five dimensions of access.BMC public health · 2026Pooled it
- A systematic review and network meta-analysis of population-level interventions to tackle smoking behaviour.Nature human behaviour · 2024Pooled it
- Perceptions of friendship, peers and influence on adolescent smoking according to tobacco control context: a systematic review and meta-ethnography of qualitative research.BMC public health · 2023Pooled it
- Data Resource Profile: The School Health Research Network (SHRN) Student Health and Well-being (SHW) survey of 11-16-year-olds (2017-2023).International journal of epidemiology · 2024Article
- Transtheoretical model to predict the stages of changes in smoking cessation behavior among adolescents.Frontiers in public health · 2024Article
- Are School Substance Use Policy Violation Disciplinary Consequences Associated with Student Engagement in Cannabis?International journal of environmental research and public health · 2020Article
- Ecological Exploration of Knowledge and Attitudes Towards Tobacco and E-Cigarettes Among Primary School Children, Teachers, and Parents in Wales: A Qualitative Study.Tobacco use insights · 2020Article
- Associations between school-based peer networks and smoking according to socioeconomic status and tobacco control context: protocol for a mixed method systematic review.Systematic reviews · 2019Article
- School Policy, Administrator Perceptions, and Student E-cigarette Use.Health behavior and policy review · 2018Article
- School, Peer and Family Relationships and Adolescent Substance Use, Subjective Wellbeing and Mental Health Symptoms in Wales: a Cross Sectional Study.Child indicators research · 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
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Authors and funding
7 authors.
Funding
Abstract
backgroundAssociations of the strength of school smoking policies with cigarette, e-cigarette and cannabis use in Wales were examined.
methodsNationally representative cross-sectional survey of pupils aged 11-16 years (N=7376) in Wales. Senior management team members from 67 schools completed questionnaires about school smoking policies, substance use education and tobacco cessation initiatives. Multi-level, logistic regression analyses investigated self-reported cigarette, e-cigarette and cannabis use, for all students and those aged 15-16 years.
resultsPrevalence of current smoking, e-cigarette use and cannabis use in the past month were 5.3%, 11.5% and 2.9%, respectively. Of schools that provided details about smoking policies (66/67), 39.4% were strong (written policy applied to everyone in all locations), 43.9% were moderate (written policy not applied to everyone in all locations) and 16.7% had no written policy. There was no evidence of an association of school smoking policies with pupils' tobacco or e-cigarette use. However, students from schools with a moderate policy [OR = 0.47; 95% (confidence interval) CI: 0.26-0.84] were less likely to have used cannabis in the past month compared to schools with no written policy. This trend was stronger for students aged 15-16 years (moderate policy: OR = 0.42; 95% CI: 0.22-0.80; strong policy: OR = 0.45; 95% CI: 0.23-0.87).
conclusionsSchool smoking policies may exert less influence on young people's smoking behaviours than they did during times of higher adolescent smoking prevalence. Longitudinal studies are needed to examine the potential influence of school smoking policies on cannabis use and mechanisms explaining this association.
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