School-based tobacco-control programming and student smoking behaviour
D A Murnaghan1, S T Leatherdale, M Sihvonen
1School of Nursing, University of Prince Edward Island, Charlottetown PEI. dmurnaghan@upei.ca
Chronic Diseases in Canada
|October 7, 2009
Summary
School tobacco control programs showed no association with student smoking. Peer and family influence were the strongest predictors of adolescent smoking behavior, suggesting broader interventions are needed.
Area of Science:
- Public Health
- Adolescent Health
- Behavioral Science
Background:
- Student smoking remains a significant public health concern.
- Understanding the effectiveness of school-based interventions is crucial for developing targeted prevention strategies.
Purpose of the Study:
- To examine the association between school-based tobacco control programs and adolescent smoking behavior over time.
- To identify key predictors of smoking among high school students.
Main Methods:
- Utilized three cross-sectional provincial census datasets of grade 10, 11, and 12 students in Prince Edward Island, Canada (1999-2001).
- Employed the Tobacco module of the School Health Action, Planning and Evaluation System (SHAPES) for data collection.
- Analyzed smoking behavior in relation to exposure to school tobacco programs and policies.
Main Results:
- The proportion of regular smokers increased from 22.3% in grade 10 to 27.8% in grade 12.
- Exposure to school-based tobacco programs and policies in earlier grades was not significantly associated with smoking behavior in grade 12.
- Having friends or close family members who smoke emerged as the strongest predictor of student smoking.
Conclusions:
- School-based tobacco control programs, including smoking bans and restrictions, may be insufficient on their own.
- Interventions must address the significant influence of peer and family smoking behaviors.
- Comprehensive programming, integrating school efforts with community and policy-level interventions, is recommended for effective adolescent tobacco control.
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