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Updated: May 24, 2026

Methods to Evaluate Cytotoxicity and Immunosuppression of Combustible Tobacco Product Preparations
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Does intolerance of smoking at school or in restaurants or corner stores decrease cigarette use initiation in

Roman Pabayo1, Jennifer O'Loughlin, Tracie A Barnett

  • 1Department of Social and Preventive Medicine, Université de Montréal, Montréal, Québec, Canada. rpabayo@hsph.harvard.edu

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
|February 23, 2012
PubMed
Summary

Adolescent smoking initiation is less likely in schools and nearby restaurants with strict no-smoking policies. These findings highlight the importance of environmental tobacco control for youth prevention efforts.

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Area of Science:

  • Public Health
  • Adolescent Health
  • Tobacco Control

Background:

  • The social and physical environment significantly influences adolescent smoking initiation.
  • Understanding environmental factors is crucial for developing effective tobacco control strategies.

Purpose of the Study:

  • To examine the association between smoking intolerance in schools and nearby commercial establishments (restaurants, corner stores) and adolescent cigarette smoking initiation.

Main Methods:

  • Longitudinal study of 1,293 Grade 7 students in Montreal (1999-2005).
  • Data collected via self-report questionnaires and direct observation of school and neighborhood commercial environments.
  • Survival analysis (Cox proportional hazards modeling) used to assess time to smoking initiation.

Main Results:

  • Adolescents in smoking-intolerant schools showed a reduced likelihood of initiating smoking (HR=0.83).
  • Attending schools near smoking-intolerant restaurants was associated with lower smoking initiation rates (HR=0.85).
  • No significant association found between corner store smoking intolerance and smoking initiation.

Conclusions:

  • Smoking intolerance in schools and local restaurants may serve as protective factors against adolescent smoking.
  • These environments represent potential targets for intensified tobacco control interventions.