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School-based tobacco control efforts and the smoking behaviour of high school students in Prince Edward Island, Canada: examining differences

  • Donna A. Murnaghan (a1) (a2), Marja Sihvonen (a3), Scott T. Leatherdale (a4) (a5) (a6) and P. Kekki (a3)
Abstract
Aim

This study examined the factors related to whether or not school-based tobacco control efforts were associated with student smoking behaviour among two groups of students: Group 1 (15–17 years of age; grade 10 in 2000 and grade 11 in 2001) and Group 2 (16–19 years of age; grade 11 in 2000 and grade 12 in 2001).

Background

Between 1999 and 2001, Prince Edward Island (PEI) introduced a province-wide initiative to implement both school-based policies banning smoking on school grounds and school-based smoking prevention programming, phased in over a three-year period, in all schools.

Methods

Data were collected from all 10 English-speaking secondary schools in PEI (Canada) over three years (1999–2001) using the Tobacco Module of the School Health Action, Planning and Evaluation System.

Findings

Results showed an increase in both occasional and regular smoking behaviour with Group 1 showing an 18% increase in occasional smoking compared to 3.9% for Group 2. The characteristic associated with an increased likelihood of regular and occasional smoking for 2000 and 2001 was students overestimating the percentage of youth their age who smoke. However, students’ knowledge and awareness of smoking policies and enforcement, students’ perceptions of schools having clear rules, and that students who break the rules get into trouble increased from 2000 to 2001. The findings from this study provide important information about how groups of students within schools experience tobacco control efforts differently. Addressing student misperceptions and policy implementation within schools may provide direction for tobacco control.

Copyright
Corresponding author
Correspondence to: Donna A. Murnaghan, MN, PhD (c), PEI Health Research Institute, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3, Canada. Email: dmurnaghan@upei.ca
References
Hide All
Bandura A. 1986: Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, New Jersey: Prentice Hall.
Biglan A.Lichtenstein E. 1984: A behaviour–analytic approach to smoking acquisition: some recent findings. Journal of Applied Social Psychology 14, 207223.
Cameron R., Brown K.S., Best J.A. et al. 1999: Effectiveness of a social influences smoking prevention program as a function of provider type, training method, and school risk. American Journal of Public Health 89, 18271831.
Cameron R., Manske S., Brown K.S. et al. 2007: Integrating public health policy, practice, evaluation, surveillance, and research: the school health action planning and evaluation system. American Journal of Public Health 97, 648654.
Chen J. 2003: Age at diagnosis of smoke related disease. Health Report 14, 919.
Clark W. 1996: Youth smoking in Canada. Canadian Social Trends 43, 26.
Currie C., Roberts C., Morgan A. et al. 2008: Young people’s health in context. Health behaviour in school-aged children study: an international report from the 2001/2002 survey. Health policy for children and adolescents no. 4, WHO regional office for Europe 2004, Copenhagen, Denmark. Retrieved 18 March 2008 from http://www.hbsc.org/
de Vries H., Candel M., Engels R. et al. 2006: Challenges to the peer influence paradigm: results for the 12–13 year olds from six European countries from the European smoking prevention framework approach study. Tobacco Control 15, 8389.
Flay B.R., Hu F.B., Siddiqui O. et al. 1994: Differential influence of parental smoking and friends’ smoking on adolescent initiation and escalation of smoking. Journal of Health and Social Behaviour 35, 248265.
Health Canada. 2007a: Summary of results of the 2004–05 youth smoking survey. Youth smoking survey. Ottawa, ON, Canada. Retrieved 19 March 2008 from http://www.hc-sc.gc.ca/hl-vs/tobac-tabac/research-recherche/stat/_survey-sondage_2004-2005/result_e.html
Health Canada. 2007b: Table 6: ever tried smoking a cigarette, by province and grade, all grades. Youth smoking survey. Ottawa, ON, Canada. Retrieved 19 March 2008 from http://www.hc-sc.gc.ca/hl-vs/tobac-tabac/research-recherche/stat/_survey-sondage_2004-2005/table-6_e.html
Health Canada. 2008: Smoking and your body: health effects of smoking. Ottawa, ON, Canada. Retrieved 19 March 2008 from http://www.hc-sc.gc.ca/hl-vs/tobac-tabac/body-corps/index_e.html
Jha P.Chaloupka F.J. 2000: Tobacco control in developing countries. New York: Oxford University Press, pp. 237–272.
Kumar R., O’Malley P.Johnston L. 2005: School tobacco control policies related to student smoking and attitudes toward smoking: national survey results 1999–2000. Health Education and Behaviour 32, 780794.
Leatherdale S., Cameron R., Brown K.S.MacDonald P.W. 2005: Senior student smoking at school, school characteristics, and smoking onset among junior students: a multilevel analysis. Preventive Medicine 40, 853859.
Lovato C.Y., Sabiston C.M., Hadd V. et al. 2007: The impact of school smoking policies and student perceptions of enforcement on school smoking prevalence and location of smoking. Health Education Research 22, 782793.
Lucas K.Lloyd B. 1999: Starting smoking: girls’ explanations of influence of peers. Journal of Adolescence 22, 647655.
Mercken L., Candel M., Willems P. et al. 2007: Disentangling social selection and social influence effects on adolescent smoking: the importance of reciprocity in friendships. Addiction 102, 14831492.
Murnaghan D., Leatherdale S., Sihvonen M. Kekki P. 2009: Smoking behaviour of high school students in Prince Edward Island, Canada: evaluating a provincial tobacco control program. Chronic Diseases in Canada 29(4).
Murnaghan D., Sihvonen M., Leatherdale S. et al. 2007: The relationship between school-based smoking policies and prevention programs on smoking behaviour among grade 12 students in Prince Edward Island: a multi level analysis. Preventive Medicine 44, 317322.
Murnaghan D., Leatherdale S., Sihvonen M. et al. 2008: A multi-level analysis examining the association between school-based smoking policies, prevention programs, and youth smoking behaviour: evaluating a provincial tobacco control strategy. Health Education Research 23, 10161028.
Proescholdbell R.J., Chassis L.MacKinnon D. 2000: Home smoking restrictions and adolescent smoking. Nicotine and Tobacco Research 2, 159167.
Reid D.J., McNeill A.D.Glynn T.J. 1995: Reducing the prevalence of smoking in youth in Western countries: an international review. Tobacco Control 4, 266277.
Reitsma A.Manske S. 2004: Smoking in Ontario schools: does policy make a difference? Canadian Journal of Public Health 95, 214218.
Sandford A. 2007: Trends in smoking among adolescents and young adults in United Kingdom: implications for health education. Health Education 108, 223236.
Stead M., Hastings G.Tudor-Smith C. 1996: Preventing adolescent smoking: a review of the options. Health Education Journal 55, 3154.
Szabo E., White V.Hayman J. 2006: Can home smoking restrictions influence adolescents’ smoking behaviours if their parents and friends smoke? Addictive Behaviours 31, 22982303.
Tyas S.L.Pederson L. 1998: Psychosocial factors related to adolescent smoking: a critical review of the literature. Tobacco Control 7, 409420.
Wiium N.Wold B. 2006: Family and social influences on adolescent smoking behaviour. Health Education 106, 465479.
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Primary Health Care Research & Development
  • ISSN: 1463-4236
  • EISSN: 1477-1128
  • URL: /core/journals/primary-health-care-research-and-development
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