The association between smoke-free school policies and adolescents' perceived anti-smoking norms

moderation by school connectedness

Michael Schreuders, Bas van den Putte, Martin Mlinarić, Nora Mélard, Julian Perelman, Matthias Richter, Arja Rimpela, Mirte A G Kuipers, Vincent Lorant, Anton E Kunst

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Many European schools implement smoke-free school policies (SFSPs). SFSPs may decrease adolescent smoking by causing adolescents to perceive stronger anti-smoking norms, yet there exists no quantitative evidence that indicates for which norms and for whom such effects may occur. This study therefore assessed to what extent adolescents' perceived anti-smoking norms among best friends, teachers, and society at large were associated with SFSPs, and whether these associations were moderated by adolescents' level of school connectedness.

METHODS: Survey data were collected in 2016/2017 on 10,653 14-16-year-old adolescents and 315 staff members in 55 schools from seven European cities. Associations of adolescent-perceived SFSPs and staff-reported SFSPs with best friend, teacher and societal anti-smoking norms were estimated in multilevel logistic regression models, adjusted for demographics and school-level smoking prevalence. We tested for interaction between school connectedness and SFSPs.

RESULTS: Adolescent-perceived SFSPs were positively associated with anti-smoking norms by teachers (OR:1.46, 95%CI:1.15-1.85), were negatively associated with anti-smoking norms by best friends (OR:0.81, 95%CI:0.67-0.99), but were not significantly associated with anti-smoking norms by society at large (OR:0.87, 95%CI:0.74-1.02). All interaction tests between adolescent-perceived SFSPs and school connectedness were non-significant. Staff-reported SFSPs were not associated with any norm and showed no significant interaction with school connectedness.

CONCLUSIONS: We found that SFSPs are associated with adolescents' perception of more anti-smoking norms by teachers, but less anti-smoking norms by best friends, irrespective of adolescents' level of school connectedness.

IMPLICATIONS: Smoke-free school policies, just as many other tobacco control policies, are assumed to foster adolescents' perception of anti-smoking norms. Still, current evidence does not demonstrate which anti-smoking norms may be influenced by SFSPs and whether this influence is equal for adolescents with different levels of school connectedness. This study suggests that SFSPs foster adolescents' perception of anti-smoking norms by teachers, but may concurrently lead to the perception of less anti-smoking norms by best friends, irrespective of adolescents' school connectedness. SFSPs may therefore need to be complemented with interventions that target anti-smoking norms in adolescent peer groups.

Original languageEnglish
JournalNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
DOIs
Publication statusE-pub ahead of print - 14 Nov 2019

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Schreuders, Michael ; van den Putte, Bas ; Mlinarić, Martin ; Mélard, Nora ; Perelman, Julian ; Richter, Matthias ; Rimpela, Arja ; Kuipers, Mirte A G ; Lorant, Vincent ; Kunst, Anton E. / The association between smoke-free school policies and adolescents' perceived anti-smoking norms : moderation by school connectedness. In: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco. 2019.
@article{9d95094c3d314174b6d2b8e133afae8f,
title = "The association between smoke-free school policies and adolescents' perceived anti-smoking norms: moderation by school connectedness",
abstract = "BACKGROUND: Many European schools implement smoke-free school policies (SFSPs). SFSPs may decrease adolescent smoking by causing adolescents to perceive stronger anti-smoking norms, yet there exists no quantitative evidence that indicates for which norms and for whom such effects may occur. This study therefore assessed to what extent adolescents' perceived anti-smoking norms among best friends, teachers, and society at large were associated with SFSPs, and whether these associations were moderated by adolescents' level of school connectedness.METHODS: Survey data were collected in 2016/2017 on 10,653 14-16-year-old adolescents and 315 staff members in 55 schools from seven European cities. Associations of adolescent-perceived SFSPs and staff-reported SFSPs with best friend, teacher and societal anti-smoking norms were estimated in multilevel logistic regression models, adjusted for demographics and school-level smoking prevalence. We tested for interaction between school connectedness and SFSPs.RESULTS: Adolescent-perceived SFSPs were positively associated with anti-smoking norms by teachers (OR:1.46, 95{\%}CI:1.15-1.85), were negatively associated with anti-smoking norms by best friends (OR:0.81, 95{\%}CI:0.67-0.99), but were not significantly associated with anti-smoking norms by society at large (OR:0.87, 95{\%}CI:0.74-1.02). All interaction tests between adolescent-perceived SFSPs and school connectedness were non-significant. Staff-reported SFSPs were not associated with any norm and showed no significant interaction with school connectedness.CONCLUSIONS: We found that SFSPs are associated with adolescents' perception of more anti-smoking norms by teachers, but less anti-smoking norms by best friends, irrespective of adolescents' level of school connectedness.IMPLICATIONS: Smoke-free school policies, just as many other tobacco control policies, are assumed to foster adolescents' perception of anti-smoking norms. Still, current evidence does not demonstrate which anti-smoking norms may be influenced by SFSPs and whether this influence is equal for adolescents with different levels of school connectedness. This study suggests that SFSPs foster adolescents' perception of anti-smoking norms by teachers, but may concurrently lead to the perception of less anti-smoking norms by best friends, irrespective of adolescents' school connectedness. SFSPs may therefore need to be complemented with interventions that target anti-smoking norms in adolescent peer groups.",
author = "Michael Schreuders and {van den Putte}, Bas and Martin Mlinarić and Nora M{\'e}lard and Julian Perelman and Matthias Richter and Arja Rimpela and Kuipers, {Mirte A G} and Vincent Lorant and Kunst, {Anton E}",
note = "{\circledC} The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.",
year = "2019",
month = "11",
day = "14",
doi = "10.1093/ntr/ntz212",
language = "English",
journal = "Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco",
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The association between smoke-free school policies and adolescents' perceived anti-smoking norms : moderation by school connectedness. / Schreuders, Michael; van den Putte, Bas; Mlinarić, Martin; Mélard, Nora; Perelman, Julian; Richter, Matthias; Rimpela, Arja; Kuipers, Mirte A G; Lorant, Vincent; Kunst, Anton E.

In: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 14.11.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The association between smoke-free school policies and adolescents' perceived anti-smoking norms

T2 - moderation by school connectedness

AU - Schreuders, Michael

AU - van den Putte, Bas

AU - Mlinarić, Martin

AU - Mélard, Nora

AU - Perelman, Julian

AU - Richter, Matthias

AU - Rimpela, Arja

AU - Kuipers, Mirte A G

AU - Lorant, Vincent

AU - Kunst, Anton E

N1 - © The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.

PY - 2019/11/14

Y1 - 2019/11/14

N2 - BACKGROUND: Many European schools implement smoke-free school policies (SFSPs). SFSPs may decrease adolescent smoking by causing adolescents to perceive stronger anti-smoking norms, yet there exists no quantitative evidence that indicates for which norms and for whom such effects may occur. This study therefore assessed to what extent adolescents' perceived anti-smoking norms among best friends, teachers, and society at large were associated with SFSPs, and whether these associations were moderated by adolescents' level of school connectedness.METHODS: Survey data were collected in 2016/2017 on 10,653 14-16-year-old adolescents and 315 staff members in 55 schools from seven European cities. Associations of adolescent-perceived SFSPs and staff-reported SFSPs with best friend, teacher and societal anti-smoking norms were estimated in multilevel logistic regression models, adjusted for demographics and school-level smoking prevalence. We tested for interaction between school connectedness and SFSPs.RESULTS: Adolescent-perceived SFSPs were positively associated with anti-smoking norms by teachers (OR:1.46, 95%CI:1.15-1.85), were negatively associated with anti-smoking norms by best friends (OR:0.81, 95%CI:0.67-0.99), but were not significantly associated with anti-smoking norms by society at large (OR:0.87, 95%CI:0.74-1.02). All interaction tests between adolescent-perceived SFSPs and school connectedness were non-significant. Staff-reported SFSPs were not associated with any norm and showed no significant interaction with school connectedness.CONCLUSIONS: We found that SFSPs are associated with adolescents' perception of more anti-smoking norms by teachers, but less anti-smoking norms by best friends, irrespective of adolescents' level of school connectedness.IMPLICATIONS: Smoke-free school policies, just as many other tobacco control policies, are assumed to foster adolescents' perception of anti-smoking norms. Still, current evidence does not demonstrate which anti-smoking norms may be influenced by SFSPs and whether this influence is equal for adolescents with different levels of school connectedness. This study suggests that SFSPs foster adolescents' perception of anti-smoking norms by teachers, but may concurrently lead to the perception of less anti-smoking norms by best friends, irrespective of adolescents' school connectedness. SFSPs may therefore need to be complemented with interventions that target anti-smoking norms in adolescent peer groups.

AB - BACKGROUND: Many European schools implement smoke-free school policies (SFSPs). SFSPs may decrease adolescent smoking by causing adolescents to perceive stronger anti-smoking norms, yet there exists no quantitative evidence that indicates for which norms and for whom such effects may occur. This study therefore assessed to what extent adolescents' perceived anti-smoking norms among best friends, teachers, and society at large were associated with SFSPs, and whether these associations were moderated by adolescents' level of school connectedness.METHODS: Survey data were collected in 2016/2017 on 10,653 14-16-year-old adolescents and 315 staff members in 55 schools from seven European cities. Associations of adolescent-perceived SFSPs and staff-reported SFSPs with best friend, teacher and societal anti-smoking norms were estimated in multilevel logistic regression models, adjusted for demographics and school-level smoking prevalence. We tested for interaction between school connectedness and SFSPs.RESULTS: Adolescent-perceived SFSPs were positively associated with anti-smoking norms by teachers (OR:1.46, 95%CI:1.15-1.85), were negatively associated with anti-smoking norms by best friends (OR:0.81, 95%CI:0.67-0.99), but were not significantly associated with anti-smoking norms by society at large (OR:0.87, 95%CI:0.74-1.02). All interaction tests between adolescent-perceived SFSPs and school connectedness were non-significant. Staff-reported SFSPs were not associated with any norm and showed no significant interaction with school connectedness.CONCLUSIONS: We found that SFSPs are associated with adolescents' perception of more anti-smoking norms by teachers, but less anti-smoking norms by best friends, irrespective of adolescents' level of school connectedness.IMPLICATIONS: Smoke-free school policies, just as many other tobacco control policies, are assumed to foster adolescents' perception of anti-smoking norms. Still, current evidence does not demonstrate which anti-smoking norms may be influenced by SFSPs and whether this influence is equal for adolescents with different levels of school connectedness. This study suggests that SFSPs foster adolescents' perception of anti-smoking norms by teachers, but may concurrently lead to the perception of less anti-smoking norms by best friends, irrespective of adolescents' school connectedness. SFSPs may therefore need to be complemented with interventions that target anti-smoking norms in adolescent peer groups.

U2 - 10.1093/ntr/ntz212

DO - 10.1093/ntr/ntz212

M3 - Article

JO - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco

JF - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco

SN - 1462-2203

ER -