Abstract
Background
While U.S. tobacco control policy has focused mainly on tobacco excise taxes, product advertising bans, and state tobacco control policies such as indoor/outdoor smoking bans, little attention has been paid to school tobacco control policies and their impact on youth smoking behavior. Thus, the objective of this study is to examine the impact of school tobacco control policies on smoking behavior among teenagers and young adults in the USA.
Methods
Using logistic regression approach, this study examines the effect of school tobacco control policies on individuals ever trying smoking and ever being a regular smoker using data from waves I, II, and III of the National Longitudinal Study of Adolescent Health.
Results
Findings indicate that school tobacco control policies targeting both students and employees of the school are associated with a reduced odds of smoking initiation among youth, but do not have much effect on youth becoming regular smokers.
Conclusions
If implemented properly, school tobacco control policies could play a vital role in preventing youth smoking and help reduce youth smoking rates in the country, addressing a key public health issue.
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References
Centers for Disease Control and Prevention. Current Cigarette Smoking Among Adults in the United States. 2019. [cited 2019 June 10]; Available from: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/index.htm.
U.S. Department of Health and Human Services, The Health Consequences of Smoking—50 Years of Progress. A Report of the Surgeon General., U.S.D.o.H.a.H. Services, Editor. 2014, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health: Atlanta, GA.
Carpenter C, Cook P. Cigarette taxes and youth smoking: new evidence from national, state, and local youth risk behavior surveys. J Health Econ. 2008;27(2):287–99.
Chaloupka FJ, Wechsler H. Price, tobacco control policies and smoking among young adults. J Health Econ. 1997;16(3):359–73.
DeCicca P, Kenkel D, Mathios A. Cigarette taxes and the transition from youth to adult smoking: smoking initiation, cessation, and participation. J Health Econ. 2008;27(4):904–17.
Fletcher JM, Deb P, Sindelar JL. Tobacco Use, Taxation and Self Control in Adolescence. NBER Working Paper No. 15130. 2009.
Tauras JA. Public policy and smoking cessation among young adults in the United States. Health Policy. 2004;68(3):321–32.
Cawley J, Markowitz S, Tauras J. Lighting up and slimming down: the effects of body weight and cigarette prices on adolescent smoking initiation. J Health Econ. 2004;23(2):293–311.
Cawley J, Markowitz S, Tauras J. Obesity, cigarette prices, youth access laws and adolescent smoking initiation. East Econ J. 2006;32(1):149–70.
DeCicca P, Kenkel D, Mathios A. Putting out the fires: will higher taxes reduce the onset of youth smoking? J Polit Econ. 2002;110(1):144–69.
Decicca P, Kenkel D, Mathios A, Shin YJ, Lim JY. Youth smoking, cigarette prices, and anti-smoking sentiment. Health Econ. 2008;17(6):733–49.
Tauras JA, O’Malley PM, Johnston LD. Effects of price and access laws on teenage smoking initiation: a national longitudinal analysis. NBER Working Paper No. 8331. 2001.
Lewit EM, Coate D, Grossman M. The effects of government regulation on teenage smoking. J Law Econ. 1981;24(3):273–98.
Pabayo R, O'Loughlin J, Barnett TA, Cohen JE, Gauvin L. Does intolerance of smoking at school, or in restaurants or corner stores decrease cigarette use initiation in adolescents? Nicotine Tob Res. 2012;14(10):1154–60.
Song AV, Dutra LM, Neilands TB, Glantz SA. Association of Smoke-Free Laws with Lower Percentages of new and current smokers among adolescents and young adults: an 11-year longitudinal study. JAMA Pediatr. 2015;169(9):e152285.
Wakefield MA, Chaloupka FJ, Kaufman NJ, Orleans CT, Barker DC, Ruel EE. Effect of restrictions on smoking at home, at school, and in public places on teenage smoking: cross sectional study. BMJ. 2000;321(7257):333–7.
Trinidad DR, Gilpin EA, Pierce JP. Compliance and support for smoke-free school policies. Health Educ Res. 2005;20(4):466–75.
Evans-Whipp TJ, et al. The impact of school tobacco policies on student smoking in Washington state, United States and Victoria, Australia. Int J Environ Res Public Health. 2010;7(3):698–710.
Kuipers MA, de Korte R, Soto VE, Richter M, Moor I, Rimpelä AH, et al. School smoking policies and educational inequalities in smoking behaviour of adolescents aged 14-17 years in Europe. J Epidemiol Community Health. 2016;70(2):132–9.
Centers for Disease Control and Prevention, Tobacco Product Use Among Middle and High School Students—United States, 2011 and 2012. Morbidity and Mortality Weekly Report. Atlanta, GA. 2013;62(45): p 893–7.
Rozema AD, Mathijssen JJP, Jansen MWJ, van Oers J. Sustainability of outdoor school ground smoking bans at secondary schools: a mixed-method study. Eur J Pub Health. 2018;28(1):43–9.
Chen P, Chantala K. Guidelines for analyzing Add Health data. Carolina population center, Unviersity of north Caroline at chapel. Hill: Chapel Hill, NC; 2014.
Chung-Hall JL, Craig S. Impact of the WHO Framework Convention on Tobacco Control on the Implementation and Effectiveness of Tobacco Control Measures: A Global Evidence Review, in ITC Project. Waterloo: University of Waterloo; 2016.
Alwan A. WHO Report on the Global Tobacco Epidemic, 2009: Implementing Smoke-Free Environments. Who Report on the Global Tobacco Epidemic, 2009: Implementing Smoke-Free Environments, 2009: p. 7–136.
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This research is a secondary data analysis and does not involve any human subject participants or animals.
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Since this research involves only a secondary data analysis, the researchers collected no primary data, thus researchers for this study collected no consent.
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This study was approved by the Institutional Review Board at the University of Georgia.
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Jayawardhana, J., Bolton, H.E. & Gaughan, M. The Association Between School Tobacco Control Policies and Youth Smoking Behavior. Int.J. Behav. Med. 26, 658–664 (2019). https://doi.org/10.1007/s12529-019-09825-z
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DOI: https://doi.org/10.1007/s12529-019-09825-z
Keywords
- Youth smoking
- School smoking policies
- Tobacco control
- Smoking cessation