School Tobacco Control Policies Related to Students’ Smoking and Attitudes Toward Smoking: National Survey Results, 1999-2000

2005 ◽  
Vol 32 (6) ◽  
pp. 780-794 ◽  
Author(s):  
Revathy Kumar ◽  
Patrick M. O’Malley ◽  
Lloyd D. Johnston
Keyword(s):  
Tobacco Use ◽  
Student Behavior ◽  
Smoking Behavior ◽  
Policy Implications ◽  
Cigarette Use ◽  
School Students ◽  
School Policies ◽  
Monitoring The Future ◽  
Nationally Representative ◽  
Attitudes Toward Smoking

The belief that schools can play a powerful role in preventing tobacco use among adolescents has led to the implementation of various tobacco-related polices and practices. This study examines the association between school policies regarding monitoring student behavior, severity of action taken for infraction of policies, and tobacco use by staff, and student smoking behavior and attitudes. Data on students’ smoking behavior and attitudes were obtained from the 1999 and 2000 Monitoring the Future surveys of nationally representative samples of 8th-, 10th-, and 12th-grade students. Data on school policies and practices were obtained from administrators in those same schools. Hierarchical analyses using HLM5 were conducted. Strictness of monitoring was significantly negatively associated with daily cigarette use by middle school students. Permitting staff to smoke was significantly positively associated with students’ daily cigarette use and negatively with their disapproval of cigarette use. Policy implications are discussed.

scholarly journals Perception and Current Use of E-cigarettes Among Youth in China

2018 ◽  
Vol 21 (10) ◽  
pp. 1401-1407 ◽  
Author(s):  
Lin Xiao ◽  
Mark Parascandola ◽  
Congxiao Wang ◽  
Yuan Jiang
Keyword(s):  
Middle School ◽  
Middle School Students ◽  
Tobacco Use ◽  
Tobacco Product ◽  
Cigarette Use ◽  
School Students ◽  
Factors Associated ◽  
Nationally Representative ◽  
Never Smokers ◽  
The Relationship

Abstract Introduction This study provides nationally representative estimates of electronic cigarette (e-cigarette) use among youth in China and explores the factors associated with awareness and use of e-cigarettes and the relationship between e-cigarette and conventional tobacco use. Methods This study examined data from the Global Youth Tobacco Survey, which was completed by 155 117 middle school students (51.8% boys and 48.2% girls) in China, and employed a multistage stratified cluster sampling design. For data analysis, SAS 9.3 complex survey procedures were used, and logistic regression was used to explore factors associated with e-cigarette use and the relationship between e-cigarette and conventional tobacco use. Results About 45.0% of middle school students had heard of e-cigarettes, but only 1.2% reported using e-cigarettes in the last 30 days. Among never-smokers, e-cigarette users were more likely to intend to use a tobacco product in the next 12 months than nonusers (adjusted odds ratio [OR] = 6.970, 95% confidence interval [CI] = 4.474% to 10.857%), and more likely to say that they would enjoy smoking a cigarette (adjusted OR = 14.633, 95% CI = 11.328% to 18.902%). E-cigarette use was associated with previous experimentation with cigarette smoking (OR = 3.2), having noticed tobacco advertising in the past 30 days (OR = 2.7), having close friends who smoke (OR = 1.4), and thinking tobacco helps people feel more comfortable in social situations (OR = 3.3) and makes young people look more attractive (OR = 1.3). Conclusions E-cigarette use among youth in China remains low but awareness is high. E-cigarette use was associated with increased intentions to use tobacco. Enhanced prevention efforts are needed targeting e-cigarette use among youth. Implications This study is the first nationally representative survey of e-cigarette use among youth in China. It found that among middle school students, prevalence of e-cigarette use is 1.2% and prevalence of e-cigarette awareness is 45.0%. Chinese youths use e-cigarettes as a tobacco product rather than an aid to quitting. Among never-smokers, e-cigarette users were more likely to have intentions to use a tobacco product in the next 12 months, more likely to use a tobacco product offered by their best friends and enjoy smoking a cigarette than nonusers.

scholarly journals Sex Difference in the Association between Electronic Cigarette Use and Subsequent Cigarette Smoking among U.S. Adolescents: Findings from the PATH Study Waves 1–4

2021 ◽  
Vol 18 (4) ◽  
pp. 1695
Author(s):  
Zongshuan Duan ◽  
Yu Wang ◽  
Jidong Huang
Keyword(s):  
Mental Health ◽  
Cigarette Smoking ◽  
Tobacco Use ◽  
Mental Health Problems ◽  
Cigarette Use ◽  
Tobacco Products ◽  
Estimation Equations ◽  
Nationally Representative ◽  
Prospective Association

E-cigarettes are the most-used tobacco products among U.S. adolescents. Emerging evidence suggests that adolescents using e-cigarettes are at elevated risk for initiating cigarette smoking. However, whether this risk may differ by sex remains unknown. This study analyzed data from Wave 1 to 4 of the Population Assessment of Tobacco and Health (PATH) Study, a nationally representative longitudinal survey. Generalized estimation equations (GEE) were performed to estimate the associations between baseline e-cigarette use and subsequent cigarette smoking, controlling for sociodemographic characteristics, mental health conditions, and other tobacco use. Effect modifications by sex were examined. Multivariate analyses showed that, among baseline never cigarette smokers, past-30-day e-cigarette use at baseline waves was significantly associated with past-30-day cigarette smoking at follow-up waves (aOR = 3.90, 95% CI: 2.51–6.08). This association was significantly stronger for boys (aOR = 6.17, 95% CI: 2.43–15.68) than for girls (aOR = 1.10, 95% CI: 0.14–8.33). Additionally, using other tobacco products, older age, and having severe externalizing mental health problems at baseline were significantly associated with an increased likelihood of cigarette smoking at follow-up. The prospective association between e-cigarette use and cigarette smoking differs by sex among U.S. adolescents. Sex-specific tobacco control interventions may be warranted to curb the youth tobacco use epidemic.

Why Do the Nation's Students Use Drugs and Alcohol? Self-Reported Reasons from Nine National Surveys

1986 ◽  
Vol 16 (1) ◽  
pp. 29-66 ◽  
Author(s):  
Lloyd D. Johnston ◽  
Patrick M. O'Malley
Keyword(s):  
High School ◽  
High School Students ◽  
School Students ◽  
Drugs And Alcohol ◽  
Limited Degree ◽  
Monitoring The Future ◽  
Nationally Representative ◽  
Reasons For Use ◽  
Modest Degree ◽  
Representative Samples

The reasons that high school students give for their use of each of nine classes of licit and illicit substances are examined cross sectionally and over time. The data derive from the Monitoring the Future project, which involves annual surveys of large, nationally representative samples of American high school seniors. Reasons for use are found to vary substantially by drug, and also by degree of involvement with the drug; but reasons vary only to a rather limited degree by sex. An analysis of trends between 1976 and 1984 shows only a modest degree of change in the reasons given for using the various substances, despite the fact that prevalence rates for some drugs have changed substantially. Among the most commonly mentioned reasons for substance use are experimentation, social/recreational reasons, and relaxation.

Peers, Perceptions, and E-Cigarettes: A Social Learning Approach to Explaining E-Cigarette Use Among Youth

2020 ◽  
Vol 50 (4) ◽  
pp. 472-489
Author(s):  
Gregory C. Rocheleau ◽  
Anthony G. Vito ◽  
Jonathan Intravia
Keyword(s):  
Social Learning ◽  
Social Learning Theory ◽  
Risk Perceptions ◽  
Policy Implications ◽  
Mediation Process ◽  
Learning Approach ◽  
Cigarette Use ◽  
Future Directions ◽  
Personal Risk ◽  
Monitoring The Future

This study uses social learning theory to examine whether differential associations with e-cigarette-using peers is related to personal e-cigarette use among youth, and the extent to which this relationship is explained by personal risk perceptions of e-cigarettes. Moreover, this study tests whether the mediation process is moderated by type of e-cigarette user. This study uses a sample of high school seniors from the 2016 Monitoring the Future Study ( N = 2,100), and a subsample of e-cigarette users ( n = 523). Analyses are carried out using OLS and logistic regression. Findings demonstrate that higher levels of peer e-cigarette use are related to higher odds of personal e-cigarette use, but that risk perceptions of e-cigarettes only explain a modest portion of that relationship (about 10%). Furthermore, the mediation process does not appear to vary by type of e-cigarette user. Future directions and policy implications are discussed.

Abstract P087: Youth Tobacco Users Perceive Less E-Cig Harm

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Delvon T Mattingly ◽  
Lindsay K Tompkins ◽  
Clara G Sears ◽  
Kandi L Walker ◽  
Joy L Hart
Keyword(s):  
High School Students ◽  
Tobacco Use ◽  
Rural Areas ◽  
Multinomial Logistic Regression ◽  
Health Problems ◽  
Tobacco Product ◽  
Scientific Uncertainty ◽  
Cigarette Use ◽  
School Students ◽  
Tobacco Products

Introduction: In Appalachia, youth tobacco use rates exceed the national average, and youth in these rural areas are increasingly aware of new and emerging tobacco products, such as e-cigarettes. Given that e-cigarettes are a commonly used tobacco product by youth, additional inquiry is needed to better understand both youth product perceptions and use patterns, especially in communities with entrenched acceptance of tobacco. Study Aim and Hypothesis: Our aim is to examine the prevalence of conventional tobacco and e-cigarette use among Appalachian youth and to examine associations between use and tobacco harm perceptions. We hypothesized that conventional tobacco users would be less likely than non-users to perceive e-cigarette use as harmful and that e-cigarette users would be less likely than non-users to perceive e-cigarette use as harmful. Methods: A survey of middle and high school students (n=1,008) was conducted in rural Appalachia. The primary outcome in this analysis, tobacco use, was categorized as never user, conventional tobacco only user (cigarettes or smokeless), or e-cigarette only user. Descriptive characteristics were compared among the three use groups. Relationships between harm perceptions and tobacco product use were assessed using multinomial logistic regression models adjusted for age, race, gender, and grade level. Results: Nearly one-fourth (23%) of the participants had tried e-cigarettes. Compared to never users, conventional users were more likely to indicate that e-cigarettes did not cause: (1) health problems (OR: 1.65; CI: 1.075-2.521) or (2) addiction (OR: 1.63; CI: 1.064-2.496). Youth who indicated e-cigarettes do not cause health problems were more likely to be e-cigarette users than non-e-cigarette users (OR: 2.04, CI: 1.460-2.838), and youth who indicated smoking does not cause addiction were more likely to be conventional users than never or e-cigarette only users (OR: 1.96; CI: 1.181-3.262). Conclusions: In summary, youth who use conventional tobacco products or e-cigarettes are less likely to perceive e-cigarettes as harmful. These findings reinforce the need for vigilance in restricting youth access to tobacco products, increased emphasis on health campaigns that clarify scientific uncertainty surrounding tobacco safety, and regulation of e-cigarette marketing that targets youth.

Recent, national trends in US adolescent use of menthol and non-menthol cigarettes

2021 ◽  
pp. tobaccocontrol-2021-056970
Author(s):  
Richard A Miech ◽  
Adam M Leventhal ◽  
Lloyd D Johnson
Keyword(s):  
Cigarette Smoking ◽  
Black Adolescents ◽  
Cigarette Use ◽  
Floor Effect ◽  
Cross Sectional ◽  
Menthol Cigarette ◽  
Menthol Cigarettes ◽  
Monitoring The Future ◽  
Nationally Representative ◽  
National Trends

ObjectiveIn light of the current U.S. Food and Drug Administration (FDA) proposal to ban menthol cigarettes, this study updates trends in menthol cigarette use among adolescents age 13–18 years up to the year 2020. The study considers a potential role for the ban to reduce black/non-black disparities in menthol cigarette use, as well as a counterargument that a ban is not necessary because menthol use is already diminishing.MethodsData are from annual, cross-sectional, nationally representative Monitoring the Future (MTF) surveys of 85 547 8th, 10th and 12th grade students surveyed between 2012 and 2020. Analyses include trends in past 30-day menthol and non-menthol cigarette smoking among the total adolescent population, as well as stratified by race/ethnicity.ResultsDeclines in adolescent menthol and non-menthol cigarette smoking continued through 2020 so that in 2018–2020 past 30-day prevalence for each was less than 1% for non-Hispanic black adolescents and less than 2.2% for non-black adolescents. For non-Hispanic black adolescents no smoking declines in mentholated or non-mentholated cigarette use from 2015–2017 to 2018–2020 were statistically significant, in part because prevalence levels approached a floor effect and had little room to fall further. Menthol levels were lower for non-Hispanic black versus all other adolescents in all study years.ConclusionsContinuing declines in adolescent menthol prevalence indicate that both menthol prevalence and also black/non-black disparities in its use are steadily decreasing. However, these decreases in adolescence will take decades to reach later ages through generational replacement. Efforts to accelerate menthol decreases will require new initiatives to increase cessation among adult menthol users.

Effects of a Peer Led Intervention Program on Smoking Prevention: A Case Example in Greece

1997 ◽  
Vol 17 (3) ◽  
pp. 297-308 ◽  
Author(s):  
Iphigenia MacRi ◽  
John Tsiantis
Keyword(s):  
High School ◽  
High School Students ◽  
Intervention Program ◽  
Smoking Behavior ◽  
Smoking Prevention ◽  
Control Group ◽  
School Students ◽  
High School Grades ◽  
Attitudes Toward Smoking ◽  
Experimental Group

This pilot study evaluates the effects of a peer developed, smoking prevention program on the smoking behavior, intent to smoke, knowledge, and attitudes toward smoking of high school students. An experimental group of 237 first and second grade high school students (mean ages 12.2 and 13.2 respectively) from an Athenian school was compared to a control group of ninety students from the first and second high school grades (mean ages 12.1 and 13.3 respectively) in another school. A randomly drawn subgroup of thirty-seven student volunteers from the experimental group developed antismoking audiovisual material which they subsequently presented and discussed with the whole group. Findings indicated that this intervention significantly limited the increase of smoking behavior of the experimental group a year following the first assessment. However, intent to smoke in the future, attitudes toward smoking, and knowledge were not affected by the intervention. Results suggest that the intervention was partially successful in curbing experimental smoking in these adolescents. Implications of the findings are discussed.

scholarly journals Parental anti-smoking encouragement as a longitudinal predictor of young adult cigarette and e-cigarette use in a US national study

2021 ◽  
Author(s):  
Aaron Broun ◽  
Denise Haynie ◽  
Kelvin Choi
Keyword(s):  
Young Adult ◽  
Young Adulthood ◽  
Tobacco Use ◽  
Protective Factor ◽  
Average Frequency ◽  
Health Study ◽  
National Study ◽  
Cigarette Use ◽  
Parental Encouragement ◽  
Nationally Representative

Abstract Introduction Young adulthood is a critical period for the adoption of risk behaviors like tobacco use. Protective factors in adolescence may promote a tobacco-free transition to young adulthood. We examine associations between the frequency of parental anti-smoking encouragement in adolescence and cigarette and e-cigarette use in young adulthood. Methods We analyzed data from Waves 1 (2009-10, 10 th grade, mean age=16.2 years) and 5 (2013-14 mean age=20.3 years) of the U.S. nationally representative NEXT Generation Health Study (n=1,718). At Wave 1, participants reported how often their parents/guardians encourage them to not smoke cigarettes (1=Rarely/never, 7=Frequently). We used separate weighted multiple logistic regressions to model Wave 5 past-30-day cigarette and e-cigarette use as functions of the frequency of parental anti-smoking encouragement at Wave 1, adjusting for sociodemographic and parenting factors, initial substance use, and peer tobacco use. Results The average frequency of parental encouragement to not smoke cigarettes was fairly high (mean=5.35). At Wave 5, 24.7% and 14.2% of respondents reported cigarette e-cigarette use in the past 30 days, respectively. Greater frequency of parental anti-smoking encouragement was associated with lower odds of subsequent cigarette smoking (AOR 0.91, 95% CI 0.83, 0.99) but its association with e-cigarette use was not significant (AOR 0.93, 95% CI 0.84, 1.04). Conclusions The longitudinal negative association between anti-smoking encouragement and cigarette use suggests that parental anti-tobacco communication could be a long-term protective factor against young adult tobacco use. Our findings may also suggest the importance of product-specific messages in the evolving tobacco use landscape. Implications This study builds upon prior investigations of parenting in adolescence as a protective factor against young adult risk behavior. We isolate the frequency of anti-smoking encouragement during adolescence as an actionable factor distinct from other parenting variables. Our findings also suggest that message specificity may be an important factor in parental anti-tobacco communication as youth and young adult tobacco use becomes increasingly dominated by e-cigarettes.

scholarly journals Changes in prevalence, and factors associated with tobacco use among Bangladeshi school students: evidence from two nationally representative surveys

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tanvir Ahammed ◽  
Nasar U. Ahmed ◽  
Md Jamal Uddin
Keyword(s):  
Tobacco Use ◽  
World Health ◽  
Male Students ◽  
School Students ◽  
Global Youth Tobacco Survey ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Adolescent Students ◽  
Nationally Representative ◽  
Over Time

Abstract Background Globally, tobacco kills more than nine million people per year. Annually in Bangladesh, smoking accounts for 1.2 million illnesses and over one hundred fifty thousand deaths. Worldwide, about one out of five school students smoke tobacco, and this problem is also growing significantly in Bangladesh. There is a need to address this problem. However, to the best of knowledge, no published study has been evaluated the changes in factors associated with tobacco use over time among Bangladeshi adolescent students using large, nationally representative comparable surveys. Our objective was to identify the factors associated with tobacco use among school going students, examine any changes in them over time, and explore policy options based on national surveys. Methods We analysed the data from the 2007 and the 2013 Global Youth Tobacco Survey (GYTS), a school-based survey targeting adolescents age 13–15 years (7th–9th grade), developed by the World Health Organization (WHO) and the Centres for Disease Control and Prevention (CDC). The samples were selected based on a two-stage cluster sample design. The data were collected in school classes using a self-administered anonymous survey. We applied chi-square tests and survey logistic regression models for analysing the data. Results Overall tobacco usage significantly declined from 8.4 to 6.9% over six years. The prevalence of tobacco use decreased among females (5.22 to 2.84%), those who received anti-tobacco messages (8.93 to 7.24%) and because of age restriction could not buy tobacco products (18.86 to 15.78%). Compared with the female, the odds of overall tobacco smoking among male students was 1.97 (CI: 0.99–3.92) in the year 2007 and it increased (OR = 3.07; CI: 1.56–6.04) in the year 2013. Moreover, the odds of smoking among those exposed to tobacco smoke had increased (OR = 3.26; CI: 1.46–7.29 vs 5.43; CI: 1.63–18.07) from 2007 to 2013. Conclusion There was a decline in tobacco use, especially among female students. Male students were higher tobacco user. It appeared anti-smoking campaign and age restriction policies were working.

scholarly journals Adolescent Cannabis Users Who Have Never Smoked A Combustible Cigarette: Trends and Level of Addictive Drug Use from 1976 to 2020

2021 ◽  
Author(s):  
Richard A. Miech
Keyword(s):  
Drug Use ◽  
Prescription Drugs ◽  
Elevated Risk ◽  
Cigarette Use ◽  
Cross Sectional ◽  
Addictive Drugs ◽  
Nonmedical Use ◽  
Monitoring The Future ◽  
Nationally Representative ◽  
Addictive Drug

Abstract Background. Adolescents cannabis users are at a substantially elevated risk for use of highly addictive drugs such as cocaine, heroin, and nonmedical use of prescription drugs. Unknown is whether this elevated risk applies to adolescent cannabis users who have never smoked a combustible cigarette, a group that has grown considerably in size in recent years. This study documents the recent growth in the proportion of adolescent cannabis users who abstain from combustible cigarette use, and examines their probability for use of addictive drugs. Methods. Data are annual, cross-sectional, nationally-representative Monitoring the Future surveys of 607,932 U.S. 12th grade students from 1976-2020. Results. Among ever cannabis users, the percentage who had never smoked a combustible cigarette grew from 11% in 2000 to 58% in 2020. This group had levels of addictive drug use that were 8% higher than their peers. In comparison, adolescents who had ever used cannabis – regardless of whether they had ever smoked a cigarette – had levels of addictive drug use 500% higher than their peers.Conclusions. Adolescent cannabis users who have not smoked a combustible cigarette have much lower levels of addictive drug use than the group of cannabis users as a whole. These results suggest policies and laws aimed at reducing adolescent prevalence of addictive drugs may do better to focus on cigarette use of adolescent cannabis users rather than cannabis use per se.

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