Anna Bellatorre1, Kelvin Choi2, Debra Bernat3. 1. National Institute on Minority Health and Health Disparities, Bethesda, MD, USA. 2. National Institute on Minority Health and Health Disparities, Bethesda, MD, USA. Electronic address: Kelvin.choi@nih.gov. 3. University of Maryland, College Park, MD, USA.
Abstract
OBJECTIVE: Youth smoking is complex with multilevel influences. While much is known about certain levels of influence on youth smoking, the lack of focus on institutional influences is notable. This study evaluated the effects of ambient smoking attitudes and behaviors in schools on individual youth smoking. METHOD: Data from the 2012 Florida Youth Tobacco Survey (n=67,460) were analyzed. Multinomial logistic regression was used to investigate individual and aggregated school-level factors that were associated with a youth being classified as a "susceptible nonsmoker" (SN) or "current smoker" (CS) relative to a "non-susceptible nonsmoker" (NN). RESULTS: The aggregated percentage of regular smokers at a school, ambient school level positive smoking perceptions, and the standardized difference between individual and school-level positive smoking perceptions were statistically significant in the fully adjusted model. We also found an increased risk of being a SN relative to a NN for Hispanic youth. Moreover, our approach to modeling institutional-level factors raised the pseudo r-squared from 0.05 to 0.14. CONCLUSION: These findings suggest the importance of ambient smoking attitudes and behaviors on youth smoking. Prevention efforts affecting ambient smoking attitudes may be beneficial. Published by Elsevier Inc.
OBJECTIVE: Youth smoking is complex with multilevel influences. While much is known about certain levels of influence on youth smoking, the lack of focus on institutional influences is notable. This study evaluated the effects of ambient smoking attitudes and behaviors in schools on individual youth smoking. METHOD: Data from the 2012 Florida Youth Tobacco Survey (n=67,460) were analyzed. Multinomial logistic regression was used to investigate individual and aggregated school-level factors that were associated with a youth being classified as a "susceptible nonsmoker" (SN) or "current smoker" (CS) relative to a "non-susceptible nonsmoker" (NN). RESULTS: The aggregated percentage of regular smokers at a school, ambient school level positive smoking perceptions, and the standardized difference between individual and school-level positive smoking perceptions were statistically significant in the fully adjusted model. We also found an increased risk of being a SN relative to a NN for Hispanic youth. Moreover, our approach to modeling institutional-level factors raised the pseudo r-squared from 0.05 to 0.14. CONCLUSION: These findings suggest the importance of ambient smoking attitudes and behaviors on youth smoking. Prevention efforts affecting ambient smoking attitudes may be beneficial. Published by Elsevier Inc.
Authors: Ellen R Gritz; Alexander V Prokhorov; Karen Suchanek Hudmon; Mary Mullin Jones; Carol Rosenblum; Chung-Chi Chang; Robert M Chamberlain; Wendell C Taylor; Dennis Johnston; Carl de Moor Journal: Nicotine Tob Res Date: 2003-08 Impact factor: 4.244
Authors: D A Kessler; A M Witt; P S Barnett; M R Zeller; S L Natanblut; J P Wilkenfeld; C C Lorraine; L J Thompson; W B Schultz Journal: N Engl J Med Date: 1996-09-26 Impact factor: 91.245