Changing the Smoking Trajectory: Evaluating the Impact of School-Based Tobacco Interventions on Changes to Susceptibility to Future Smoking

Adam G. Cole, Wei Qian and Scott T. Leatherdale
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Adam G. Cole: School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada
Wei Qian: School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada
Scott T. Leatherdale: School of Public Health and Health Systems, University of Waterloo, Waterloo, ON N2L 3G1, Canada

IJERPH, 2017, vol. 14, issue 10, 1-10

Abstract: School-based programs and policies can reduce student smoking rates. However, their impact on never-smoking students has not been investigated despite the clear transition between non-susceptible, susceptible, and ever tried smoking statuses. The objective of this paper was to examine the longitudinal student-level impact of six changes in school-based tobacco control programs and policies on student transitions in susceptibility to smoking over one year. Two multinomial logistic regression models identified the relative risk of a change in self-reported susceptibility to smoking or in trying a cigarette among never-smoking students in each of the six intervention schools compared to the relative risk among never-smoking students in control schools. Model 1 identified the relative risk of a change in smoking susceptibility status among baseline non-susceptible never smoking students, while Model 2 identified the relative risk of a change in smoking susceptibility status among baseline susceptible never smoking students. Students at some intervention schools were at increased risk of becoming susceptible to or trying a cigarette at one year follow-up. Intervention studies should examine changes to susceptibility to future smoking when evaluating impact to ensure that school-based tobacco control programs and policies do not negatively change the risk status of never-smoking students.

Keywords: adolescent; susceptibility; tobacco; evaluation studies; schools (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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