Cargando…
Impact of an Outdoor Smoking Ban at Secondary Schools on Cigarettes, E-Cigarettes and Water Pipe Use among Adolescents: An 18-Month Follow-Up
The effectiveness of outdoor smoking bans on smoking behavior among adolescents remains inconclusive. This study evaluates the long-term impact of outdoor school ground smoking bans among adolescents at secondary schools on the use of conventional cigarettes, e-cigarettes (with/without nicotine) and...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858274/ https://www.ncbi.nlm.nih.gov/pubmed/29370137 http://dx.doi.org/10.3390/ijerph15020205 |
_version_ | 1783307622634487808 |
---|---|
author | Rozema, Andrea D. Hiemstra, Marieke Mathijssen, Jolanda J. P. Jansen, Maria W. J. van Oers, Hans J. A. M. |
author_facet | Rozema, Andrea D. Hiemstra, Marieke Mathijssen, Jolanda J. P. Jansen, Maria W. J. van Oers, Hans J. A. M. |
author_sort | Rozema, Andrea D. |
collection | PubMed |
description | The effectiveness of outdoor smoking bans on smoking behavior among adolescents remains inconclusive. This study evaluates the long-term impact of outdoor school ground smoking bans among adolescents at secondary schools on the use of conventional cigarettes, e-cigarettes (with/without nicotine) and water pipes. Outdoor smoking bans at 19 Dutch secondary schools were evaluated using a quasi-experimental design. Data on 7733 adolescents were obtained at baseline, and at 6 and 18-month follow-up. The impact of outdoor smoking bans on ‘ever use of conventional cigarettes’, ‘smoking onset’, ‘ever use of e-cigarette with nicotine’, ‘e-cigarette without nicotine’, and ‘water pipe’ was measured. Multilevel logistic regression analysis was used. At schools with a ban, implementation fidelity was checked. At schools where a ban was implemented, at 18-month follow-up more adolescents had started smoking compared to the control condition. No effect of implementation of the ban was found for smoking prevalence, e-cigarettes with/without nicotine, and water pipe use. Implementation fidelity was sufficient. No long-term effects were found of an outdoor smoking ban, except for smoking onset. The ban might cause a reversal effect when schools encounter difficulties with its enforcement or when adolescents still see others smoking. Additional research is required with a longer follow-up than 18 months. |
format | Online Article Text |
id | pubmed-5858274 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-58582742018-03-19 Impact of an Outdoor Smoking Ban at Secondary Schools on Cigarettes, E-Cigarettes and Water Pipe Use among Adolescents: An 18-Month Follow-Up Rozema, Andrea D. Hiemstra, Marieke Mathijssen, Jolanda J. P. Jansen, Maria W. J. van Oers, Hans J. A. M. Int J Environ Res Public Health Article The effectiveness of outdoor smoking bans on smoking behavior among adolescents remains inconclusive. This study evaluates the long-term impact of outdoor school ground smoking bans among adolescents at secondary schools on the use of conventional cigarettes, e-cigarettes (with/without nicotine) and water pipes. Outdoor smoking bans at 19 Dutch secondary schools were evaluated using a quasi-experimental design. Data on 7733 adolescents were obtained at baseline, and at 6 and 18-month follow-up. The impact of outdoor smoking bans on ‘ever use of conventional cigarettes’, ‘smoking onset’, ‘ever use of e-cigarette with nicotine’, ‘e-cigarette without nicotine’, and ‘water pipe’ was measured. Multilevel logistic regression analysis was used. At schools with a ban, implementation fidelity was checked. At schools where a ban was implemented, at 18-month follow-up more adolescents had started smoking compared to the control condition. No effect of implementation of the ban was found for smoking prevalence, e-cigarettes with/without nicotine, and water pipe use. Implementation fidelity was sufficient. No long-term effects were found of an outdoor smoking ban, except for smoking onset. The ban might cause a reversal effect when schools encounter difficulties with its enforcement or when adolescents still see others smoking. Additional research is required with a longer follow-up than 18 months. MDPI 2018-01-25 2018-02 /pmc/articles/PMC5858274/ /pubmed/29370137 http://dx.doi.org/10.3390/ijerph15020205 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Rozema, Andrea D. Hiemstra, Marieke Mathijssen, Jolanda J. P. Jansen, Maria W. J. van Oers, Hans J. A. M. Impact of an Outdoor Smoking Ban at Secondary Schools on Cigarettes, E-Cigarettes and Water Pipe Use among Adolescents: An 18-Month Follow-Up |
title | Impact of an Outdoor Smoking Ban at Secondary Schools on Cigarettes, E-Cigarettes and Water Pipe Use among Adolescents: An 18-Month Follow-Up |
title_full | Impact of an Outdoor Smoking Ban at Secondary Schools on Cigarettes, E-Cigarettes and Water Pipe Use among Adolescents: An 18-Month Follow-Up |
title_fullStr | Impact of an Outdoor Smoking Ban at Secondary Schools on Cigarettes, E-Cigarettes and Water Pipe Use among Adolescents: An 18-Month Follow-Up |
title_full_unstemmed | Impact of an Outdoor Smoking Ban at Secondary Schools on Cigarettes, E-Cigarettes and Water Pipe Use among Adolescents: An 18-Month Follow-Up |
title_short | Impact of an Outdoor Smoking Ban at Secondary Schools on Cigarettes, E-Cigarettes and Water Pipe Use among Adolescents: An 18-Month Follow-Up |
title_sort | impact of an outdoor smoking ban at secondary schools on cigarettes, e-cigarettes and water pipe use among adolescents: an 18-month follow-up |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858274/ https://www.ncbi.nlm.nih.gov/pubmed/29370137 http://dx.doi.org/10.3390/ijerph15020205 |
work_keys_str_mv | AT rozemaandread impactofanoutdoorsmokingbanatsecondaryschoolsoncigarettesecigarettesandwaterpipeuseamongadolescentsan18monthfollowup AT hiemstramarieke impactofanoutdoorsmokingbanatsecondaryschoolsoncigarettesecigarettesandwaterpipeuseamongadolescentsan18monthfollowup AT mathijssenjolandajp impactofanoutdoorsmokingbanatsecondaryschoolsoncigarettesecigarettesandwaterpipeuseamongadolescentsan18monthfollowup AT jansenmariawj impactofanoutdoorsmokingbanatsecondaryschoolsoncigarettesecigarettesandwaterpipeuseamongadolescentsan18monthfollowup AT vanoershansjam impactofanoutdoorsmokingbanatsecondaryschoolsoncigarettesecigarettesandwaterpipeuseamongadolescentsan18monthfollowup |