Cargando…

Adolescent Smoking in Secondary Schools that Have Implemented Smoke-Free Policies: In-Depth Exploration of Shared Smoking Patterns

Large numbers of adolescents smoke during school hours, despite the implementation of smoke-free school policies (SFSPs). Studies about SFSPs predominantly analyse smoking as individual behaviour, yet there is increasing recognition that smoking should be understood as social behaviour. We explored...

Descripción completa

Detalles Bibliográficos
Autores principales: Schreuders, Michael, Klompmaker, Loekie, van den Putte, Bas, Kunst, Anton E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6616619/
https://www.ncbi.nlm.nih.gov/pubmed/31200563
http://dx.doi.org/10.3390/ijerph16122100
_version_ 1783433546391617536
author Schreuders, Michael
Klompmaker, Loekie
van den Putte, Bas
Kunst, Anton E
author_facet Schreuders, Michael
Klompmaker, Loekie
van den Putte, Bas
Kunst, Anton E
author_sort Schreuders, Michael
collection PubMed
description Large numbers of adolescents smoke during school hours, despite the implementation of smoke-free school policies (SFSPs). Studies about SFSPs predominantly analyse smoking as individual behaviour, yet there is increasing recognition that smoking should be understood as social behaviour. We explored shared smoking patterns specifying where, when, and with whom, and social meanings about why groups of adolescents smoke in two Dutch schools that have implemented SFSPs. Surveys among adolescents were held to obtain contextual information about the schools. Four focus group discussions and fourteen individual interviews were held with adolescents to identify shared smoking patterns in each school. Two shared patterns were identified at a school where 17% of students smoked daily: Dependent smoking and Rebellious smoking. Both built on pro-smoking norms and underscored the benefits of smoking. Three shared patterns were identified at a school where 3% of students smoked daily: Social bonding smoking, Low-profile smoking and Smoking-friendly event smoking. These built on anti-smoking norms and helped smokers cope with negative social judgements related to smoking. We conclude that adolescent smoking during school hours is embedded in diverse shared smoking patterns. Future studies should develop more understanding about how to deal with adolescents’ shared smoking patterns that decrease the effectiveness of tobacco policies.
format Online
Article
Text
id pubmed-6616619
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-66166192019-07-18 Adolescent Smoking in Secondary Schools that Have Implemented Smoke-Free Policies: In-Depth Exploration of Shared Smoking Patterns Schreuders, Michael Klompmaker, Loekie van den Putte, Bas Kunst, Anton E Int J Environ Res Public Health Article Large numbers of adolescents smoke during school hours, despite the implementation of smoke-free school policies (SFSPs). Studies about SFSPs predominantly analyse smoking as individual behaviour, yet there is increasing recognition that smoking should be understood as social behaviour. We explored shared smoking patterns specifying where, when, and with whom, and social meanings about why groups of adolescents smoke in two Dutch schools that have implemented SFSPs. Surveys among adolescents were held to obtain contextual information about the schools. Four focus group discussions and fourteen individual interviews were held with adolescents to identify shared smoking patterns in each school. Two shared patterns were identified at a school where 17% of students smoked daily: Dependent smoking and Rebellious smoking. Both built on pro-smoking norms and underscored the benefits of smoking. Three shared patterns were identified at a school where 3% of students smoked daily: Social bonding smoking, Low-profile smoking and Smoking-friendly event smoking. These built on anti-smoking norms and helped smokers cope with negative social judgements related to smoking. We conclude that adolescent smoking during school hours is embedded in diverse shared smoking patterns. Future studies should develop more understanding about how to deal with adolescents’ shared smoking patterns that decrease the effectiveness of tobacco policies. MDPI 2019-06-13 2019-06 /pmc/articles/PMC6616619/ /pubmed/31200563 http://dx.doi.org/10.3390/ijerph16122100 Text en © 2019 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
Schreuders, Michael
Klompmaker, Loekie
van den Putte, Bas
Kunst, Anton E
Adolescent Smoking in Secondary Schools that Have Implemented Smoke-Free Policies: In-Depth Exploration of Shared Smoking Patterns
title Adolescent Smoking in Secondary Schools that Have Implemented Smoke-Free Policies: In-Depth Exploration of Shared Smoking Patterns
title_full Adolescent Smoking in Secondary Schools that Have Implemented Smoke-Free Policies: In-Depth Exploration of Shared Smoking Patterns
title_fullStr Adolescent Smoking in Secondary Schools that Have Implemented Smoke-Free Policies: In-Depth Exploration of Shared Smoking Patterns
title_full_unstemmed Adolescent Smoking in Secondary Schools that Have Implemented Smoke-Free Policies: In-Depth Exploration of Shared Smoking Patterns
title_short Adolescent Smoking in Secondary Schools that Have Implemented Smoke-Free Policies: In-Depth Exploration of Shared Smoking Patterns
title_sort adolescent smoking in secondary schools that have implemented smoke-free policies: in-depth exploration of shared smoking patterns
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6616619/
https://www.ncbi.nlm.nih.gov/pubmed/31200563
http://dx.doi.org/10.3390/ijerph16122100
work_keys_str_mv AT schreudersmichael adolescentsmokinginsecondaryschoolsthathaveimplementedsmokefreepoliciesindepthexplorationofsharedsmokingpatterns
AT klompmakerloekie adolescentsmokinginsecondaryschoolsthathaveimplementedsmokefreepoliciesindepthexplorationofsharedsmokingpatterns
AT vandenputtebas adolescentsmokinginsecondaryschoolsthathaveimplementedsmokefreepoliciesindepthexplorationofsharedsmokingpatterns
AT kunstantone adolescentsmokinginsecondaryschoolsthathaveimplementedsmokefreepoliciesindepthexplorationofsharedsmokingpatterns