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Smoking and school absenteeism among 15- to 16-year-old adolescents: a cross-section analysis on 36 European countries

BACKGROUND: Schools have a crucial role to play in preventing youth smoking. However, the well-known long-term health consequences of youth smoking may be insufficient to convince education stakeholders to devote efforts to implement school-based programmes. However, if youth smoking were to have sh...

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Autores principales: Perelman, Julian, Leão, Teresa, Kunst, Anton E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660109/
https://www.ncbi.nlm.nih.gov/pubmed/31168621
http://dx.doi.org/10.1093/eurpub/ckz110
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author Perelman, Julian
Leão, Teresa
Kunst, Anton E.
author_facet Perelman, Julian
Leão, Teresa
Kunst, Anton E.
author_sort Perelman, Julian
collection PubMed
description BACKGROUND: Schools have a crucial role to play in preventing youth smoking. However, the well-known long-term health consequences of youth smoking may be insufficient to convince education stakeholders to devote efforts to implement school-based programmes. However, if youth smoking were to have short-term consequences, this evidence could prompt education stakeholders’ action. In this article, we investigate the link between smoking and school absenteeism. METHODS: We used data from the 2011 wave of the European School Survey Project on Alcohol and Other Drugs, on adolescents aged 15–16. We applied logistic models to assess the risk of more than 3 missed school days, by cause, as function of smoking intensity, adjusting for age, sex, socioeconomic status, academic performance, parental involvement and other risk behaviours (alcohol and cannabis consumption). Consistency was assessed by replicating the analyses for each sex and age group and further adjusting for depression and self-esteem. RESULTS: Smoking more than five cigarettes per day was significantly linked to school absenteeism, with a 55% excess risk of missing more than 3 school days per month due to illness (OR = 1.55, 95% CI 1.46–1.64), and a more than two times excess risk due to skipping (OR = 2.29; 95% CI 2.16–2.43). These findings were consistent across age and sex groups. CONCLUSION: We observed an association between smoking intensity and absenteeism among youth in Europe. This implies that, to the extent that this association is causal, school tobacco control policies may reduce the short-term consequences of smoking on adolescents’ education and health.
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spelling pubmed-66601092019-08-02 Smoking and school absenteeism among 15- to 16-year-old adolescents: a cross-section analysis on 36 European countries Perelman, Julian Leão, Teresa Kunst, Anton E. Eur J Public Health Smoking BACKGROUND: Schools have a crucial role to play in preventing youth smoking. However, the well-known long-term health consequences of youth smoking may be insufficient to convince education stakeholders to devote efforts to implement school-based programmes. However, if youth smoking were to have short-term consequences, this evidence could prompt education stakeholders’ action. In this article, we investigate the link between smoking and school absenteeism. METHODS: We used data from the 2011 wave of the European School Survey Project on Alcohol and Other Drugs, on adolescents aged 15–16. We applied logistic models to assess the risk of more than 3 missed school days, by cause, as function of smoking intensity, adjusting for age, sex, socioeconomic status, academic performance, parental involvement and other risk behaviours (alcohol and cannabis consumption). Consistency was assessed by replicating the analyses for each sex and age group and further adjusting for depression and self-esteem. RESULTS: Smoking more than five cigarettes per day was significantly linked to school absenteeism, with a 55% excess risk of missing more than 3 school days per month due to illness (OR = 1.55, 95% CI 1.46–1.64), and a more than two times excess risk due to skipping (OR = 2.29; 95% CI 2.16–2.43). These findings were consistent across age and sex groups. CONCLUSION: We observed an association between smoking intensity and absenteeism among youth in Europe. This implies that, to the extent that this association is causal, school tobacco control policies may reduce the short-term consequences of smoking on adolescents’ education and health. Oxford University Press 2019-08 2019-06-05 /pmc/articles/PMC6660109/ /pubmed/31168621 http://dx.doi.org/10.1093/eurpub/ckz110 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contactjournals.permissions@oup.com
spellingShingle Smoking
Perelman, Julian
Leão, Teresa
Kunst, Anton E.
Smoking and school absenteeism among 15- to 16-year-old adolescents: a cross-section analysis on 36 European countries
title Smoking and school absenteeism among 15- to 16-year-old adolescents: a cross-section analysis on 36 European countries
title_full Smoking and school absenteeism among 15- to 16-year-old adolescents: a cross-section analysis on 36 European countries
title_fullStr Smoking and school absenteeism among 15- to 16-year-old adolescents: a cross-section analysis on 36 European countries
title_full_unstemmed Smoking and school absenteeism among 15- to 16-year-old adolescents: a cross-section analysis on 36 European countries
title_short Smoking and school absenteeism among 15- to 16-year-old adolescents: a cross-section analysis on 36 European countries
title_sort smoking and school absenteeism among 15- to 16-year-old adolescents: a cross-section analysis on 36 european countries
topic Smoking
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660109/
https://www.ncbi.nlm.nih.gov/pubmed/31168621
http://dx.doi.org/10.1093/eurpub/ckz110
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