Tobacco and Public Health - TCSC Indonesia

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ADOLESCENT SMOKING
regularly at school (Hill and Borland 1991). The implementation and enforcement of
smoke-free school policies limits the opportunity for teens to smoke. Further, the existence
and enforcement of these policies promote norms against smoking as an acceptable
behavior for everyone, including teachers, who are important role models for
adolescents. Finally, antismoking curricula can provide vital information on the health
dangers and the addictive nature of cigarettes.
For decades, schools have played a central role in educational efforts aimed at smoking
prevention (USDHHS 1989, 1994; Hansen 1992; Glynn 1993). It is recognized that
such programs have the best chance of success in the setting of comprehensive community-based
tobacco control programs (Glynn 1993). If tobacco policies are not consistently
enforced in schools, they can convey a mixed message to students (Bowen et al.
1995). However, Pentz et al. (1989) showed that, when consistently enforced and
coupled with cessation education, school-smoking policies are associated with
decreased smoking prevalence among adolescents.
By the time adolescents have reached high school, students routinely have had smoking
prevention education classes that discuss the health dangers of smoking. The level
of smoking experience of the adolescent is associated with how effective they perceive
these classes to be. In California, a majority of adolescents who have smoked do not
credit the classes with influencing their peers against smoking (Gilpin et al. 2001).
Therefore, such classes likely have minimal personal impact as well.
Compliance with smoke-free school policies is associated with decreased levels of
exposure to smoking at school, including teachers’ smoking and increased levels of
students who think that the classes on the health effects of smoking are effective.
General acceptance of school smoking bans for everyone at school may be a factor in
reducing adolescent smoking.
References
Bauer, U. E., Johnson, T. M., Hopkins, R. S., and Brooks, R. G. (2000). Changes in youth cigarette
use and intentions following implementation of a tobacco control program: Findings from the
Florida Youth Tobacco Survey, 1998–2000. JAMA, 284, 723–8.
Bauman, K. E., Fisher, L. A., Bryan, E. S., and Chenoweth, R. L. (1984). Antecedents, subjective
expected utility and behavior: A panel study of adolescent cigarette smoking. Addict. Behav., 9,
121–36.
Baumrind, D. (1978). Parental disciplinary patterns and social competence in children. Youth and
Society, 9, 239–75.
Biener, L. and Siegel, M. (2000). Tobacco marketing and adolescent smoking: More support for a
causal inference. Am. J.Pub. Health, 90, 407–11.
Brown, B. (1990). Peer groups. In: At the threshold: the developing adolescent (ed. S. Feldman and
G. Elliott). Harvard University Press, Cambridge, MA, pp. 171–96.
Brown, B. B., Mounts, N., Lamborn, S. D., and Steinberg, L. (1993). Parenting practices and peer
group affiliation in adolescence. Child Development, 64, 467–82.
Bowen, D. J., Kinne, S., and Orlandi, M. (1995). School policy in COMMIT: A promising strategy to
reduce smoking by youth. J. School Health, 65, 140–4.