This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Leatherdale, S. T. Articles by Manske, S. Search for Related Content PubMed PubMed Citation Articles by Leatherdale, S. T. Articles by Manske, S.

The Relationship Between Student Smoking in the School Environment and Smoking Onset in Elementary School Students

¹ Division of Preventive Oncology, Cancer Care Ontario Toronto, Ontario, Canada; ² Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada; ³ Department of Health Studies and Gerontology, University of Waterloo, Waterloo, Ontario, Canada; and ⁴ Centre for Behavioural Research and Program Evaluation, National Cancer Institute of Canada, Canadian Cancer Society, Waterloo, Ontario, Canada

Requests for reprints: Scott T. Leatherdale, Division of Preventive Oncology, Cancer Care Ontario, 620 University Avenue, Toronto ON, Canada M5G 2L7. Phone: 416-971-9800, ext. 1237; Fax: 416-971-7554. E-mail: scott.leatherdale{at}cancercare.on.ca

This study examined how perceptions of student smoking in the school environment and the actual smoking rate among senior students at a school are related to smoking onset. Multilevel logistic regression analysis was used to examine correlates of ever smoking in a sample of 4,286 grade 6 and 7 students from 57 elementary schools in Ontario, Canada. Students are at increased risk for smoking if they (a) often see students smoking near their school, (b) report that students at their school smoke where they are not allowed, and (c) attend a school with a relatively high senior student smoking rate. Each 1% increase in the smoking rate among grade 8 students increased the odds that a student in grades 6 or 7 was an ever smoker versus never smoker (odds ratio, 1.05; 95% confidence interval, 1.02-1.08). A low-risk student (no family or friends who smoke) was over twice as likely to try smoking if he/she attended a high-risk school. Prevention programs should target both at-risk schools and at-risk students, and strongly enforced policies preventing students from smoking on or near school property should be implemented.

This article has been cited by other articles:

				S. T. Leatherdale, S. Manske, S. L. Wong, and R. Cameron Integrating Research, Policy, and Practice in School-Based Physical Activity Prevention Programming: The School Health Action, Planning, and Evaluation System (SHAPES) Physical Activity Module Health Promot Pract, April 1, 2009; 10(2): 254 - 261. [Abstract] [PDF]

				P. E. Bidstrup, K. Frederiksen, V. Siersma, E. L. Mortensen, L. Ross, M. Vinther-Larsen, M. Gronbaek, and C. Johansen Social-Cognitive and School Factors in Initiation of Smoking among Adolescents: A Prospective Cohort Study Cancer Epidemiol. Biomarkers Prev., February 1, 2009; 18(2): 384 - 392. [Abstract] [Full Text] [PDF]

				D. A. Murnaghan, S. T. Leatherdale, M. Sihvonen, and P. Kekki A multilevel analysis examining the association between school-based smoking policies, prevention programs and youth smoking behavior: evaluating a provincial tobacco control strategy Health Educ. Res., December 1, 2008; 23(6): 1016 - 1028. [Abstract] [Full Text] [PDF]

				C. Y. Lovato, C. M. Sabiston, V. Hadd, C. I. J. Nykiforuk, and H. S. Campbell The impact of school smoking policies and student perceptions of enforcement on school smoking prevalence and location of smoking Health Educ. Res., December 1, 2007; 22(6): 782 - 793. [Abstract] [Full Text] [PDF]

				K. Lee, E. J. Hahn, C. A. Riker, A. Hoehne, A. White, D. Greenwell, and D. Thompson Secondhand Smoke Exposure in a Rural High School The Journal of School Nursing, August 1, 2007; 23(4): 222 - 228. [Abstract] [Full Text] [PDF]

				R. Cameron, S. Manske, K. S. Brown, M. A. Jolin, D. Murnaghan, and C. Lovato Integrating Public Health Policy, Practice, Evaluation, Surveillance, and Research: The School Health Action Planning and Evaluation System Am J Public Health, April 1, 2007; 97(4): 648 - 654. [Abstract] [Full Text] [PDF]