TY - JOUR
T1 - Student perceptions of smoke-free school policies in Europe–a critical discourse analysis
AU - Hewer, Rebecca M. F.
AU - Hill, Sarah
AU - Amos, Amanda
AU - SILNE-R consortium
AU - Kunst, Anton E.
AU - Schreuders, Michael
AU - Clancy, Luke
AU - Breslin, Elisabeth
AU - Kinnunen, Jaana M.
AU - Alves, Joana
AU - Leao, Teresa
AU - Mlinaric, Martin
AU - Hoffmann, Laura
N1 - Funding Information: This work was supported by the European Commission Horizon2020 program [635056]; Wellcome Trust [209519/Z/17/Z]. We thank the schools and students who participated in the focus groups, Irene Miller and Natalie Papanastasiou who were involved in the workshop training, and our SILNE-R colleagues who facilitated focus groups and translated the transcripts into English. Publisher Copyright: © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2022
Y1 - 2022
N2 - Smoke-Free School Policies (SFSP) are primarily designed to ensure educational spaces remain free of second-hand smoke, whilst contributing to a reduction in adolescent smoking by challenging the practice per se. Evidence regarding the latter goal is inconclusive, however, with most studies suggesting SFSPs are ineffective in reducing smoking prevalence. A dearth of qualitative research limits our understanding of why this inefficacy persists and how it might be addressed. This paper addresses this lacuna through a critical discursive analysis of data from 56 focus groups, generated with adolescents across 17 schools in seven European cities. It reveals that, while smoking is banned on school premises in most European countries, young people experience wide variation in implementation. Despite this, participants framed SFSPs in remarkably similar ways. Among young people most likely to smoke, representations of SFSPs often undermined their efficacy, leading to the displacement of smoking (outside the school grounds) rather than a reduction in prevalence. We argue that, policy effectiveness could be improved if schools worked collaboratively with students to develop positive collective beliefs and understandings about SFSPs, but caution realism about the potentially limited power of schools to reduce adolescent smoking prevalence.
AB - Smoke-Free School Policies (SFSP) are primarily designed to ensure educational spaces remain free of second-hand smoke, whilst contributing to a reduction in adolescent smoking by challenging the practice per se. Evidence regarding the latter goal is inconclusive, however, with most studies suggesting SFSPs are ineffective in reducing smoking prevalence. A dearth of qualitative research limits our understanding of why this inefficacy persists and how it might be addressed. This paper addresses this lacuna through a critical discursive analysis of data from 56 focus groups, generated with adolescents across 17 schools in seven European cities. It reveals that, while smoking is banned on school premises in most European countries, young people experience wide variation in implementation. Despite this, participants framed SFSPs in remarkably similar ways. Among young people most likely to smoke, representations of SFSPs often undermined their efficacy, leading to the displacement of smoking (outside the school grounds) rather than a reduction in prevalence. We argue that, policy effectiveness could be improved if schools worked collaboratively with students to develop positive collective beliefs and understandings about SFSPs, but caution realism about the potentially limited power of schools to reduce adolescent smoking prevalence.
KW - Adolescents
KW - qualitative
KW - school
KW - smoke-free policy
UR - http://www.scopus.com/inward/record.url?scp=85098213104&partnerID=8YFLogxK
U2 - https://doi.org/10.1080/09581596.2020.1856332
DO - https://doi.org/10.1080/09581596.2020.1856332
M3 - Article
SN - 0958-1596
VL - 32
SP - 509
EP - 522
JO - Critical public health
JF - Critical public health
IS - 4
ER -