TY - JOUR
T1 - The visibility of smoking in Europe and its relationship with youth’s positive beliefs about smoking
AU - Lagerweij, Naomi A.
AU - Kuipers, Mirte A. G.
AU - Schreuders, Michael
AU - Grard, Adeline
AU - Mlinarić, Martin
AU - Richter, Matthias
AU - Leão, Teresa
AU - Kinnunen, Jaana M.
AU - Kunst, Anton E.
PY - 2019/12
Y1 - 2019/12
N2 - Objectives: To determine adolescent-reported visibility of smoking in different public and private spaces in Europe and associations between smoking visibility and beliefs about the benefits of smoking. Methods: We used SILNE-R cross-sectional survey data (2016/2017) of 10,798 14–16-year-old students from 55 secondary schools in seven European cities. Respondents reported for private and public spaces whether they had seen others smoke there in the last 6 months. Beliefs about the benefits of smoking were measured on a 7-item scale; higher scores indicated more positive beliefs. Multilevel linear regression analyses determined associations while controlling for potential confounders and stratifying by smoking status. Results: Most students reported observing others smoke in public spaces, especially at train/bus stations (84%). Positive beliefs about smoking of never smokers were positively associated with seeing others smoke in train/bus stations and leisure/sports facilities, but not at home, a friend’s home, restaurants or bars, when fully adjusted. Associations were of similar magnitude for ever smokers. Conclusions: Smoking in several public places is highly visible to adolescents. Reducing this visibility might weaken positive beliefs that adolescents have about smoking.
AB - Objectives: To determine adolescent-reported visibility of smoking in different public and private spaces in Europe and associations between smoking visibility and beliefs about the benefits of smoking. Methods: We used SILNE-R cross-sectional survey data (2016/2017) of 10,798 14–16-year-old students from 55 secondary schools in seven European cities. Respondents reported for private and public spaces whether they had seen others smoke there in the last 6 months. Beliefs about the benefits of smoking were measured on a 7-item scale; higher scores indicated more positive beliefs. Multilevel linear regression analyses determined associations while controlling for potential confounders and stratifying by smoking status. Results: Most students reported observing others smoke in public spaces, especially at train/bus stations (84%). Positive beliefs about smoking of never smokers were positively associated with seeing others smoke in train/bus stations and leisure/sports facilities, but not at home, a friend’s home, restaurants or bars, when fully adjusted. Associations were of similar magnitude for ever smokers. Conclusions: Smoking in several public places is highly visible to adolescents. Reducing this visibility might weaken positive beliefs that adolescents have about smoking.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85071767512&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31486855
U2 - https://doi.org/10.1007/s00038-019-01288-z
DO - https://doi.org/10.1007/s00038-019-01288-z
M3 - Article
C2 - 31486855
SN - 1661-8556
VL - 64
SP - 1335
EP - 1344
JO - International journal of public health
JF - International journal of public health
IS - 9
ER -