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Association of violence in schools' vicinity and smoking in schools' premises with tobacco use among Brazilian adolescents

Bibliographic Data

ID5225170
AuthorsAlexandra Crispim Boing (0000-0001-7792-4824, Universidade Federal de Santa Catarina), Antonio Fernando Boing (0000-0001-9331-1550, Universidade Federal de Santa Catarina, Brazil; Harvard T.H. Chan School of Public Health, U.S.A.), V Subramanian (0000-0003-2365-4165, Harvard T.H. Chan School of Public Health, U.S.A.)
Year2019
Volume35
Issue12
Pagese00057919-e00057919
Publication date2019-01-01
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00057919
PMID31800782
OpenAlexW2990244304
SciELOS0102-311X2019001405016
LanguageEN
Citations received4
References cited33

This study aims to quantify the overall importance of schools in explaining the individual variance of tobacco use and to test the association between characteristics of the school environment and its vicinity with the experimentation and current use of cigarettes. We analyzed data from 102,072 Brazilian adolescents interviewed in the 2015 National School Health Survey (PeNSE). Multilevel logistic regression models were performed to estimate the between-schools variance and to test the association between school-level variables and the use of tobacco. Violence in the vicinity of the school and presence of teachers or students smoking on school premises were the school-level characteristics. The analyses were adjusted by individual covariates and stratified by gender. Around 12.5% of the individual variance in ever smoking was explained by between-school variation among girls (9.2% among boys). The figures were even higher for current smoking (14.9% girls; 12.2% boys) and current use of other tobacco products (27.7% girls; 17.8% boys). In general, the use of tobacco was associated with the existence of violence in the vicinity of the schools and was higher among students whose schools reported that students and teachers (teachers only for use of other tobacco products among girls) smoke on school premises. Tobacco use on school premises and the safety of the neighborhood where the school is located are associated with some smoking behaviors among adolescents. Such findings reinforce the necessity to effectively consider interventions in the school environment and neighborhood to fight smoking among adolescents

Association (psychology) · Environmental health · Logistic regression · Multilevel model · Population · Psychiatry · Psychological intervention · Public health · Sociology · Statistics · Test (biology) · Tobacco control · Tobacco use · Variance (accounting) · Youth smoking · Demography · Injury Epidemiology and Prevention · Mathematics · Medicine · Psychology · School Health and Nursing Education · Smoking Behavior and Cessation

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Citations per year2
Citation span2024 - 2026 (3)
Highly citedNo

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