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J Adolesc Health. 2005 Oct;37(4):330-6.

Social modeling in the school environment, student characteristics, and smoking susceptibility: a multi-level analysis.

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1
Division of Preventive Oncology, Cancer Care Ontario, Toronto, Ontario, Canada. scott.leatherdale@cancercare.on.ca

Abstract

PURPOSE:

To examine how social models in the school environment and individual student characteristics are related to smoking susceptibility.

METHODS:

Using data from the School Smoking Profile Project, multi-level logistic regression analysis was used to identify school and student characteristics related to smoking susceptibility among 6679 never smokers from 29 secondary schools in Ontario, Canada.

RESULTS:

If a nonsmoking student attended a school where there was student smoking on the school periphery, he or she was less likely to be susceptible to smoking (OR 0.71, 95% CI 0.57-0.89). A significant contextual interaction between the smoking on the school periphery and friends' disapproval of smoking was identified (beta = 0.68 [0.23], p < .01]; students with friends who disapprove of smoking were more likely to be susceptible to smoking if they attended a school with student smoking on the school periphery.

CONCLUSION:

Nonsmoking students who attend a school with student smoking on the school periphery are at an increased risk for being susceptible to smoking if they have friends who disapprove of smoking. Future school-based smoking prevention programs might benefit from targeting both individual students and entire schools with programming activities.

[Indexed for MEDLINE]

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