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Do Restrictions on Smoking at Home, at School and in Public Places Influence Teenage Smoking? Melanie A. Wakefield, University of Illinois, Chicago Frank J. Chaloupka, University of Illinois, Chicago Nancy J. Kaufman, Robert Wood Johnson Foundation C. Tracy Orleans, Robert Wood Johnson Foundation Dianne C. Barker, Barker Bi-Coastal Health Consultants Erin E. Ruel, University of Illinois, Chicago
ABSTRACT: Objectives - To determine the relationship between extent of restrictions on smoking at
home, at school and in public places, and smoking uptake, smoking prevalence and
monthly cigarette consumption by school students.
Design - Cross-sectional survey with merged records of extent of restrictions on smoking
in public places.
Setting – United States.
Participants – 17,287 high school students.
Main outcome measures – Five-point scale of smoking uptake; 30-day smoking
prevalence; monthly cigarette consumption among current smokers.
Results – More restrictive arrangements on smoking at home were associated with a
greater likelihood of being in an earlier stage of smoking uptake (p<.05), lower 30-day
prevalence (p<.001) and reduced monthly cigarette consumption (p<.001). These
findings applied even where parents were smokers. More pervasive restrictions on
smoking in public places were associated with a higher probability of being in a earlier
stage of smoking uptake (p<.05), lower 30-day prevalence (p<.05), but not reduced
consumption. School smoking bans were only related to a greater likelihood of being in
an earlier stage of smoking uptake (p<.05), lower prevalence (p<.001) and reduced
consumption (p<.006), when the ban was strongly enforced, as measured by instances
when teenagers perceived that most or all students obeyed the rule.
Conclusions - These findings suggest that restrictions on smoking at home, more
extensive bans on smoking in public places and enforced bans on smoking at school may
reduce teenage smoking. SUGGESTED CITATION:
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