Current smoking among young adolescents: assessing school based contextual norms

Objective: To extend research on the relation of school based contextual norms to current smoking among adolescents by using three analytic techniques to test for contextual effects. It was hypothesised that significant contextual effects would be found in all three models, but that the strength of these effects would vary by the statistical rigor of the model. Design: Three separate analytic approaches were conducted on baseline self report student survey data from a larger study to test the relation between school level perceived peer tobacco use and individual current smoking status. Participants: A representative sample of 5399 sixth through eighth grade students in 14 midwestern middle schools completed the survey. All enrolled sixth through eighth grade students were eligible to participate in the survey. The student participation rate was 91.4% for the entire sample, and did not differ significantly between the schools (range 82–100%). Main outcome measure: Thirty day cigarette smoking prevalence. Results: A level 2 only model based on aggregated individual responses indicated that students in schools with higher average reported peer tobacco use were more likely to be current smokers than students in schools with lower average peer tobacco use. Using a level 1 only model based on individual responses indicated that the effect of school level perceived peer tobacco use on current smoking was significant when individual perceived peer tobacco use was excluded from the model but was non-significant when individual perceived peer tobacco use was added to the model. A multilevel model also indicated that the effect of school level perceived peer tobacco use on current smoking was not significant when individual perceived peer tobacco use was added to the model. Conclusion: The analytic approach used to examine contextual effects using individuals’ reports of peer tobacco use norms that were aggregated to obtain a context measure of the school norms may produce statistical artefacts that distort the association of the school context in general, and peer tobacco use norms in particular, with increased risk for current smoking beyond the risk associated with individual factors.

[1]  G. K. James.  Toward an Ecological Conception of Preventive Interventions , 2006 .

[2]  R. Dodhia.  A Review of Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences (3rd ed.) , 2005 .

[3]  R. Moos.  Social Contexts: Transcending Their Power and Their Fragility , 2003, American journal of community psychology.

[4]  M. Schoeny,et al.  Evaluating the effects of enforcements and fines on youth smoking , 2003 .

[5]  L. Jason,et al.  Preventing Youth Access to Tobacco , 2002 .

[6]  L. Johnston,et al.  Effects of School-Level Norms on Student Substance Use , 2002, Prevention Science.

[7]  K. Bauman,et al.  Trends in parent and friend influence during adolescence: the case of adolescent cigarette smoking. , 2001, Addictive behaviors.

[8]  Dianne C Barker,et al.  Effect of restrictions on smoking at home, at school, and in public places on teenage smoking: cross sectional study , 2000, BMJ : British Medical Journal.

[9]  C. Anderson,et al.  Patterns of adolescent smoking initiation rates by ethnicity and sex , 2000, Tobacco control.

[10]  Yuk Fai Cheong,et al.  HLM 6: Hierarchical Linear and Nonlinear Modeling , 2000 .

[11]  J. Unger,et al.  Attitudes toward anti-tobacco policy among California youth: associations with smoking status, psychosocial variables and advocacy actions. , 1999, Health education research.

[12]  F. Chaloupka,et al.  Sex and race differences in young people's responsiveness to price and tobacco control policies , 1999, Tobacco control.

[13]  L. Johnston,et al.  The epidemiology of alcohol, tobacco and other drug use among black youth. , 1999, Journal of studies on alcohol.

[14]  C. Husten,et al.  Initiation of cigarette smoking and subsequent smoking behavior among U.S. high school students. , 1999, Preventive medicine.

[15]  E. Gilpin,et al.  How many adolescents start smoking each day in the United States? , 1999, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[16]  E. Trickett,et al.  Adolescent Substance Use: Preliminary Examinations of School and Neighborhood Context , 1999, American journal of community psychology.

[17]  L. Pederson,et al.  Psychosocial factors related to adolescent smoking: a critical review of the literature , 1998, Tobacco Control.

[18]  Judith D. Singer,et al.  Using SAS PROC MIXED to Fit Multilevel Models, Hierarchical Models, and Individual Growth Models , 1998 .

[19]  L. Renaud,et al.  One-year predictors of smoking initiation and of continued smoking among elementary schoolchildren in multiethnic, low-income, inner-city neighbourhoods , 1998, Tobacco control.

[20]  C. Jackson,et al.  Initial and experimental stages of tobacco and alcohol use during late childhood: relation to peer, parent, and personal risk factors. , 1997, Addictive behaviors.

[21]  S. Ennett,et al.  School and neighborhood characteristics associated with school rates of alcohol, cigarette, and marijuana use. , 1997, Journal of health and social behavior.

[22]  N. Breslau,et al.  Smoking cessation in young adults: age at initiation of cigarette smoking and other suspected influences. , 1996, American journal of public health.

[23]  E. Wagner,et al.  Selection Bias Related To Parental Consent in School-Based Survey Research , 1995 .

[24]  B. Rockhill,et al.  Cigarette smoking trends in adolescents and young adults: the Stanford Five-City Project. , 1993, Preventive medicine.

[25]  P J Bush,et al.  Perceived vs. actual friends' use of alcohol, cigarettes, marijuana, and cocaine: Which has the most influence? , 1992, Journal of youth and adolescence.

[26]  K. Hein,et al.  Adolescents at Risk: Prevalence and Prevention , 1991 .

[27]  S. Clayton,et al.  Gender differences in psychosocial determinants of adolescent smoking. , 1991, The Journal of school health.

[28]  R. Weisheit,et al.  Sample Bias Resulting from a Requirement for Written Parental Consent , 1983 .

[29]  C. Anderson.  The Search for School Climate: A Review of the Research , 1982 .

[30]  Jacob Cohen,et al.  Applied multiple regression/correlation analysis for the behavioral sciences , 1979 .

[31]  L. Riha.  Preventing Youth Access to Tobacco , 2005 .

[32]  Robert E. Schiller,et al.  TO: Illinois State Board of Education , 2003 .

[33]  Roel Bosker,et al.  Multilevel analysis : an introduction to basic and advanced multilevel modeling , 1999 .

[34]  Incidence of initiation of cigarette smoking--United States, 1965-1996. , 1998, MMWR. Morbidity and mortality weekly report.

[35]  A. Blum,et al.  Tobacco Use Among U.S. Racial/Ethnic Minority Groups-African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Hispanics: A Report of the Surgeon General , 1998 .

[36]  R. Bonnie,et al.  Growing up Tobacco Free: Preventing Nicotine Addiction in Children and Youths , 1994 .

[37]  J. Koplan,et al.  Preventing tobacco use among young people. A report of the Surgeon General. Executive summary. , 1994, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.

[38]  Mary A. Linzer,et al.  Effect of parental smoking classification on the association between parental and adolescent smoking. , 1990, Addictive behaviors.

[39]  S. Schinke,et al.  Preventing tobacco use among young people. , 1986, Health & social work.

[40]  H. Severson,et al.  Sampling bias due to consent procedures with adolescents. , 1983, Addictive behaviors.

[41]  H. White.  Maximum Likelihood Estimation of Misspecified Models , 1982 .

[42]  U. Bronfenbrenner.  Toward an Experimental Ecology of Human Development. , 1977 .

[43]  J. W. Carter.  Research contributions from psychology to community mental health , 1968 .