The visibility of smoking in Europe and its relationship with youth’s positive beliefs about smoking

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 student...

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Bibliographic Details
Main Author: Lagerweij, Naomi A. (author)
Other Authors: Kuipers, Mirte A.G. (author), Schreuders, Michael (author), Grard, Adeline (author), Mlinarić, Martin (author), Richter, Matthias (author), Leão, Teresa (author), Kinnunen, Jaana M. (author), Kunst, Anton E. (author)
Format: article
Language:eng
Published: 2019
Subjects:
Online Access:https://doi.org/10.1007/s00038-019-01288-z
Country:Portugal
Oai:oai:run.unl.pt:10362/83063
Description
Summary: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.