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

Author

Listed:
  • Naomi A. Lagerweij

    (University of Amsterdam
    Trimbos Institute)

  • Mirte A. G. Kuipers

    (University of Amsterdam)

  • Michael Schreuders

    (University of Amsterdam)

  • Adeline Grard

    (Université catholique de Louvain)

  • Martin Mlinarić

    (Martin Luther University Halle-Wittenberg)

  • Matthias Richter

    (Martin Luther University Halle-Wittenberg)

  • Teresa Leão

    (NOVA University of Lisbon)

  • Jaana M. Kinnunen

    (Tampere University)

  • Anton E. Kunst

    (University of Amsterdam)

Abstract

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.

Suggested Citation

  • Naomi A. Lagerweij & Mirte A. G. Kuipers & Michael Schreuders & Adeline Grard & Martin Mlinarić & Matthias Richter & Teresa Leão & Jaana M. Kinnunen & Anton E. Kunst, 2019. "The visibility of smoking in Europe and its relationship with youth’s positive beliefs about smoking," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(9), pages 1335-1344, December.
  • Handle: RePEc:spr:ijphth:v:64:y:2019:i:9:d:10.1007_s00038-019-01288-z
    DOI: 10.1007/s00038-019-01288-z
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    References listed on IDEAS

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    1. Song, A.V. & Morrell, H.E.R. & Cornell, J.L. & Ramos, M.E. & Biehl, M. & Kropp, R.Y. & Halpern-Felsher, B.L., 2009. "Perceptions of smoking-related risks and benefits as predictors of adolescent smoking initiation," American Journal of Public Health, American Public Health Association, vol. 99(3), pages 487-492.
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    Cited by:

    1. Martin Mlinarić & Sabrina Kastaun & Daniel Kotz, 2022. "Exposure to Tobacco Smoking in Vehicles, Indoor, and Outdoor Settings in Germany: Prevalence and Associated Factors," IJERPH, MDPI, vol. 19(7), pages 1-11, March.

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