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The effect of school smoke-free policies on smoking stigmatization: A European comparison study among adolescents

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Listed:
  • Pierre-Olivier Robert
  • Adeline Grard
  • Nora Mélard
  • Martin Mlinarić
  • Arja Rimpelä
  • Matthias Richter
  • Anton E Kunst
  • Vincent Lorant

Abstract

The increasing denormalization of smoking by tobacco control policies and a normative smoke-free climate may shift power towards adolescent non-smokers. It is unclear, however, how common stigmatization of smokers is among adolescents or how stigmatization relates to the denormalization of smoking in their school and social environment. This paper aims to measure (1) whether stigmatization among European adolescents varies according to smoking status and socioeconomic position (SES), and (2) whether stigmatization is greater in school environments in which smoking is denormalized (i.e. those with low smoking rates and strong school tobacco policies). Data on 12,991 adolescents were collected in 55 schools in seven European countries (SILNE R-survey, 2016/17). We applied Stuber’s adapted scale of perceived stereotyping and discrimination towards smokers to smoking status and five variables indicating a power shift towards non-smokers: the school’s tobacco control policy (STP) score, the percentage of adolescents in the school who smoke, parents’ level of education, students’ academic performance, and the percentage of their friends who smoke. Multilevel regressions were applied to the global score for perceived stigmatization. Discrimination against smokers and stereotyping of smokers were frequently reported. Smokers reported less ‘perceived stigmatization of smoking’ than non-smokers (Beta = -0.146, p

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  • Pierre-Olivier Robert & Adeline Grard & Nora Mélard & Martin Mlinarić & Arja Rimpelä & Matthias Richter & Anton E Kunst & Vincent Lorant, 2020. "The effect of school smoke-free policies on smoking stigmatization: A European comparison study among adolescents," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-15, July.
    • Handle: RePEc:plo:pone00:0235772
    DOI: 10.1371/journal.pone.0235772
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    References listed on IDEAS

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    3. Wiehe, S.E. & Aalsma, M.C. & Liu, G.C. & Fortenberry, J.D. & Stultz, L., 2010. "Gender differences in the association between perceived discrimination and adolescent smoking," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 510-516.
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    2. Laura Arhiri & Mihaela A. Gherman & Andrei C. Holman, 2022. "A Person-Centered Approach to Moralization—The Case of Vaping," IJERPH, MDPI, vol. 19(9), pages 1-14, May.

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