Home > Smoking cessation among adolescents in Europe: The role of school policy and programmes.

Mertens, Aukje E J and Kunst, Anton E and Lorant, Vincent and Alves, Joana and Rimpelä, Arja and Clancy, Luke and Kuipers, Mirte A G (2021) Smoking cessation among adolescents in Europe: The role of school policy and programmes. Drug and Alcohol Dependence, 227, p. 108945. https://doi.org/10.1016/j.drugalcdep.2021.108945.

European estimates of adolescent smoking cessation are lacking and studies on the role of schools in quit behaviour are scarce. We aimed to describe smoking cessation attempts and success among adolescents in Europe and explored the association with school policy and programmes.

We used cross-sectional data from the 2013 and 2016-2017 surveys of the European SILNE and SILNE-R projects. We included 4,509 12-19-year-old current or ex-smokers in 67 secondary schools in seven countries (Belgium, Germany, Finland, Ireland, Italy, the Netherlands, and Portugal). School staff reported strength of smoke-free school policies (SFSPs), proportion of grades in which anti-tobacco education was offered, and whether the school offered any form of cessation support programme. Multilevel logistic regression analysis determined school-level variation and the association of school-level and individual-level variables with self-reported and self-defined quit attempts and quit success.

Over three quarters (77.3%) of students reported a quit attempt and half of them (50.1%) reported quit success. Prevalence rates of quit success and quit attempts, showed relatively small variations between schools within countries. Associations of smoke-free school policy, tobacco educational programmes and cessation programmes with quit attempts and quit success could not be demonstrated with statistical significance. Quit attempts and quit success were inversely associated with alcohol use, parental smoking, and friend smoking.

This study demonstrates that adolescence is an important time to encourage quitting and to support quit attempts. We did not find evidence for a contribution of school policies and programmes to quit behaviour of adolescent smokers.

Item Type
Publication Type
Irish-related, International, Article
Drug Type
Tobacco / Nicotine
Intervention Type
Prevention, Harm reduction
1 October 2021
Identification #
Page Range
p. 108945
Elsevier Science
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