251654 Determinants of adolescents' (11-17 years) support for smoke-free policies globally

Monday, October 31, 2011

Sreenivas P. Veeranki, MD, MPH , Department of Biostatistics and Epidemiology, East Tennessee State University, Johnson City, TN
Hadii Mamudu, PhD, MPA , Department of Health Services Administration, East Tennessee State University, Johnson City, TN
Background: While smoke-free policies (SFPs) gain importance in developed countries, developing countries lag behind, especially in reducing smoking among adolescents. This research study delineates the determinants of adolescents' support for SFPs in the Global Youth Tobacco Survey (GYTS), which addresses the issue. Methods: A multivariate logistic regression analysis was conducted to analyze the GYTS data collected from youth aged 11-17 years (1999-2007). The analysis examined relationships between support for SFPs and individual measures related to smoking status, parental and peer smoking, exposure to secondhand smoke (SHS) and tobacco promotions, controlling for demographic factors. Results: Approximately 74% of 1,259,765 youth favored SFPs. The support for SFPs significantly increased by being an ever-smoker (OR 1.08, 95% CI 1.07-1.10), having knowledge about smoke harm (OR 2.60, 95% CI 2.58-2.63), exposed to smoking in and around homes (OR 1.16, 95% CI 1.14-1.17) and countermarketing (OR 1.02, 95% 1.01-1.03), and school anti-smoking curriculum (OR 1.49, 95% 1.47-1.51). Current smoking (OR 0.39, 95% CI 0.38-0.40), susceptibility to peer smoking (OR 0.52, 95% CI 0.51-0.53) and exposure to tobacco promotions (OR 0.72. 95% CI 0.701-0.73) were negatively associated. Conclusions: Findings suggest that while education about effects of tobacco use and exposure to SHS should be integrated into school curricula, compliance with SFPs by adolescents around the world could be enhanced when they are favored by them, which could be elicited by an environment where smoking among boys and girls is less attractive and socially acceptable, and also restricting or prohibiting tobacco industry advertising and promotions.

Learning Areas:
Public health or related research

Learning Objectives:
1) Analyze the adolescentsí support for smoke-free policies globally. 2)Identify the key determinants of adolescentsí support for smoke-free policies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a member of Delta Omega Honor Society.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.