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Int. J. Environ. Res. Public Health 2010, 7(3), 698-710; doi:10.3390/ijerph7030698

The Impact of School Tobacco Policies on Student Smoking in Washington State, United States and Victoria, Australia

1,* , 2
1 Centre for Adolescent Health, Murdoch Childrens Research Institute, 2 Gatehouse Street, Parkville, Vic, 3052, Australia 2 Social and Public Health Sciences Unit, Medical Research Council, 4 Lilybank Gardens, Glasgow, G12 8RZ, UK 3 Clinical and Epidemiological Biostatistics Unit, Murdoch Childrens Research Institute, Royal Children’s Hospital, Parkville, Vic, 3052, Australia 4 School of Psychology, Deakin University, Geelong Waterfront Campus, Geelong Vic, 3217, Australia 5 Social Development Research Group, School of Social Work, University of Washington, 9725 3rd Avenue NE, Seattle, WA 98115, USA
* Author to whom correspondence should be addressed.
Received: 22 December 2009 / Accepted: 23 February 2010 / Published: 26 February 2010
(This article belongs to the Special Issue Smoking and Tobacco Control)
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This paper measures tobacco polices in statewide representative samples of secondary and mixed schools in Victoria, Australia and Washington, US (N = 3,466 students from 285 schools) and tests their association with student smoking. Results from confounder-adjusted random effects (multi-level) regression models revealed that the odds of student perception of peer smoking on school grounds are decreased in schools that have strict enforcement of policy (odds ratio (OR) = 0.45; 95% CI: 0.25 to 0.82; p = 0.009). There was no clear evidence in this study that a comprehensive smoking ban, harsh penalties, remedial penalties, harm minimization policy or abstinence policy impact on any of the smoking outcomes.
Keywords: schools; tobacco policy; tobacco smoking schools; tobacco policy; tobacco smoking
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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Evans-Whipp, T.J.; Bond, L.; Ukoumunne, O.C.; Toumbourou, J.W.; Catalano, R.F. The Impact of School Tobacco Policies on Student Smoking in Washington State, United States and Victoria, Australia. Int. J. Environ. Res. Public Health 2010, 7, 698-710.

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