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Multi-level influence of school norms on tobacco use in South Africa: an ecometric consideration of group differences

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Abstract

Objectives

Tobacco use has been found to be related to contextual–environmental characteristics. This study focuses on the influence of contextual norms on adolescent smoking behavior with consideration of racial differences.

Methods

Data for this study were derived from the South African Community Epidemiology Network on Drug Use survey. Students (n = 1,277) completed a self-administered questionnaire (available in Afrikaans, Xhosa, and English). School-level aggregate measures were developed from the items: whether they thought smoking was wrong, whether they thought they would be seen as “cool” if they smoked, how many of their closest friends smoked, and whether they had repeated a grade level in school.

Results

The results of this analysis revealed that after controlling for demographic characteristics, aggregate measures of importance for ever smoking were whether there were school norms of perceiving that smoking was not wrong, perceiving that smoking was cool, and high prevalence of having friends who smoke. Recent smoking was only predicted by attendance at schools with increased levels of academic failure. Black South Africans were less likely to ever smoke than Coloured or White.

Conclusions

This study highlights the saliency of both compositional (academic failure) and ecological (collective perceptions about smoking) characteristics in predicting ever and recent smoking. Collective perceptions of smoking in a predominantly Black school were largely negative. These findings can be used to target school norms regarding tobacco use in Cape Town.

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References

  1. Mackay J, Eriksen M, Shafey O (2006) The tobacco atlas, 2nd edn. American Cancer Society, Atlanta

    Google Scholar 

  2. Mackay J, Eriksen M (2002) The tobacco atlas. World Health Organization, Geneva

    Google Scholar 

  3. Peto R, Lopez A (2001) Future worldwide health effects of current smoking patterns. In: Koop CE, Pearson CE, Schwartz MR (eds) Critical issues in global health. Joseey-Bass, San Francisco

    Google Scholar 

  4. Breslau N, Peterson EL (1996) Smoking cessation in young adults: age of initiation of cigarette smoking and other suspected influences. Am J Public Health 86:214–220

    Article  PubMed  CAS  Google Scholar 

  5. Tyas SL, Pederson LL (1998) Psychosocial factors related to adolescent smoking: a critical review of the literature. Tob Control 7:409–420

    Article  PubMed  CAS  Google Scholar 

  6. Ellickson PL, Bird CE, Orlando M, Klein DJ, McCaffrey DF (2003) Social context and adolescent health behavior: Does school-level smoking prevalence affect students’ subsequent smoking behavior? J Health Soc Behav 44:525–535

    Article  PubMed  Google Scholar 

  7. Brook JS, Morojele NK, Brook DW, Rosen Z (2005) Predictors of cigarette use among South African adolescents. Int J Behav Med 12(4):207–217

    Article  PubMed  Google Scholar 

  8. Brook JS, Morojele NK, Brook DW, Zhang C, Whiteman M (2006) Personal, interpersonal, and cultural predictors of stages of cigarette smoking among adolescents in Johannesburg, South Africa. Tob Control 15(Suppl I):i48–i53

    Article  PubMed  Google Scholar 

  9. Cook TD, Herman MR, Phillips M, Settersten RA (2002) Some ways in which neighborhoods, nuclear families, friendship groups, and schools jointly affect changes in early adolescent development. Child Dev 73(4):1289–1309

    Article  Google Scholar 

  10. Scheier LM (2001) Etiologic studies of adolescent drug use: a compendium of data resources and their implications for prevention. J Prim Prev 22:125–168

    Article  Google Scholar 

  11. Hawkins JD, Catalano RF, Miller JY (1992) Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: implications for substance abuse prevention. Psychol Bull 12:64–105

    Article  Google Scholar 

  12. Kumar R, O’Malley PM, Johnston LD, Schulenberg JE, Bachman JG (2002) Effects of school-level norms on student substance use. Prev Sci 3(2):105–124

    Article  PubMed  Google Scholar 

  13. Pokorny SB, Jason LA, Schoeny ME (2004) Current smoking among young adolescents: assessing school based contextual norms. Tob Control 13:301–307

    Article  PubMed  CAS  Google Scholar 

  14. Erbaydar T, Lawrence S, Dagli E, Hayran O, Collishaw NE (2005) Influence of social environment in smoking among adolescents in Turkey. Eur J Pub Health 15(4):404–410

    Article  PubMed  Google Scholar 

  15. Wiium N, Torsheim T, Wold B (2006) Normative processes and adolescents’ smoking behaviour in Norway: a multilevel analysis. Soc Sci Med 62:1810–1818

    Article  PubMed  Google Scholar 

  16. Raudenbush SW, Sampson RJ (1999) Ecometrics: toward a science of assessing ecological settings, with application to the systematic social observation of neighborhoods. Sociol Methodol 29:1–41

    Article  Google Scholar 

  17. King G, Flisher AJ, Mallet R, Graham JW, Lombard C, Rawson T et al (2003) Smoking in Cape Town: community influences on adolescent tobacco use. Prev Med 36:114–123

    Article  PubMed  Google Scholar 

  18. Townsend L, Flisher AJ, Gilreath T, King G (2006) A systematic review of tobacco use among sub-Saharan African youth. J Subst Use 11(4):245–269

    Article  Google Scholar 

  19. Flisher AJ, Parry CD, Evans J, Muller M, Lombard CF (2003) Substance use in Cape Town, South Africa: prevalence rates and correlates. J Adolesc Health 32:58–65

    Article  PubMed  Google Scholar 

  20. King G (1997) The “race” concept in smoking: a review of the research on African Americans. Soc Sci Med 45:1075–1087

    Article  PubMed  CAS  Google Scholar 

  21. Gubhaju B, Matthews SA (2009) Women’s empowerment, sociocultural context, and reproductive behavior in Nepal. Asia-Pac Popul J 24:25–50

    Google Scholar 

  22. Raghupathy S (1996) Education and the use of maternal health care in Thailand. Soc Sci Med 43:459–471

    Article  PubMed  CAS  Google Scholar 

  23. Chaix B, Lindstrom M, Rosvall M, Merlo J (2008) Neighbourhood social interactions and risk of acute myocardial infarction. J Epidemiol Commun Health 62:62–68

    Article  CAS  Google Scholar 

  24. Mujahid MS, Diez Roux AV, Morenoof JD, Raghunathan T (2007) Assessing the measurement properties of neighborhood scales: from psychometrics to ecometrics. Am J Epidemiol 165(8):858–867

    Article  PubMed  Google Scholar 

  25. Gauvin L, Richard L, Craig CL, Spivock M, Riva M, Forster M et al (2005) From walkability to active living potential: an “ecometric” validation study. Am J Prev Med 28(2 Suppl 2):126–133

    Article  PubMed  Google Scholar 

  26. Zhang J, Yu KF (1998) Whats the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes. J Am Med Assoc 280:1690–1691

    Article  CAS  Google Scholar 

  27. Aveyard P, Markham WA, Lancashire E, Bullock A, Macarthur C, Cheng KK et al (2004) The influence of school culture on smoking among pupils. Soc Sci Med 58:1767–1780

    Article  PubMed  Google Scholar 

  28. Sells CW, Blum RW (1996) Morbidity and mortality among US adolescents: an overview of data and trends. Am J Public Health 86:513–519

    Article  PubMed  CAS  Google Scholar 

  29. Wild LG, Flisher AJ, Bhana A, Lombard CF (2004) Substance abuse, suicidality, and self-esteem in South African adolescents. J Drug Educ 34:1–17

    Article  PubMed  Google Scholar 

  30. Aveyard P, Markham WA, Cheng KK (2004) A methodological and substantive review of the evidence that schools cause pupils to smoke. Soc Sci Med 58:2253–2256

    Article  PubMed  Google Scholar 

  31. McNeely CA, Nonnemaker JM, Blum RW (2002) Promoting school connectedness: evidence from the national longitudinal study on adolescent health. J Sch Health 72(4):138–146

    Article  PubMed  Google Scholar 

  32. McNeely C, Falci C (2004) School connectedness and the transition into and out of health-risk behavior among adolescents: a comparison of social belonging and teacher support. J Sch Health 74(7):284–292

    Article  PubMed  Google Scholar 

  33. Simms-Morton BG, Crump AD, Haynie DL, Saylor KE (1999) Student-school bonding and adolescent problem behavior. Health Educ Res 14(1):99–107

    Article  Google Scholar 

  34. McBride CM, Curry SJ, Cheadle A, Anderman C, Wagner EH, Diehr P et al (1995) School-level application of a social bonding model to adolescent risk taking behavior. J Sch Health 65(2):63–68

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This work was supported by the National Institute of Drug Abuse, Southern African Initiative (P50-DA10075-06) and the Fogarty International Center of the National Institutes of Health, International Tobacco and Health Research and Capacity Building Program (1R01 TW05955-02).

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Correspondence to Tamika D. Gilreath.

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Gilreath, T.D., Chaix, B., King, G. et al. Multi-level influence of school norms on tobacco use in South Africa: an ecometric consideration of group differences. Cancer Causes Control 23 (Suppl 1), 27–36 (2012). https://doi.org/10.1007/s10552-012-9908-y

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  • DOI: https://doi.org/10.1007/s10552-012-9908-y

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