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Title

Are educational aspirations associated with susceptibility to smoking, e-cigarette use, and smokeless tobacco use in adolescence?

Authors

Ollila, Hanna; Konttinen, Hanna; Ruokolainen, Otto; Karvonen, Sakari

Abstract

The early socio-economic differences in smoking build on the interplay between individual-, family-, peer-, and school-related factors. The present study aimed to add knowledge to this by examining susceptibility to smoking (S-SM), electronic cigarette (e-cigarette) use (S-EC), and smokeless tobacco (snus) use (S-SN) by educational aspirations in a country with advanced tobacco control policies. National cross-sectional School Health Promotion study survey was conducted among 8.–9. grade students (av. 15-year-olds) in 2017 with no prior smoking (n = 47 589), e-cigarette use (n = 49 382), or snus use (n = 53 335). Gender-stratified, age-adjusted multilevel logistic regression analyses with S-SM, S-EC, and S-SN were considered as outcomes and student- and school-level (aggregated) factors were considered as independent variables. The highest prevalence was observed for S-EC (girls 29%, boys 35%), followed by S-SM (16%, 15%) and S-SN (10%, 16%). Compared to those planning for general upper secondary education, S-SM was the highest for those without educational aspirations (OR = 1.20, 95% CI = 1.04–1.40), S-EC for those planning for vocational education [1.15 (1.05–1.25)], and S-SN for those planning for extra year/discontinuation [1.65 (1.04–2.60)] among girls. Among boys, both S-SM [1.37 (1.23–1.52)] and S-EC [1.19 (1.09–1.29)] were the highest among those planning for vocational education, with no clear associations with S-SN. Current other tobacco/e-cigarette use [OR range 1.27–8.87], positive attitude towards product use in one's age group [3.55–6.63], and liking school [0.58–0.68] consistently associated with susceptibility. Students not planning for academically oriented education had higher susceptibility to different nicotine products. High S-EC warrants monitoring to strengthen policy evaluation and prevention.

Subjects

FINLAND; CROSS-sectional method; VOCATIONAL education; GOVERNMENT policy; TOBACCO; RESEARCH funding; SMOKING; ELECTRONIC cigarettes; SOCIOECONOMIC factors; PSYCHOLOGY of high school students; SEX distribution; DISEASE prevalence; DESCRIPTIVE statistics; SURVEYS; ODDS ratio; ACADEMIC achievement; SMOKELESS tobacco; HEALTH promotion; CONFIDENCE intervals; DATA analysis software; EDUCATIONAL attainment; ADOLESCENCE

Publication

European Journal of Public Health, 2024, Vol 34, Issue 5, p962

ISSN

1101-1262

Publication type

Academic Journal

DOI

10.1093/eurpub/ckae107

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