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Sustainability of outdoor school ground smoking bans at secondary schools: a mixed-method study
- Source :
- The European Journal of Public Health, European Journal of Public Health, 28(1). OXFORD UNIV PRESS INC, European Journal of Public Health, 28(1), 43-49. Oxford University Press
- Publication Year :
- 2017
-
Abstract
- Background Although increasing numbers of countries are implementing outdoor school ground smoking bans at secondary schools, less attention is paid to the post-implementation period even though sustainability of a policy is essential for long-term effectiveness. Therefore, this study assesses the level of sustainability and examines perceived barriers/facilitators related to the sustainability of an outdoor school ground smoking ban at secondary schools. Methods A mixed-method design was used with a sequential explanatory approach. In phase I, 438 online surveys were conducted and in phase II, 15 semi-structured interviews were obtained from directors of relevant schools. ANOVA (phase I) and a thematic approach (phase II) were used to analyze data. Results Level of sustainability of an outdoor school ground smoking ban was high at the 48% Dutch schools with an outdoor smoking ban. Furthermore, school size was significantly associated with sustainability. The perceived barriers/facilitators fell into three categories: (i) smoking ban implementation factors (side-effects, enforcement, communication, guidelines and collaboration), (ii) school factors (physical environment, school culture, education type and school policy) and (iii) community environment factors (legislation and social environment). Conclusions Internationally, the spread of outdoor school ground smoking bans could be further promoted. Once implemented, the ban has become ‘normal’ practice and investments tend to endure. Moreover, involvement of all staff is important for sustainability as they function as role models, have an interrelationship with students, and share responsibility for enforcement. These findings are promising for the sustainability of future tobacco control initiatives to further protect against the morbidity/mortality associated with smoking.
- Subjects :
- Male
Adolescent
education
Legislation
Smoking Prevention
INNOVATIONS
Social Environment
RESTRICTIONS
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
Political science
Environmental health
Child and Adolescent Health
ADOLESCENTS
Humans
030212 general & internal medicine
EXPOSURE
Enforcement
Students
MULTILEVEL ANALYSIS
Netherlands
030505 public health
Schools
Health Policy
Multilevel model
Tobacco control
Public Health, Environmental and Occupational Health
Social environment
School size
POLICIES
ASSOCIATION
Smoke-Free Policy
HEALTH-PROGRAMS
Adolescent Behavior
Sustainability
Female
Smoking ban
0305 other medical science
Subjects
Details
- ISSN :
- 1464360X and 11011262
- Volume :
- 28
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- European journal of public health
- Accession number :
- edsair.doi.dedup.....ed3ae4ef0f8218417fd2ba79dc6239e2