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Smoking and school absenteeism among 15- to 16-year-old adolescents

dc.contributor.authorPerelman, Julian
dc.contributor.authorLeão, Teresa
dc.contributor.authorKunst, Anton E.
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.pblOxford University Press
dc.date.accessioned2019-12-14T06:08:57Z
dc.date.available2019-12-14T06:08:57Z
dc.date.issued2019
dc.description.abstractBackground: Schools have a crucial role to play in preventing youth smoking. However, the well-known long-term health consequences of youth smoking may be insufficient to convince education stakeholders to devote efforts to implement school-based programmes. However, if youth smoking were to have short-term consequences, this evidence could prompt education stakeholders' action. In this article, we investigate the link between smoking and school absenteeism. Methods: We used data from the 2011 wave of the European School Survey Project on Alcohol and Other Drugs, on adolescents aged 15-16. We applied logistic models to assess the risk of more than 3 missed school days, by cause, as function of smoking intensity, adjusting for age, sex, socioeconomic status, academic performance, parental involvement and other risk behaviours (alcohol and cannabis consumption). Consistency was assessed by replicating the analyses for each sex and age group and further adjusting for depression and self-esteem. Results: Smoking more than five cigarettes per day was significantly linked to school absenteeism, with a 55% excess risk of missing more than 3 school days per month due to illness (OR = 1.55, 95% CI 1.46-1.64), and a more than two times excess risk due to skipping (OR = 2.29; 95% CI 2.16-2.43). These findings were consistent across age and sex groups. Conclusion: We observed an association between smoking intensity and absenteeism among youth in Europe. This implies that, to the extent that this association is causal, school tobacco control policies may reduce the short-term consequences of smoking on adolescents' education and health.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent124041
dc.identifier.doi10.1093/eurpub/ckz110.
dc.identifier.issn1101-1262
dc.identifier.otherPURE: 14132201
dc.identifier.otherPURE UUID: 98756b22-5251-410d-ab6b-81b19988f2d4
dc.identifier.otherPubMed: 9204966
dc.identifier.otherWOS: 000486966400031
dc.identifier.otherScopus: 85070728825
dc.identifier.urihttp://hdl.handle.net/10362/89881
dc.language.isoeng
dc.peerreviewedyes
dc.subjectSDG 3 - Good Health and Well-being
dc.titleSmoking and school absenteeism among 15- to 16-year-old adolescentsen
dc.title.subtitlea cross-section analysis on 36 European countriesen
dc.typejournal article
degois.publication.firstPage778
degois.publication.issue4
degois.publication.lastPage784
degois.publication.titleEuropean Journal of Public Health
degois.publication.volume29
dspace.entity.typePublication
rcaap.rightsopenAccess

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