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'I'm not a smoker…yet': A qualitative study on perceptions of tobacco control in Chinese high schools
School of Psychology and Counselling, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane Queensland, Australia.ORCID iD: 0000-0003-1054-9462
Faculty of Health, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane Queensland, Australia.
School of Psychology and Counselling, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane Queensland, Australia.
2018 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 8, no 4, article id e019483Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Chinese adolescents' perceptions about tobacco control at schools are rarely researched. We explored how current antismoking strategies work in middle school environments, as well as the attitudes towards these strategies held by students and teaching staff members.

METHODS: Four focus groups (24 eleventh graders; Mage=16 years) and five indepth interviews (teaching staff members with tobacco control experience in schools) were conducted in Kunming, Yunnan Province, China. We used thematic analysis combining inductive and deductive processes, along with field observations and research group discussions, for data analysis.

RESULTS: With educational approaches and practical strategies, antismoking education reported in the middle schools had limited effectiveness. Although smoking is banned in schools, students can circumvent schools' controls easily. Notably salient is the pessimistic attitude towards school-based antismoking strategies at school. Detrimental influences within (teachers' smoking) and beyond schools (high societal smoking prevalence) largely challenged the efforts to manage students' smoking.

CONCLUSIONS: Current antismoking approaches in schools fail to curb smoking among Chinese high school students. Their effectiveness is undermined by both within-campus and off-campus influences. Students' perceptions of smoking should be valued as their knowledge of smoking is actively constructed. Future antismoking education at school should incorporate interactive sessions rather than merely didactic approaches about the harms of smoking. Although stricter rules for teachers' smoking are needed, complementary strategies such as population-level interventions and policy measures in wider society will assist in efforts within schools.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2018. Vol. 8, no 4, article id e019483
Keywords [en]
health policy, preventive medicine, public health, qualitative research, social medicine
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Medical Care Research
Identifiers
URN: urn:nbn:se:oru:diva-92851DOI: 10.1136/bmjopen-2017-019483ISI: 000435176700069PubMedID: 29678968Scopus ID: 2-s2.0-85053194631OAI: oai:DiVA.org:oru-92851DiVA, id: diva2:1577867
Available from: 2021-07-05 Created: 2021-07-05 Last updated: 2023-08-28Bibliographically approved

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