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Value-added education and smoking uptake in schools: a cohort study.
Addiction. 2008 Jan; 103(1):155-61.A

Abstract

AIM

To show that schools achieving higher examination pass and lower truancy rates than expected, given that their pupil populations (high value-added schools) are associated with a lower incidence of smoking among pupils (13-14 years).

DESIGN

Value-added scores for schools were derived from standardized residuals of two regression equations predicting separately the proportion of pupils passing high school diplomas and the half-days lost to truancy from the socio-economic and ethnic profiles of pupils. The risk of regular smoking at 1- and 2-year follow-up was examined in relation to the value-added score in a cohort of 8352 UK pupils. Random-effects logistic regression was used to adjust for baseline smoking status and other adolescent smoking risk factors.

SETTING

A total of 52 schools, West Midlands, UK.

PARTICIPANTS

Year 9 pupils aged 13-14 years (n = 8352) were followed-up after 1 year (n = 7444; 89.1% of original cohort) and 2 years (n = 6819; 84.6% of original cohort excluding pupils from two schools that dropped out).

MEASUREMENTS

Regular smoking (at least one cigarette per week).

FINDINGS

Schools with high value-added scores occurred throughout the socio-demographic spectrum. The odds ratio (95% confidence interval) for regular smoking for a 1 standard deviation increase in the value-added measure was 0.85 (0.73-0.99) at 1-year and 0.80 (0.71-0.91) at 2-year follow-ups. Baseline smoking status did not moderate this.

CONCLUSIONS

Schools with high value-added scores are associated with lower incidence of smoking. Some schools appear to break the strong link between deprivation and smoking. Understanding the mechanisms could be of great public health significance.

Authors+Show Affiliations

School of Health and Social Studies, University of Warwick, UK. wolfgang.markham@warwick.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18081615

Citation

Markham, Wolfgang A., et al. "Value-added Education and Smoking Uptake in Schools: a Cohort Study." Addiction (Abingdon, England), vol. 103, no. 1, 2008, pp. 155-61.
Markham WA, Aveyard P, Bisset SL, et al. Value-added education and smoking uptake in schools: a cohort study. Addiction. 2008;103(1):155-61.
Markham, W. A., Aveyard, P., Bisset, S. L., Lancashire, E. R., Bridle, C., & Deakin, S. (2008). Value-added education and smoking uptake in schools: a cohort study. Addiction (Abingdon, England), 103(1), 155-61.
Markham WA, et al. Value-added Education and Smoking Uptake in Schools: a Cohort Study. Addiction. 2008;103(1):155-61. PubMed PMID: 18081615.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Value-added education and smoking uptake in schools: a cohort study. AU - Markham,Wolfgang A, AU - Aveyard,Paul, AU - Bisset,Sherri L, AU - Lancashire,Emma R, AU - Bridle,Christopher, AU - Deakin,Sara, PY - 2007/12/18/pubmed PY - 2008/2/29/medline PY - 2007/12/18/entrez SP - 155 EP - 61 JF - Addiction (Abingdon, England) JO - Addiction VL - 103 IS - 1 N2 - AIM: To show that schools achieving higher examination pass and lower truancy rates than expected, given that their pupil populations (high value-added schools) are associated with a lower incidence of smoking among pupils (13-14 years). DESIGN: Value-added scores for schools were derived from standardized residuals of two regression equations predicting separately the proportion of pupils passing high school diplomas and the half-days lost to truancy from the socio-economic and ethnic profiles of pupils. The risk of regular smoking at 1- and 2-year follow-up was examined in relation to the value-added score in a cohort of 8352 UK pupils. Random-effects logistic regression was used to adjust for baseline smoking status and other adolescent smoking risk factors. SETTING: A total of 52 schools, West Midlands, UK. PARTICIPANTS: Year 9 pupils aged 13-14 years (n = 8352) were followed-up after 1 year (n = 7444; 89.1% of original cohort) and 2 years (n = 6819; 84.6% of original cohort excluding pupils from two schools that dropped out). MEASUREMENTS: Regular smoking (at least one cigarette per week). FINDINGS: Schools with high value-added scores occurred throughout the socio-demographic spectrum. The odds ratio (95% confidence interval) for regular smoking for a 1 standard deviation increase in the value-added measure was 0.85 (0.73-0.99) at 1-year and 0.80 (0.71-0.91) at 2-year follow-ups. Baseline smoking status did not moderate this. CONCLUSIONS: Schools with high value-added scores are associated with lower incidence of smoking. Some schools appear to break the strong link between deprivation and smoking. Understanding the mechanisms could be of great public health significance. SN - 0965-2140 UR - https://www.unboundmedicine.com/medline/citation/18081615/Value_added_education_and_smoking_uptake_in_schools:_a_cohort_study_ L2 - https://doi.org/10.1111/j.1360-0443.2007.02020.x DB - PRIME DP - Unbound Medicine ER -