Health Education Research, Vol. 14, No. 6, 751-763,
December 1999
© 1999 Oxford University Press
Attitudes toward anti-tobacco policy among California youth: associations with smoking status, psychosocial variables and advocacy actions
Institute for Health Promotion and Disease Prevention Research, University of Southern California School of Medicine, 1540 Alcazar Street, CHP 207, Los Angeles,CA 90033, and
1 Stanford Center for Research in Disease Prevention, Stanford University School of Medicine,Palo Alto, CA 94304, USA
To prevent smoking and exposure to environmental tobacco smoke, California has implemented anti-tobacco policies, including laws restricting youth access to tobacco, and smoking bans in workplaces, schools, restaurants and bars. Although studies have examined adults' attitudes toward anti-tobacco policies, little is known about adolescents' awareness of and support for these policies. This study examined attitudes toward anti-tobacco policies in a sample of 6887 10th grade California adolescents. Awareness of anti-tobacco policies was highest among current smokers and lowest among susceptible never-smokers. Support for anti-tobacco policies was highest among non-susceptible never-smokers and lowest among current smokers. Policy awareness and support were significantly associated with psychosocial tobacco-related variables (e.g. perceived consequences of smoking, friends' smoking, perceived access to cigarettes, prevalence estimates of smoking among peers, cigarette offers and cigarette refusal self-efficacy). Policy awareness and support were associated with the probability of performing advocacy actions against tobacco use. Although these results cannot prove a causal association, they suggest that adolescents' attitudes toward anti-tobacco policies may play a role in their decisions about smoking. Tobacco control and education programs should include information about existing anti-tobacco policies, and should educate youth about the importance and benefits of anti-tobacco policies.
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