Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Canada; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Health Place. 2017 Sep;47:108-114. doi: 10.1016/j.healthplace.2017.08.003. Epub 2017 Aug 10.
This study examines whether access to alcohol and tobacco around the school relates to higher or lower odds of cigarette smoking and binge-drinking among Ontario high school students. The 2013 Ontario Student Drug Use and Health Survey provides data on self-reported smoking and drinking, individual covariates and subjective socio-economic status for 6142 students (grades 9-12) in Ontario, Canada. Locations of schools were geocoded and 1.6km network buffers defined the school neighbourhoods. Multi-level logistic regression examines individual and school neighbourhood factors with smoking and binge drinking as the dependent variable. Higher density of retail outlets increased the odds of smoking, but not the odds of binge-drinking. Older age, lower SES and being male increased the odds of smoking; while older age and being male also increased the odds of binge-drinking. Lower SES and higher population density decreased the odds of binge-drinking. Proximity to tobacco and alcohol outlets was not significant. Findings showed that a greater number of outlets in the school neighbourhood is significantly associated with higher odds of smoking, but not binge-drinking. School neighbourhood access to tobacco outlets should be considered when formulating policy interventions to reduce smoking for adolescents.
本研究考察了学校周围是否有烟酒供应是否与安大略省高中生吸烟和狂饮的几率更高或更低有关。2013 年安大略省学生毒品使用和健康调查为加拿大安大略省 6142 名（9-12 年级）学生提供了自我报告的吸烟和饮酒、个人协变量和主观社会经济地位的数据。学校的位置被地理编码，1.6 公里的网络缓冲区定义了学校的社区。多水平逻辑回归检查了个人和学校社区因素与吸烟和狂饮作为因变量。零售网点密度的增加增加了吸烟的几率，但没有增加狂饮的几率。年龄较大、社会经济地位较低和男性增加了吸烟的几率；而年龄较大和男性也增加了狂饮的几率。社会经济地位较低和人口密度较高降低了狂饮的几率。接近烟酒商店的因素并不显著。研究结果表明，学校社区中更多的商店与吸烟几率的增加显著相关，但与狂饮几率无关。在制定针对青少年吸烟的政策干预措施时，应考虑学校社区获得烟草和酒精商店的情况。
