Schroeder Institute at Truth Initiative, Washington, DC, United States of America.
PLoS One. 2022 Mar 16;17(3):e0264378. doi: 10.1371/journal.pone.0264378. eCollection 2022.
As youth e-cigarette use has surged in the last several years, teachers and school administrators have reported challenges addressing student use of emerging e-cigarette products on school property. While federal policy prohibits smoking in U.S. schools that receive federal funding, school e-cigarette bans only exist where states or localities have acted. Little is known about school staff experiences with implementing these relatively new policies; this study examines associations between school e-cigarette policies and trainings on school staff awareness and intervention on student e-cigarette use.
A national convenience sample of 1,526 U.S. middle- and high-school teachers and administrators was surveyed in November-December 2018. Among respondents who provided their job title and indicated that they worked in a school rather than a district (n = 1,480, response rate = 97.0%), separate logistic regressions examine associations of school policies and policy training with e-cigarette awareness and intervention on student e-cigarette use.
Despite being the most popular e-cigarette at the time, fewer than half (47.5%) of respondents identified an image of a JUUL device as an e-cigarette. However, respondents reporting the presence of e-cigarette policies in their schools had higher odds of recognizing e-cigarettes (OR = 3.85, p<0.01), including photo recognition of JUUL (OR = 1.90, p<0.001). Respondents reporting e-cigarette policies also had higher odds of reporting intervention on student e-cigarette use (communicating with students about e-cigarette avoidance: OR = 2.32, p<0.001; reporting students had been caught using e-cigarettes at school: OR = 1.54, p<0.05). Among respondents reporting a school e-cigarette policy, those trained on the policy had higher odds of JUUL photo recognition (OR = 1.54, p<0.01). Respondents trained on e-cigarette policies also had higher odds of reporting intervention (communicating: OR = 3.89, p<0.001; students caught using e-cigarettes: OR = 2.71, p<0.001).
As new tobacco products enter the market, school policies may be important tools to raise school personnel awareness of and intervention on emerging e-cigarette product use. However, policy adoption alone is not sufficient; policy training may further aid in recognition and intervention upon student use of e-cigarettes at school.
在过去几年中，青少年电子烟的使用呈飙升趋势，教师和学校管理人员报告称，在学校场地上处理学生使用新兴电子烟产品方面存在挑战。虽然联邦政策禁止在美国获得联邦资金的学校内吸烟，但电子烟禁令仅在州或地方采取行动的地方存在。关于学校工作人员实施这些相对较新政策的经验知之甚少；本研究考察了学校电子烟政策和培训与学校工作人员对学生电子烟使用的意识和干预之间的关联。
2018 年 11 月至 12 月，对美国 1526 名中学和高中教师和管理人员进行了一项全国性的便利抽样调查。在提供了工作职称并表示在学校而不是学区工作的受访者中（n = 1480，回应率=97.0%），分别进行逻辑回归分析，以检查学校政策和政策培训与电子烟意识以及对学生电子烟使用的干预之间的关联。
尽管 JUUL 是当时最受欢迎的电子烟，但不到一半（47.5%）的受访者将 JUUL 设备的图像识别为电子烟。然而，报告在其学校存在电子烟政策的受访者更有可能识别电子烟（OR=3.85，p<0.01），包括对 JUUL 的照片识别（OR=1.90，p<0.001）。报告电子烟政策的受访者也更有可能报告对学生电子烟使用进行干预（与学生就电子烟回避进行沟通：OR=2.32，p<0.001；报告学生在校内被发现使用电子烟：OR=1.54，p<0.05）。在报告学校电子烟政策的受访者中，接受过该政策培训的受访者对 JUUL 照片的识别率更高（OR=1.54，p<0.01）。接受电子烟政策培训的受访者也更有可能报告干预措施（沟通：OR=3.89，p<0.001；学生被发现使用电子烟：OR=2.71，p<0.001）。
随着新烟草产品进入市场，学校政策可能是提高学校人员对新兴电子烟产品使用的认识和干预的重要工具。然而，仅仅通过政策的采用是不够的；政策培训可能会进一步帮助识别和干预学生在学校使用电子烟。
