Kostuch Erin, Bélanger Richard, Leatherdale Scott T, Cole Adam G
Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada.
Faculté de Médecine, Université Laval, Québec, Québec, Canada.
Can J Public Health. 2024 Dec;115(6):936-945. doi: 10.17269/s41997-024-00919-0. Epub 2024 Jul 29.
Youth vaping is a concern in Canada. While school-level policies influence student behaviours, few studies have investigated the association between school vaping policies and student vaping. This study reviewed and scored the comprehensiveness of school vaping policies and investigated the association between school vaping policy scores and student vaping.
Online policy documents from n = 39 schools in Ontario, Alberta, and British Columbia, Canada, participating in the 2021-2022 wave of the COMPASS study were collected, reviewed, and scored for comprehensiveness (/39) using the School Tobacco Policy Index (STPI) rating form. The mean and range of scores for each domain of the STPI were calculated. School policy scores were linked to student vaping data from the COMPASS study. Multilevel logistic regression analyses identified the association between school vaping policy score and student lifetime and current (past 30-day) vaping.
The mean total policy score was 10.2/39 (range 0‒24), and 28% of schools scored 0/39. The majority of school policies did not identify enforcement approaches or available preventive or cessation resources. Increasing STPI score was not associated with the odds of student lifetime or current vaping in multilevel logistic regression analyses.
The STPI quickly identified components of school vaping policies that were missing. The overall score of most school vaping policies in our sample was low and most school vaping policies lacked many important components. Future studies should explore factors associated with adolescent vaping and identify effective prevention measures.
青少年电子烟使用问题在加拿大备受关注。虽然学校层面的政策会影响学生行为，但很少有研究调查学校电子烟政策与学生电子烟使用之间的关联。本研究对学校电子烟政策的全面性进行了审查和评分，并调查了学校电子烟政策得分与学生电子烟使用之间的关联。
收集了来自加拿大安大略省、艾伯塔省和不列颠哥伦比亚省参与2021 - 2022年COMPASS研究的n = 39所学校的在线政策文件，使用学校烟草政策指数（STPI）评级表对其进行审查并就全面性进行评分（满分39分）。计算了STPI每个领域的得分均值和范围。学校政策得分与COMPASS研究中的学生电子烟使用数据相关联。多级逻辑回归分析确定了学校电子烟政策得分与学生终身及当前（过去30天）电子烟使用之间的关联。
政策总得分均值为10.2/39（范围0 - 24），28%的学校得分为0/39。大多数学校政策未明确执行方法或可用的预防或戒烟资源。在多级逻辑回归分析中，STPI得分的增加与学生终身或当前电子烟使用的几率无关。
STPI快速识别出学校电子烟政策中缺失的部分。我们样本中大多数学校电子烟政策的总体得分较低，且大多数学校电子烟政策缺乏许多重要组成部分。未来的研究应探索与青少年电子烟使用相关的因素，并确定有效的预防措施。
