School Social Capital and Tobacco Experimentation Among Adolescents: Evidence from a Cross-Classified Multilevel, Longitudinal Analysis.

Details

• Alternative Title:
  J Adolesc Health
• Personal Author:
  Sakai-Bizmark, Rie ; Richmond, Tracy K. ; Kawachi, Ichiro ; Elliott, Marc N. ; Davies, Susan L. ; Emery, Susan Tortolero ; Peskin, Melissa ; Milliren, Carly E. ; Schuster, Mark A.
• Description:
  Purpose:
  
  School social capital incorporates the intangible pro-social resources from social networks, including expectations and social norms, found in a school environment. School social capital may influence health behaviors such as smoking. This study examined the association of school social capital with smoking behaviors from childhood into adolescence.
  
  Methods:
  
  We used a cohort sampled from 3 U.S. cities for the Healthy Passages Longitudinal Study of Adolescent Health. The primary outcome was cigarette smoking at grade ten (Wave 3). The primary predictor of interest was school social capital at grade five (Wave 1). We included potential covariates at the individual-, school-, and neighborhood-levels at Wave 1. To account for simultaneous clustering in schools and neighborhoods, cross-classified multilevel models (CCMM) were employed.
  
  Results:
  
  After exclusions and imputations for missing variables, our final sample contained 3,968 students as constituents of 118 schools and 479 neighborhoods. With adjustment for the covariates, school social capital for grade five was negatively associated with cigarette smoking in grade ten. We estimated that a one-standard deviation increase in the school average social capital for grade five is associated with an odds ratio of 0.86 (95% Credible Interval: 0.75-0.98) for school-level smoking in grade ten.
  
  Conclusions:
  
  This study suggests that school social capital in late elementary years is associated with reduced smoking behaviors among adolescents in the United States. Influencing school social capital through enrichment of positive social norms and parent/teacher expectations may be a useful strategy to reduce adolescent smoking, with long-term implications for adult health.
  
  
• Subjects:
  Adolescent Adolescent Behavior Adult Cross-Sectional Studies Female Humans Longitudinal Studies Male Multilevel Analysis Peer Influence Schools Social Capital Social Environment Students Tobacco Products Tobacco Smoking

  More +
• Keywords:
  Adolescents Cross-Classified Multilevel Models School Social Capital Smoking
• Source:
  J Adolesc Health. 66(4):431-438
• Pubmed ID:
  32001140
• Pubmed Central ID:
  PMC7089836
• Document Type:
  Journal Article
• Funding:
  U19 DP002664/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP000056/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP000046/DP/NCCDPHP CDC HHSUnited States/ ; K01 HL141697/HL/NHLBI NIH HHSUnited States/ ; U19 DP002665/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP000057/DP/NCCDPHP CDC HHSUnited States/ ; U19 DP002663/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  66
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:6024d74504bce8bd4bbc3d9e2fd0460e1b0f01478760e4d1b0bb4faded08c9a72a944cc3c5dd9eb6d9fec20d6ee84c486c4dc880883e9b3fa3dcb39810fd839b
• Download URL:
  https://stacks.cdc.gov/view/cdc/86102/cdc_86102_DS1.pdf
• File Type:
  [PDF - 122.18 KB ]