Markham, Wolfgang A., Aveyard, Paul, Bisset, Sherri L., Lancashire, Emma R., Bridle, Christopher and Deakin, Sara. (2008) Value-added education and smoking uptake in schools : a cohort study. Addiction, Vol.103 (No.1). pp. 155-161. ISSN 0965-2140

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Abstract

Aim To show that schools achieving higher examination pass and lower truancy rates than expected, given that their pupil populations (high value-added schools) are associated with a lower incidence of smoking among pupils (13-14 years). Design Value-added scores for schools were derived from standardized residuals of two regression equations predicting separately the proportion of pupils passing high school diplomas and the half-days lost to truancy from the socio-economic and ethnic profiles of pupils. The risk of regular smoking at 1- and 2-year follow-up was examined in relation to the value-added score in a cohort of 8352 UK pupils. Random-effects logistic regression was used to adjust for baseline smoking status and other adolescent smoking risk factors. Setting A total of 52 schools, West Midlands, UK. Participants Year 9 pupils aged 13-14 years (n = 8352) were followed-up after 1 year (n = 7444; 89.1% of original cohort) and 2 years (n = 6819; 84.6% of original cohort excluding pupils from two schools that dropped out). Measurements Regular smoking (at least one cigarette per week). Findings Schools with high value-added scores occurred throughout the socio-demographic spectrum. The odds ratio (95% confidence interval) for regular smoking for a 1 standard deviation increase in the value-added measure was 0.85 (0.73-0.99) at 1-year and 0.80 (0.71-0.91) at 2-year follow-ups. Baseline smoking status did not moderate this. Conclusions Schools with high value-added scores are associated with lower incidence of smoking. Some schools appear to break the strong link between deprivation and smoking. Understanding the mechanisms could be of great public health significance.

Item Type:	Journal Article
Subjects:	H Social Sciences > HV Social pathology. Social and public welfare L Education > LC Special aspects of education
Divisions:	Faculty of Medicine > Warwick Medical School > Clinical Sciences Research Institute (CSRI) Faculty of Social Sciences > School of Health and Social Studies Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	School children -- Tobacco use -- Case studies, School children -- Tobacco use -- Research, Educational sociology, School environment, Academic achievement, School attendance
Journal or Publication Title:	Addiction
Publisher:	Wiley-Blackwell Publishing Ltd.
ISSN:	0965-2140
Date:	January 2008
Volume:	Vol.103
Number:	No.1
Number of Pages:	7
Page Range:	pp. 155-161
Identification Number:	10.1111/j.1360-0443.2007.02020.x
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	NHS West Midlands
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URI:	http://wrap.warwick.ac.uk/id/eprint/30915

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