Campus Policy on Tobacco Prohibition and Tobacco Use among Youth in Sub-Saharan Africa: An Investigation Based on the Perspectives of School Personnel
Jiannan Li,1 Bocong Yuan,2 Guojun Zeng2 1International School of Business and Finance, Sun Yat-Sen University, Guangzhou, People’s Republic of China; 2School of Tourism Management, Sun Yat-Sen University, Guangzhou, People’s Republic of ChinaCorrespondence: Bocong Yuan; Guojun Ze...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-10-01
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| Series: | Risk Management and Healthcare Policy |
| Subjects: | |
| Online Access: | https://www.dovepress.com/campus-policy-on-tobacco-prohibition-and-tobacco-use-among-youth-in-su-peer-reviewed-article-RMHP |
| _version_ | 1819046156070551552 |
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| author | Li J Yuan B Zeng G |
| author_facet | Li J Yuan B Zeng G |
| author_sort | Li J |
| collection | DOAJ |
| description | Jiannan Li,1 Bocong Yuan,2 Guojun Zeng2 1International School of Business and Finance, Sun Yat-Sen University, Guangzhou, People’s Republic of China; 2School of Tourism Management, Sun Yat-Sen University, Guangzhou, People’s Republic of ChinaCorrespondence: Bocong Yuan; Guojun ZengSchool of Tourism Management, Sun Yat-Sen University, 135 West Xingang Road, Guangzhou, People’s Republic of ChinaEmail yuanbc@mail.sysu.edu.cn; zenggj@mail.sysu.edu.cnBackground: Schools in sub-Saharan Africa respond to the widespread use of tobacco among youth with the tobacco-prohibition policies. This study empirically examined the impact of the strength of campus tobacco-prohibition policies on tobacco use among youth across 20 sub-Saharancountries.Methods: This study used data from the Global School Personnel Survey across 20 sub-Saharan countries during 2005– 2011. Respondents comprised 7,365 school personnel (valid sample size) from Cameroon, Central African Republic, Congo, Eritrea, Ghana, Guinea-Bissau, Lesotho, Malawi, Mauritania, Mauritius, Namibia, Niger, Rwanda, Senegal, Seychelles, Sierra Leone, South Africa, Swaziland, Togo, and Uganda. Considering the potential endogeneity-estimation bias occurring in the normal ordinary least square estimation, instrumental variable estimation was used to ensure the regression results were reliable.Results: The interaction term “tobacco-prohibition policy × policy-enforcement strength” was found to negatively predict perceived seriousness of tobacco use among youth (− 0.0053, 95% CI [-0.0101, -0.0005]; p< 0.05), which indicated that when campus tobacco-prohibition policy and enforcement were both sufficiently strict, the extent to which school personnel felt concerned or anxious about tobacco use among youth in the 20 countries was lowest. A series of identification tests using instrumental variable estimation demonstrated that these regression results were reliable and without endogeneity-estimation bias.Conclusion: This study confirms the effectiveness of the interaction of tobacco-prohibition policy and policy-enforcement strength for alleviating the seriousness of tobacco use among youth in underdeveloped areas. A series of important policy implications are discussed to prevent fast development of tobacco use in this area.Keywords: tobacco-prohibition policy, tobacco use, sub-Saharan African countries, youth |
| first_indexed | 2024-12-21T10:39:59Z |
| format | Article |
| id | doaj.art-d565345e99964299b1ac5af1fe80bb25 |
| institution | Directory Open Access Journal |
| issn | 1179-1594 |
| language | English |
| last_indexed | 2024-12-21T10:39:59Z |
| publishDate | 2020-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Risk Management and Healthcare Policy |
| spelling | doaj.art-d565345e99964299b1ac5af1fe80bb252022-12-21T19:06:57ZengDove Medical PressRisk Management and Healthcare Policy1179-15942020-10-01Volume 131939195057732Campus Policy on Tobacco Prohibition and Tobacco Use among Youth in Sub-Saharan Africa: An Investigation Based on the Perspectives of School PersonnelLi JYuan BZeng GJiannan Li,1 Bocong Yuan,2 Guojun Zeng2 1International School of Business and Finance, Sun Yat-Sen University, Guangzhou, People’s Republic of China; 2School of Tourism Management, Sun Yat-Sen University, Guangzhou, People’s Republic of ChinaCorrespondence: Bocong Yuan; Guojun ZengSchool of Tourism Management, Sun Yat-Sen University, 135 West Xingang Road, Guangzhou, People’s Republic of ChinaEmail yuanbc@mail.sysu.edu.cn; zenggj@mail.sysu.edu.cnBackground: Schools in sub-Saharan Africa respond to the widespread use of tobacco among youth with the tobacco-prohibition policies. This study empirically examined the impact of the strength of campus tobacco-prohibition policies on tobacco use among youth across 20 sub-Saharancountries.Methods: This study used data from the Global School Personnel Survey across 20 sub-Saharan countries during 2005– 2011. Respondents comprised 7,365 school personnel (valid sample size) from Cameroon, Central African Republic, Congo, Eritrea, Ghana, Guinea-Bissau, Lesotho, Malawi, Mauritania, Mauritius, Namibia, Niger, Rwanda, Senegal, Seychelles, Sierra Leone, South Africa, Swaziland, Togo, and Uganda. Considering the potential endogeneity-estimation bias occurring in the normal ordinary least square estimation, instrumental variable estimation was used to ensure the regression results were reliable.Results: The interaction term “tobacco-prohibition policy × policy-enforcement strength” was found to negatively predict perceived seriousness of tobacco use among youth (− 0.0053, 95% CI [-0.0101, -0.0005]; p< 0.05), which indicated that when campus tobacco-prohibition policy and enforcement were both sufficiently strict, the extent to which school personnel felt concerned or anxious about tobacco use among youth in the 20 countries was lowest. A series of identification tests using instrumental variable estimation demonstrated that these regression results were reliable and without endogeneity-estimation bias.Conclusion: This study confirms the effectiveness of the interaction of tobacco-prohibition policy and policy-enforcement strength for alleviating the seriousness of tobacco use among youth in underdeveloped areas. A series of important policy implications are discussed to prevent fast development of tobacco use in this area.Keywords: tobacco-prohibition policy, tobacco use, sub-Saharan African countries, youthhttps://www.dovepress.com/campus-policy-on-tobacco-prohibition-and-tobacco-use-among-youth-in-su-peer-reviewed-article-RMHPtobacco prohibition policytobacco usesub-saharan african countriesyouth |
| spellingShingle | Li J Yuan B Zeng G Campus Policy on Tobacco Prohibition and Tobacco Use among Youth in Sub-Saharan Africa: An Investigation Based on the Perspectives of School Personnel Risk Management and Healthcare Policy tobacco prohibition policy tobacco use sub-saharan african countries youth |
| title | Campus Policy on Tobacco Prohibition and Tobacco Use among Youth in Sub-Saharan Africa: An Investigation Based on the Perspectives of School Personnel |
| title_full | Campus Policy on Tobacco Prohibition and Tobacco Use among Youth in Sub-Saharan Africa: An Investigation Based on the Perspectives of School Personnel |
| title_fullStr | Campus Policy on Tobacco Prohibition and Tobacco Use among Youth in Sub-Saharan Africa: An Investigation Based on the Perspectives of School Personnel |
| title_full_unstemmed | Campus Policy on Tobacco Prohibition and Tobacco Use among Youth in Sub-Saharan Africa: An Investigation Based on the Perspectives of School Personnel |
| title_short | Campus Policy on Tobacco Prohibition and Tobacco Use among Youth in Sub-Saharan Africa: An Investigation Based on the Perspectives of School Personnel |
| title_sort | campus policy on tobacco prohibition and tobacco use among youth in sub saharan africa an investigation based on the perspectives of school personnel |
| topic | tobacco prohibition policy tobacco use sub-saharan african countries youth |
| url | https://www.dovepress.com/campus-policy-on-tobacco-prohibition-and-tobacco-use-among-youth-in-su-peer-reviewed-article-RMHP |
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