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Evaluating the Strength of School Tobacco Policies: The Development of a Practical Rating System

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School tobacco control policies vary widely in their strength, extensiveness, and enforcement. Currently, no standardized method exists to assess the comprehensiveness of school tobacco policies. The purpose of this study was to develop a new practical rating system for school tobacco policies, assess its reliability, and present preliminary validation data. METHODS:

This study presents the systematic development of a rating system to assess the strength of school tobacco policies. Based on the empirical literature and the expertise of an advisory panel consisting of educational leaders and tobacco control advocates and practitioners, a “gold standard” school tobacco policy was developed and guided the content of the 40-point rating system. The 4 domains of the School Tobacco Policy Index were: Tobacco-free environment (14 points), Enforcement (12 points), Prevention and treatment services (6 points), and Policy organization (8 points). RESULTS:

The Index was pilot-tested using 95 Missouri public school district tobacco policies and proved to be highly reliable among coders. The evaluated policies varied greatly between school districts, with the lowest total policy score of  and the highest score of 21. School district policy scores were significantly related to a number of county-level tobacco policy characteristics, including support for a tobacco excise tax increase. CONCLUSIONS:

The Index is a user-friendly, practical tool for tobacco control professionals and educators, providing them with the ability to easily evaluate their own school policies. Their evaluation efforts will be useful in strengthening existing policies and developing new comprehensive policies to protect the health of students, staff, administrators, and visitors.
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Keywords: evaluation; policy; smoking and tobacco

Document Type: Research Article

Affiliations: 1: Associate Director, ( ), Center for Tobacco Policy Research, Washington University in St. Louis, 700 Rosedale Avenue, St. Louis, MO 63112., Email: [email protected] 2: Director of Communications and Member Services, ( ), St. Louis Area Health Business Coalition, 8888 Ladue Road, St. Louis, MO 63124., Email: [email protected] 3: Director, ( ), Center for Tobacco Policy Research, Washington University in St. Louis, 700 Rosedale Avenue, St. Louis, MO 63112., Email: [email protected]

Publication date: 2009-10-01

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