Abstract
Purpose
School social capital incorporates the intangible prosocial 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 three U.S. cities for the Healthy Passages Longitudinal
Study of Adolescent Health. The primary outcome was cigarette smoking at grade 10
(Wave 3). The primary predictor of interest was school social capital at grade 5 (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 were used.
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 5 was negatively associated with
cigarette smoking in grade 10. We estimated that a 1 standard deviation increase in
the school average social capital for grade 5 is associated with an odds ratio of
.86 (95% credible interval: .75–.98) for school-level smoking in grade 10.
Conclusions
This study suggests that school social capital in late elementary years is associated
with reduced smoking behaviors among adolescents in the U.S. 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.
Keywords
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Article info
Publication history
Published online: January 27, 2020
Accepted:
October 16,
2019
Received:
April 5,
2019
Footnotes
Conflicts of interest: The authors have no conflicts of interest to disclose.
Identification
Copyright
© 2019 Society for Adolescent Health and Medicine. All rights reserved.