Cigarette smoking and reasons for leaving school among school dropouts in South Africa

• Published in: BMC public health 2019-01, Vol.19 (1), p.130-10, Article 130
• Main Authors: Desai, Rachana, Mercken, Liesbeth A G, Ruiter, Robert A C, Schepers, Jan, Reddy, Priscilla S
• Format: Article
• Language: English
• Subjects: Adolescent; Apartheid; Cigarette Smoking - epidemiology; Cigarettes; Comparative analysis; Dropouts; Female; Health aspects; High schools; Humans; Male; Metropolitan areas; Premature mortality; Prevention; Respondent driven sampling; Risk Factors; School dropout; School enrollment; Sex Distribution; Smoking; South Africa; South Africa - epidemiology; Student Dropouts - psychology; Student Dropouts - statistics & numerical data; Surveys; Surveys and Questionnaires; Tobacco smoking; Young Adult
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-019-6454-5

School dropouts are at heightened risk of tobacco use compared to in-school learners. School dropouts are described as those not currently enrolled in school for the academic year, have not completed their schooling, and are between 13 and 20 years old. This paper examines the relationship between reasons for leaving school and past month cigarette smoking, taking into account gender differences. Multiple logistic regression was used to analyse survey data (n = 4185). Geographical location was also incorporated into the analysis as effect moderators. Although no significant main effects between reasons for leaving school and tobacco use were found, results showed that those who leave school early smoke more. When examining interaction effects with gender, leaving school due to 'not being able to pay for school fees' was significantly associated with smoking, but only among girls residing in urban areas (OR = 0.327, p = .023). More research is needed to understand why learners leave school and their subsequent tobacco use. This knowledge will help researchers identify and target those students that are at risk for dropping out of school and using tobacco.