{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T13:59:19Z","timestamp":1775138359720,"version":"3.50.1"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,1,14]],"date-time":"2020-01-14T00:00:00Z","timestamp":1578960000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"European Union\u2019s Horizon 2020","award":["635056"],"award-info":[{"award-number":["635056"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>School tobacco policies (STPs) are a crucial strategy to reduce adolescents smoking. Existing studies have investigated STPs predominantly from a school-related \u2018insider\u2019 view. Yet, little is known about barriers that are not identified from the \u2018schools\u2019 perspective\u2019, such as perceptions of local stakeholders. Forty-six expert interviews from seven European cities with stakeholders at the local level (e.g. representatives of regional health departments, youth protection and the field of addiction prevention) were included. The analysis of the expert interviews revealed different barriers that should be considered during the implementation of STPs. These barriers can be subsumed under the following: (i) Barriers regarding STP legislature (e.g. inconsistencies, partial bans), (ii) collaboration and cooperation problems between institutions and schools, (iii) low priority of smoking prevention and school smoking bans, (iv) insufficient human resources and (v) resistance among smoking students and students from disadvantaged backgrounds. Our findings on the expert\u2019s perspective indicate a need to enhance and implement comprehensive school smoking bans. Furthermore, collaboration and cooperation between schools and external institutions should be fostered and strengthened, and adequate human resources should be provided.<\/jats:p>","DOI":"10.1093\/her\/cyz037","type":"journal-article","created":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T12:11:29Z","timestamp":1576066289000},"page":"32-43","source":"Crossref","is-referenced-by-count":7,"title":["\u2018[\u2026] the situation in the schools still remains the Achilles heel.\u2019 Barriers to the implementation of school tobacco policies\u2014a qualitative study from local stakeholder\u2019s perspective in seven European cities"],"prefix":"10.1093","volume":"35","author":[{"given":"Laura","family":"Hoffmann","sequence":"first","affiliation":[{"name":"Institute of Medical Sociology, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, Halle (Saale) 06112, Germany"}]},{"given":"Martin","family":"Mlinari\u0107","sequence":"additional","affiliation":[{"name":"Institute of Medical Sociology, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, Halle (Saale) 06112, Germany"}]},{"given":"Nora","family":"M\ufffdlard","sequence":"additional","affiliation":[{"name":"Institute of Health and Society, Universit\ufffd catholique de Louvain, Louvain-la-Neuve, IRSS Clos Chapelle-aux-champs 30\/B1.30.15 1200 Woluwe-Saint-Lambert, Brussels, Belgium"}]},{"given":"Teresa","family":"Le\ufffdo","sequence":"additional","affiliation":[{"name":"Centro de Investiga\ufffd\ufffdo em Sa\ufffdde P\ufffdblica, Escola Nacional de Sa\ufffdde P\ufffdblica, Universidade NOVA de Lisboa, Av. Padre Cruz, 1600-560 Lisboa, Portugal"}]},{"given":"Adeline","family":"Grard","sequence":"additional","affiliation":[{"name":"Institute of Health and Society, Universit\ufffd catholique de Louvain, Louvain-la-Neuve, IRSS Clos Chapelle-aux-champs 30\/B1.30.15 1200 Woluwe-Saint-Lambert, Brussels, Belgium"}]},{"given":"Pirjo","family":"Lindfors","sequence":"additional","affiliation":[{"name":"Faculty of Social Sciences (SOC), Health Sciences, 33014 Tampere University, Tampere, Finland"}]},{"given":"Anton E","family":"Kunst","sequence":"additional","affiliation":[{"name":"Department of Public Health, Amsterdam UMC, University of Amsterdam, Academisch Medisch Centrum, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands"}]},{"name":"Silne-R Consortium","sequence":"additional","affiliation":[]},{"given":"Julien","family":"Perelman","sequence":"additional","affiliation":[]},{"given":"Teresa","family":"Le\ufffdo","sequence":"additional","affiliation":[]},{"given":"Joana","family":"Alves","sequence":"additional","affiliation":[]},{"given":"Bruno","family":"Federico","sequence":"additional","affiliation":[]},{"given":"Diego","family":"Marandola","sequence":"additional","affiliation":[]},{"given":"Anna","family":"di Marco","sequence":"additional","affiliation":[]},{"given":"Vincent","family":"Lorant","sequence":"additional","affiliation":[]},{"given":"Pierre-Olivier","family":"Robert","sequence":"additional","affiliation":[]},{"given":"Michael","family":"Schreuders","sequence":"additional","affiliation":[]},{"given":"Paulien","family":"Nuyts","sequence":"additional","affiliation":[]},{"given":"Mirte","family":"Kuipers","sequence":"additional","affiliation":[]},{"given":"Arja","family":"Rimplea","sequence":"additional","affiliation":[]},{"given":"Pirjo","family":"Lindfors","sequence":"additional","affiliation":[]},{"given":"Anu","family":"Linnansaari","sequence":"additional","affiliation":[]},{"given":"Jaana","family":"Kinnunen","sequence":"additional","affiliation":[]},{"given":"Luke","family":"Clancy","sequence":"additional","affiliation":[]},{"given":"Sheila","family":"Keogan","sequence":"additional","affiliation":[]},{"given":"Elisabeth","family":"Breslin","sequence":"additional","affiliation":[]},{"given":"Keisha","family":"Taylor","sequence":"additional","affiliation":[]},{"given":"Matthias","family":"Richter","sequence":"additional","affiliation":[{"name":"Institute of Medical Sociology, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, Halle (Saale) 06112, Germany"}]}],"member":"286","published-online":{"date-parts":[[2020,1,14]]},"reference":[{"key":"2020013010364934800_cyz037-B1","doi-asserted-by":"crossref","first-page":"1861","DOI":"10.1016\/S0140-6736(17)30867-X","article-title":"Death, disease, and tobacco","volume":"389","author":"Britton","year":"2017","journal-title":"Lancet"},{"key":"2020013010364934800_cyz037-B2","volume-title":"Report on the Global Tobacco Epidemic: Monitoring Tobacco Use and Prevention Policies","year":"2017"},{"key":"2020013010364934800_cyz037-B3","volume-title":"ESPAD Report 2015: Results from the European School Survey Project on Alcohol and Other Drugs","author":"Kraus","year":"2016"},{"key":"2020013010364934800_cyz037-B4","doi-asserted-by":"crossref","first-page":"2253","DOI":"10.1016\/j.socscimed.2003.08.012","article-title":"A methodological and substantive review of the evidence that schools cause pupils to smoke","volume":"58","author":"Aveyard","year":"2004","journal-title":"Soc Sci Med"},{"key":"2020013010364934800_cyz037-B5","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1016\/S0140-6736(14)60082-9","article-title":"Effect of smoke-free legislation on perinatal and child health: a systematic review and meta-analysis","volume":"383","author":"Been","year":"2014","journal-title":"Lancet"},{"key":"2020013010364934800_cyz037-B6","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD009990.pub2","article-title":"School policies for preventing smoking among young people","author":"Coppo","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"2020013010364934800_cyz037-B7","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1136\/tobaccocontrol-2012-050846","article-title":"Anti-tobacco policy in schools: upcoming preventive strategy or prevention myth? 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