TY - JOUR A1 - Hurrelmann, Klaus A1 - Rathmann, Katharina A1 - Moor, Irene A1 - Kunst, Anton E. A1 - Dragano, Nico A1 - Pförtner, Timo-Kolja A1 - Elgar, Frank J. A1 - Kannas, Lasse A1 - Baška, Tibor A1 - Richter, Matthias T1 - Is educational differentiation associated with smoking and smoking inequalities in adolescence? A multilevel analysis across 27 European and North American countries T2 - Sociology of Health & Illness N2 - This study aims to determine whether educational differentiation (i.e. early and long tracking to different school types) relate to socioeconomic inequalities in adolescent smoking. Data were collected from the WHO-Collaborative 'Health Behaviour in School-aged Children (HBSC)' study 2005/2006, which included 48,025 15-year-old students (Nboys = 23,008, Ngirls = 25,017) from 27 European and North American countries. Socioeconomic position was measured using the HBSC family affluence scale. Educational differentiation was determined by the number of different school types, age of selection, and length of differentiated curriculum at the country-level. We used multilevel logistic regression to assess the association of daily smoking and early smoking initiation predicted by family affluence, educational differentiation, and their interactions. Socioeconomic inequalities in both smoking outcomes were larger in countries that are characterised by a lower degree of educational differentiation (e.g. Canada, Scandinavia and the United Kingdom) than in countries with higher levels of educational differentiation (e.g. Austria, Belgium, Hungary and The Netherlands). This study found that high educational differentiation does not relate to greater relative inequalities in smoking. Features of educational systems are important to consider as they are related to overall prevalence in smoking and smoking inequalities in adolescence. KW - HBSC KW - Adolescence KW - Educational differentiation KW - Multilevel analysis KW - Socioeconomic inequality KW - Socioeconomic status KW - Tobacco smoking Y1 - 2016 UR - https://opus4.kobv.de/opus4-hsog/frontdoor/index/index/docId/2092 VL - 38 IS - 7 SP - 1005 EP - 1025 ER -