School tobacco policies (STPs) are a crucial strategy to reduce adolescents smoking. Existing studies have investigated STPs predominantly from a school-related 'insider' view. Yet, little is known about barriers that are not identified from the 'schools' perspective', 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's 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.

中文翻译：

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“ […]学校的情况仍然是致命弱点。” 实施学校烟草政策的障碍-在七个欧洲城市从当地利益相关方的角度进行的定性研究。

学校烟草政策（STP）是减少青少年吸烟的关键策略。现有研究主要从学校相关的“内部”角度调查了STP。但是，对于从“学校”的角度来看尚未发现的障碍（例如对当地利益相关者的看法）知之甚少。包括来自七个欧洲城市的46个专家访谈，这些访谈与地方一级的利益相关者（例如，地区卫生部门，青年保护和成瘾预防领域的代表）。专家访谈的分析表明，在实施STP时应考虑不同的障碍。这些障碍可以归纳为以下内容：（i）有关STP立法的障碍（例如，不一致，部分禁令），（ii）机构与学校之间的合作与合作问题，（iii）吸烟预防和学校吸烟禁忌的低优先级，（iv）人力资源不足，以及（v）吸烟学生和处境不利的学生之间的抵制。我们从专家的角度出发的发现表明，有必要加强和实施全面的学校吸烟禁令。此外，应促进和加强学校与外部机构之间的合作与合作，并应提供足够的人力资源。的观点表明，有必要加强和实施全面的学校吸烟禁令。此外，应促进和加强学校与外部机构之间的合作与合作，并应提供足够的人力资源。的观点表明，有必要加强和实施全面的学校吸烟禁令。此外，应促进和加强学校与外部机构之间的合作与合作，并应提供足够的人力资源。