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Predicting students' noncompliance with a smoke-free university campus policy.
Prev Med 2018; 114:209-216PM

Abstract

The adoption of university campus smoke-free and tobacco-free policies has risen dramatically, but research on effective implementation is scant. Significant challenges exist regarding policy implementation, particularly enforcement. This study examined college students' noncompliance with a recently implemented smoke-free campus policy at a public university. The sample included students who reported past-month smoking of tobacco or e-cigarettes in a 2013 web-based survey, 9 months after a smoke-free campus policy took effect. Ordinal logistic regression was used to examine predictors of students' having smoked on campus since the policy began (n = 1055). Predictor variables included past-month use of cigarettes, e-cigarettes, smokeless tobacco, and non-cigarette tobacco products, secondhand smoke (SHS) exposure, support for a smoke-free campus, tobacco-related social norms, use of strategies to deal with smoking urges, and other variables. In multivariate analysis, policy violation was positively associated with past-month use of cigarettes and non-cigarette combustible tobacco, SHS exposure on campus, living on campus, and use of nicotine gum/patches to handle urges. Violation was negatively associated with smoke-free campus support, age, estimates of student policy support and cigarette smoking, and self-reported absence of smoking urges. Results suggest that nicotine dependence may be an underlying influence on policy violation. Several recommendations are offered. First, upon policy adoption, campuses should ensure student smokers' access to cessation support and assistance with dealing with nicotine cravings. Second, campus information campaigns should focus particularly on younger students and those living on campus. Third, campuses should establish strong anti-tobacco norms, monitor SHS exposure, and communicate levels of students' policy support.

Authors+Show Affiliations

School of Social and Behavioral Health Sciences, Oregon State University, Corvallis, OR 97331, USA. Electronic address: marc.braverman@oregonstate.edu.School of Social and Behavioral Health Sciences, Oregon State University, Corvallis, OR 97331, USA. Electronic address: john.geldhof@oregonstate.edu.Career Services, Linn-Benton Community College, Albany, OR 97321, USA. Electronic address: hoogesl@linnbenton.edu.Southern Nevada Health District, Office of Chronic Disease Prevention and Health Promotion, 280 S. Decatur Blvd., Las Vegas, NV 89107, USA. Electronic address: johnsonjes@snhdmail.org.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30049663

Citation

Braverman, Marc T., et al. "Predicting Students' Noncompliance With a Smoke-free University Campus Policy." Preventive Medicine, vol. 114, 2018, pp. 209-216.
Braverman MT, Geldhof GJ, Hoogesteger LA, et al. Predicting students' noncompliance with a smoke-free university campus policy. Prev Med. 2018;114:209-216.
Braverman, M. T., Geldhof, G. J., Hoogesteger, L. A., & Johnson, J. A. (2018). Predicting students' noncompliance with a smoke-free university campus policy. Preventive Medicine, 114, pp. 209-216. doi:10.1016/j.ypmed.2018.07.002.
Braverman MT, et al. Predicting Students' Noncompliance With a Smoke-free University Campus Policy. Prev Med. 2018;114:209-216. PubMed PMID: 30049663.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predicting students' noncompliance with a smoke-free university campus policy. AU - Braverman,Marc T, AU - Geldhof,G John, AU - Hoogesteger,Lisa A, AU - Johnson,Jessica A, Y1 - 2018/07/03/ PY - 2018/01/19/received PY - 2018/06/29/revised PY - 2018/07/02/accepted PY - 2018/7/28/pubmed PY - 2019/6/14/medline PY - 2018/7/28/entrez KW - Universities KW - smoke-free policy KW - social norms KW - tobacco products KW - tobacco smoke pollution SP - 209 EP - 216 JF - Preventive medicine JO - Prev Med VL - 114 N2 - The adoption of university campus smoke-free and tobacco-free policies has risen dramatically, but research on effective implementation is scant. Significant challenges exist regarding policy implementation, particularly enforcement. This study examined college students' noncompliance with a recently implemented smoke-free campus policy at a public university. The sample included students who reported past-month smoking of tobacco or e-cigarettes in a 2013 web-based survey, 9 months after a smoke-free campus policy took effect. Ordinal logistic regression was used to examine predictors of students' having smoked on campus since the policy began (n = 1055). Predictor variables included past-month use of cigarettes, e-cigarettes, smokeless tobacco, and non-cigarette tobacco products, secondhand smoke (SHS) exposure, support for a smoke-free campus, tobacco-related social norms, use of strategies to deal with smoking urges, and other variables. In multivariate analysis, policy violation was positively associated with past-month use of cigarettes and non-cigarette combustible tobacco, SHS exposure on campus, living on campus, and use of nicotine gum/patches to handle urges. Violation was negatively associated with smoke-free campus support, age, estimates of student policy support and cigarette smoking, and self-reported absence of smoking urges. Results suggest that nicotine dependence may be an underlying influence on policy violation. Several recommendations are offered. First, upon policy adoption, campuses should ensure student smokers' access to cessation support and assistance with dealing with nicotine cravings. Second, campus information campaigns should focus particularly on younger students and those living on campus. Third, campuses should establish strong anti-tobacco norms, monitor SHS exposure, and communicate levels of students' policy support. SN - 1096-0260 UR - https://www.unboundmedicine.com/medline/citation/30049663/Predicting_students'_noncompliance_with_a_smoke_free_university_campus_policy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0091-7435(18)30209-3 DB - PRIME DP - Unbound Medicine ER -