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Transition to a Tobacco Free Campus: Cigarette Smoking Trends Among IC Undergraduates Amanda Cheetham , Christie Larrabee & Divine Sebuharara HPPE/ESS Dr. Srijana Bajracharya & Dr. Miranda Kaye. Background.
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Transition to a Tobacco Free Campus: Cigarette Smoking Trends Among IC UndergraduatesAmanda Cheetham, Christie Larrabee& Divine SebuhararaHPPE/ESSDr. SrijanaBajracharya& Dr. Miranda Kaye
Background • Cigarette Smoking associated with CVD, respiratory issues, various types of cancer, and increases the risk for several other conditions. • Over 7,000 chemicals in SHS and 69 proven to cause cancer. • Individuals exposed to SHS smoke before age 25 are more likely to develop lung cancer as opposed to those who are first exposed after age 25. • 14.3% of undergraduate students have smoked in the last 30 days. American Cancer Society, 2013; Asomaning et al., 2007; CDC, 2012a; NCHA, 2012
Background • More than 500 colleges are already smoke free. • Compliance with these policies is a challenge - a trend seen nationally and internationally. • Smoke free policies have been found to decrease smoking rates among undergraduate students. Fallin, 2013; Hahn, 2010
Research Question • What variables most significantly predict cigarette use among undergraduate students? • Predictions: • Students’ perceptions of peer smoking habits will predict their smoking behaviors. • Students who report receiving information from the College regarding tobacco use, will report smoking less frequently.
Methods • American College Health Association National College Health Assessment (ACHA-NCHA) • Random Participant Selection: E-mail invitation sent to 3,578 randomly selected full-time undergraduate students • Response rate: 34.3% (n = 1222)
Methods • The following questions were used from the survey: • “Within the last 30 days, on how many days did you use cigarettes” • “Within the last 30 days, how often do you think the typical student at your school used cigarettes” • “Have you received information on tobacco use from your college or university?” • “What is your gender?” • “What is your year in school?” • “Where do you currently live?” • “Within the last 12 months, have you participated in organized college athletics at the varsity level?”
Results • Smoker Profile • 72% male (80 of 111) • 86% non-athletes (96 of 112) • 75% live on campus (84 of 112) • 35% are sophomore students (38 of 110) • 67% (74 of 111) of smokers report not receiving information from IC about tobacco.
Results Current residence (β = .11), varsity athlete status (β = -.11), gender (β = .08) and information received about tobacco (β = .11) significantly predicted cigarette use among participants. Perceptions of tobacco use (β = .02) and year in school (β = .01) were not significant predictors of cigarette use. All variables explain 4.4% of difference in cigarette use in the last 30 days. F(6, 1159) = 8.84, p < .001
Discussion • Neither prediction was supported: • Perceptions NOT a predictor of smoking • IC students are not influenced by subjective norm. • Information received predicts smoking • Explanation may be that smokers are more likely to recall receiving information that pertains to a behavior they engage in.
Conclusions • Tobacco information distributed by college is reaching the population but not having the desired effect. • Intervention should be based on: • Theory of Reasoned Action and Planned Behavior, • Perceived control • Diffusion Theory of Innovations • Social Marketing Theory
References American Cancer Society. (2013). Secondhand smoke. Retrieved from http://www.cancer.org/cancer/cancercauses/tobaccocancer/secondhand-smoke American College Health Association. American College Health Association-National College Health Assessment II: Reference Group Executive Summary Spring 2012. Hanover, MD: American College Health Association; 2012. Asomaning, K. Miller, D. P., Liu, G., Wain, J. C., Lynch, T. J., Su, L., & Christiani, D. C., (2007). Second hand smoke, age of exposure and lung cancer risk. Lung Cancer, 61, 13-20. Centers for Disease Control and Prevention. (2012a). Health effects of cigarette smoking. Retrieved from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/#cancer Fallin, A., Johnson, A.O., Riker, C., Cohen, E., Rayens, M.K., Hahn, E.J. (2011). An intervention to increase compliance with a tobacco-free university policy. The Science of Lifestyle Change, 27(3): 162-169. Hahn, E.J., Rayens, M.K., Ridner, S.L., Butler, K.M., Zhang, M., & Staten, R.R. (2010). Smoke-free laws and smoking and drinking among college students. Journal of Community Health, 35: 503-511.