Research paper
 
CC-BY-NC 4.0
 
 

Tobacco Control at Community Colleges: Context and Opportunities

Scott McIntosh 1  ,  
Tye Johnson 1,  
 
1
University of Rochester Medical Center, New York, USA
2
University of Redlands School of Education, Redlands, USA
3
University at Albany School of Public Health, Department of Epidemiology and Biostatistics, Rensselaer, New York, USA
Tob. Prev. Cessation 2016;2(December):79
Publish date: 2016-12-01
Submission date: 2016-08-10
Final revision date: 2016-11-08
Acceptance date: 2016-11-11
KEYWORDS:
TOPICS:
 
ABSTRACT:
Introduction:
Tobacco use among United States college-aged students remains higher than that of the national average. While a majority of public health literature has explained tobacco control programs and policies at traditional four-year colleges and universities, little research exists on programs and policies at two-year community colleges. It is important to understand such efforts at these institutions as they have vastly different infrastructures and enroll a more diverse and at-risk student body compared to traditional four-year colleges.

Methods:
The role of community colleges in health efforts aimed at tobacco use was examined at four community colleges. Qualitative research methods included 18 interviews and four focus groups (N=55), document review, and direct environmental observation.

Results:
Community colleges offered a limited number of tobacco cessation and secondhand smoke prevention initiatives. All colleges provided tobacco control literature, though additional programming varied by college. Indoor and outdoor tobacco use policies existed on all campuses though enforcement was problematic. Little evidence was found that current program and policy approaches are based upon best practices or are being employed successfully.

Conclusions:
Opportunities for best practice strategies for tobacco control were identified for community colleges, and would require little additional infrastructure. Policy adherence and enforcement could be improved with awareness raising with students, faculty and staff. Cessation tools for students must be convenient, understandable, and accessible from multiple locations. Feasible approaches for future initiatives could include testing low cost technology such as quitlines, Web Assisted Tobacco Interventions (WATI) and outside partnerships with community organizations and health agencies.

CORRESPONDING AUTHOR:
Scott McIntosh   
University of Rochester Medical Center, 265 Crittenden Blvd, CU 420644, 14642 Rochester, United States
 
REFERENCES:
1. Aud, S., Hussar, W., Johnson, F., Kena, G., Roth, E., Manning, E., Wang, X., and Zhang, J. The Condition of Education (NCES 2012-045). U.S. Department of Education, National Center for Education Statistics. 2012 Washington, DC. Available from: http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2012045. (accessed August 2016).
2. VanKim, N. A., Laska, M. N., Ehlinger, E., Lust, K., & Story, M. Understanding young adult physical activity, alcohol and tobacco use in community colleges and 4-year post-secondary institutions: A cross-sectional analysis of epidemiological surveillance data. BMC Public Health 2010, 10(1):208. doi: 10.1186/1471-2458-10-208.
3. Emmons, K. M., Wechsler, H., Dowdall, G., & Abraham, M. Predictors of smoking among US college students. American Journal of Public Health 1998, 88(1):104-107.
4. Rigotti, N. A., Lee, J. E., & Wechsler, H. US college students' use of tobacco products. Journal of the American Medical Association 2000, 284(6): 699-705. doi:10.1001/jama.284.6.699.
5. King B, Dube S, Kaufmann R, Shaw L, Pechacek T. Vital Signs: Current Cigarette Smoking Among Adults Aged>= 18 Years-United States, 2005-2010 (Reprinted from MMWR, vol 60, pg 1207-1212, 2011). Journal of The American Medical Association 2011 Nov 2;306(17):1857-60.
6. Berg C.J, An L.C., Thomas J.L., Lust K., Sanem J.R., Swan D.W., Ahluwalia, J.S. Smoking patterns, attitudes, and motives among two-year college and four-year college students. Health Education Research 2011, 26(4):614-623. doi:10.1093/her/cyr017.
7. Lenk KM, Erickson DJ, Nelson TF, Winters KC, Toomey TL. Alcohol Policies and Practices Among Four-Year Colleges in the United States: Prevalence and Patterns. Journal of Studies on Alcohol and Drugs 2012, 73(3): 361–367. doi: 10.15288/jsad.2012.73.361.
8. Butler, K. M., Fallin, A., & Ridner, S. L. Evidence-based smoking cessation for college students. The Nursing Clinics of North America 2012, 47(1), 21-30. doi:10.1016/j.cnur.2011.10.007.
9. Nichter, M., Nichter, M., Carkoglu, A., & Tobacco Etiology Research Network. Reconsidering stress and smoking: A qualitative study among college students. Tobacco Control 2007, 16(3): 211-214. doi:10.1136/tc.2007.019869.
10. Pierceall, E.A., Keim, M.C. Stress and coping strategies among community college students. Community College Journal of Research and Practice 2007, 31(9): 703-712. doi: 10.1080/10668920600866579
11. Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. Actual causes of death in the United States, 2000. Journal of the American Medical Association 2004, 291(10): 1238-1245. doi:10.1001/jama.291.10.1238.
12. United States Department of Health and Human Services Office of Disease Prevention and Health Promotion. (2016). Healthy people 2020. Available from https://www.healthypeople.gov/2020/topics-objectives/objective/ecbp-75 (accessed August 2016).
13. American College Health Association. (2011). ACHA guidelines: Position statement on tobacco on college and university campuses. Linthicum, MD. Available from https://www.acha.org/documents/resources/guidelines/ACHA_Position_Statement_on_Tobacco_Nov2011.pdf (accessed August 2016)
14. Floyd, D. L. Student health: Challenges for community colleges. Community College Journal of Research & Practice 2003, 27(1): 25-39. doi: 10.1080/713838081.
15. Bragg, D. D. (2001). Community college access, mission, and outcomes: Considering intriguing intersections and challenges. Peabody Journal of Education 2001, 76(1):93-116. doi: 10.1207/S15327930PJE7601_06.
16. Cohen, A. M., Brawer, F. B. The American Community College (5th Edition) 2008. San Francisco, CA: Jossey-Bass.
17. Aud, S., Wilkinson-Flicker, S., Kristapovich, P., Rathbun, A., Wang, X., and Zhang, J. The Condition of Education. 2013 (NCES 2013-037). U.S. Department of Education, National Center for Education Statistics. Washington, DC. Available from http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2013037. (accessed August 2016).
18. Bailey, T., Jenkins, D., & Leinbach, T. What we know about community college low-income and minority student outcomes: Descriptive statistics from national surveys. 2005. New York, NY: Columbia University, Teachers College, Community College Research Center. Available from http://files.eric.ed.gov/fulltext/ED484354.pdf (accessed August 2016).
19. Pokhrel, P., Little, M.A., Herzog, T.A. Current Methods in Health Behavior Research Among U.S. Community College Students: A Review of the Literature. Evaluation & the Health Professions 2014, 37(2) 178-202. doi: 10.1177/0163278713512125.
20. Sanem, J. R., Berg, C.J., An, L.C., Kirch, M.A., & Lust, K.A. Differences in tobacco use among two-year and four-year college students in Minnesota. Journal of American College Health 2009, 58(2): 151-159. doi: 10.1080/07448480903221376.
21. James, D.C.S., Chen, W.W., & Sheu, J.J. Type of tobacco product used: Are there differences between university and community college students? Journal of Drug Education 2007, 37(4), 379-392. doi: 10.2190/DE.37.4.b.
22. Berg, C.J., Lessard, L., Parelkar, P.P., Thrasher, J., Kegler, M.C., Escoffery, C., Goldade, K, Ahluwalia, J. S. College student reactions to smoking bans in public, on campus and at home. Health Education Research 2011, 26(1): 106-118. doi: 10.1093/her/cyq076
23. Prokhorov, A.V., Warneke, C., de Moor, C., Emmons, K.M., Mullin Jones, M., Rosenblum, C., Suchanek Hudmon, K., Gritz, E.R.. Self-reported health status, health vulnerability, and smoking behavior in college students: Implications for intervention. Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco 2003, 5(4), 545-552. doi: 10.1080/1462220031000118649.
24. Ottenritter, N. National Study on Community College Health. Community College Press, American Association of Community Colleges 2002, Washington, DC. ERIC Number: ED464663.
25. Prokhorov, A.V., Yost, T., Jones, M.M., de Moor, C., Ford, K.H., Marani, S., Kilfoy, B.A., Hein, J.P., Suchanek Hudmon, K., Emmons, K.M. “Look at your health”: Outcomes associated with a computer-assisted smoking cessation counseling intervention for community college students. Addictive Behaviors 2008, 33(6):757. doi: 10.1016/j.addbeh.2007.12.005
26. Hasman, L., Berryman, D., & McIntosh, S. NLM Informationist Grant – Web Assisted Tobacco Intervention for Community College Students 2013. Journal of eScience Librarianship, 2(1): Article 8. doi: 10.7191/jeslib.2013.1034.
27. Creswell, J. Educational research: Planning, conducting, and evaluating quantitative and qualitative research 2002. Saddle River, NJ: Prentice Hall.
28. Strauss, A., Corbin, J. Basics of qualitative research: Techniques and procedures for developing grounded theory (3rd Edition) 2007. Thousand Oaks, CA: Sage Publications, Incorporated.
29. Guba, E. G., & Lincoln, Y. S. Naturalistic inquiry 1985. Vol 75. Thousand Oaks, CA: Sage Publications, Incorporated.
30. Murphy-Hoefer, R., Griffith, R., Pederson, L. L., Crossett, L., Iyer, S. R., & Hiller, M. D. A review of interventions to reduce tobacco use in colleges and universities. American Journal of Preventive Medicine 2005, 28(2): 188-200. doi:10.1016/j.amepre.2004.10.015.
31. Cummins, S. E., Hebert, K. K., Anderson, C. M., Mills, J. A., & Zhu, S. Reaching young adult smokers through quitlines. American Journal of Public Health 2007, 97(8): 1354–1356. doi: 10.2105/AJPH.2006.101741.
32. Ossip-Klein, D.J., McIntosh, S. Quitlines in North America: Evidence base and applications. American Journal of the Medical Sciences 2003, 326(4): 201-205. doi: 10.1097/00000441-200310000-00010
33. Sims, T.H., McAfee, T., Fraser, D.L., Baker, T.B., Fiore, M.C., Smith, S.S. Quitline cessation counseling for young adult smokers: A randomized clinical trial. Nicotine & Tobacco Research 2013, 15(5), 932-941. doi: 10.1093/ntr/nts227.
34. Norman, C. D., McIntosh, S., Selby, P., Eysenbach, G. Web-assisted tobacco interventions: Empowering change in the global fight for the public’s (e)health. Journal of Medical Internet Research 2008, 10(5); e28. doi: 10.2196/jmir.1171.
35. Wall, A. F., BaileyShea, C., & McIntosh, S. Community college student alcohol use developing context-specific evidence and prevention approaches. Community College Review 2012, 40(1): 25-45. doi: 10.1177/0091552112437757.
36. Stearns, M., Nambiar, S., Nikolaev, A., Semenov, A., McIntosh, S. (2014). Towards Evaluating and Enhancing the Reach of Online Health Forums as a Treatment of Smoking. Network Modeling and Analysis in Health Informatics & Bioinformatics 2014, 3(1):1-11. doi:10.1007/s13721-014-0069-7.
37. Donovan, E., Chiauzzi, E., Floyd, D. L., Bond, K., & Wood, M. The feasibility of an online health program for community college students. Community College Journal of Research and Practice 2012, 36(9): 637-655. doi: 10.1080/15363759.2011.559886.
38. Prokhorov, A.V., Fouladi, R.T., de Moor, C., Warneke, C. L., Luca, M., Jones, M.M., Rosenblum, C., Emmons, K.M., Suchanek Hudmon, K., Yost., T.E., Gritz, E.R. Computer-assisted, counselor-delivered smoking cessation counseling for community college students: Intervention approach and sample characteristics. Journal of Child & Adolescent Substance Abuse 2007, 16(3): 35-62. doi: 10.1300/J029v16n03_03.
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