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Prevalence of and factors associated with violations of a campus smoke-free policy: a cross-sectional survey of undergraduate students on a university campus in the USA.


ABSTRACT: OBJECTIVE:The aim of this study is to estimate the prevalence of smoking behaviour on campus and to identify the key factors that influence adherence to a campus smoke-free policy. DESIGN & PARTICIPANTS:This study employed a cross-sectional, self-administered survey of undergraduate students at the University of Mississippi. A random sample of all available undergraduate classes was recruited for data collection. Students were provided a survey that included questions on demographics, alcohol use, smoking status, policy awareness, policy attitudes, smoking attitudes, policy support, barriers to policy success and policy violations. RESULTS:The prevalence of past 30-day smoking was 23%. More than 63% of current smokers report ever smoking on campus, but less than 10% ever received a warning or a ticket for their violation. Nearly all respondents (92.5%) reported witnessing someone smoking on campus, and 22% reported witnessing someone receiving a ticket. Barriers to policy success include lack of reminders about the policy, lack of support from students and University administrators, and insufficient fines. Smoking behaviour (OR: 7.96; 95%?CI: 5.13 to 12.36), beliefs about policy adherence (OR: 0.52; 95%?CI: 0.40 to 0.69), support for the policy (OR: 0.71; 95%?CI: 0.55 to 0.91) and attitudes against smoking behaviour (OR: 0.35; 95%?CI: 0.25 to 0.49) were all significantly associated with self-reported policy violations. CONCLUSIONS:This study found that violations of the campus smoke-free policy were fairly frequent and the policy has been largely ineffective, indicating a need for other interventions. Approaches to improve adherence to the policy should address barriers such as reminders about the policy, better policy enforcement and support from the administration.

SUBMITTER: Ramachandran S 

PROVIDER: S-EPMC7103814 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Prevalence of and factors associated with violations of a campus smoke-free policy: a cross-sectional survey of undergraduate students on a university campus in the USA.

Ramachandran Sujith S   Bentley Sandra S   Casey Ethan E   Bentley John P JP  

BMJ open 20200319 3


<h4>Objective</h4>The aim of this study is to estimate the prevalence of smoking behaviour on campus and to identify the key factors that influence adherence to a campus smoke-free policy.<h4>Design & participants</h4>This study employed a cross-sectional, self-administered survey of undergraduate students at the University of Mississippi. A random sample of all available undergraduate classes was recruited for data collection. Students were provided a survey that included questions on demograph  ...[more]

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