The Relationship of Smoking Status to Alcohol Use,Problems, and Health Behaviors in College Freshmen

Differences in drinking, consequences, and perceptions were examined between alcohol‐using college students by smoking status (current, past, and lifetime nonsmoker). Entering freshmen (N = 558: 45% male, 72% Caucasian, age M = 18) completed a questionnaire assessing smoking, drinking and current health perceptions. Results indicated current smokers drank more frequently, were more likely to drink to intoxication, and had more physiological consequences (e.g., blackouts, coordination problems) than past or lifetime nonsmokers, but past smokers also reported riskier drinking than lifetime nonsmokers. Despite a higher prevalence of alcohol‐related health problems in both current and past smokers, no current health differences were found. Results replicate findings that current smokers are at increased risk for problematic drinking and identify past smokers as another risk group.     

Actual versus perceived risk of cervical cancer among college women smokers

Cervical cancer is a well-established smoking-related illness, but many at-risk women are unaware of this link. OBJECTIVE: The authors designed this study to (1) investigate the relationship of smoking behavior with the history of abnormal Pap test results, sexual history, and perceived risk of cervical cancer and (2) determine whether self-classified smoking status (and hence perceived risk) corresponds with actual smoking behavior in a college student population. PARTICIPANTS AND METHOD SUMMARY: College women students (N = 135) completed a survey assessing smoking history, health history, sexual risk behavior, and risk awareness. RESULTS: Relative to those who had not smoked in the past month, current smokers (n = 36, or 27% of the total sample) perceived themselves to be at higher risk for developing cervical cancer, but did not demonstrate increased awareness of specific cervical cancer risk factors, including smoking. Twenty-eight percent (10 of 36) of past-month smokers did not define themselves as current smokers. CONCLUSION: The authors conclude that anti-smoking and health-related messages targeting smokers may misfire for individuals who do not define themselves as smokers but are nonetheless at risk for smoking-related consequences and escalating use.     

The Effect of Health Beliefs on the Smoking Behavior of College Women

Abstract

Of the 953 women from four New England colleges who responded to a random-sample survey of smoking behavior, 30.5% were current smokers; 20.3%, former smokers; and 49.2%, non-smokers. Most had begun smoking in high school. They were concerned about their smoking and over three-fourths of them had made a serious effort to stop. Their motivations for smoking and for stopping were studied. Coping with stress was an important motivation for continuation; health effects, loss of control over their lives, and social effects were important for cessation. Discriminant analysis was used to determine the relative contribution of health beliefs to changes in smoking status.     

Healthcare providers' treatment of college smokers

About 28% of college students smoke tobacco, and many will continue smoking into adulthood. Although little is known about how to help college students quit smoking, 1 promising strategy is healthcare providers' advice. To estimate their life-time receipt of brief advice and to identify characteristics that predict who may receive that advice, 348 college students completed a survey about their smoking and related practices. Seventy-seven percent of the smokers (73% of the students) were asked about smoking. Of those smokers, 57% were advised to quit, 22% were given advice about quitting, 5% were helped with setting a quit date, and 4% were offered follow-up. Occasional smokers were less likely than daily smokers to be advised to quit. Although 36.2% of the smokers did not report their smoking accurately, smokers who were accurate were more likely to be advised to quit and to be given advice about quitting.     

Screening and Brief Intervention for Tobacco Use by Student Health Providers on College Campuses

Abstract

Objective: This study assessed college students’ reports of tobacco screening and brief intervention by student health center providers. Participants: Participants were 3,800 students from 8 universities in North Carolina. Methods: Web-based survey of a stratified random sample of undergraduates. Results: Fifty-three percent reported ever visiting their student health center. Of those, 62% reported being screened for tobacco use. Logistic regression revealed screening was higher among females and smokers, compared to nonsmokers. Among students who were screened and who reported tobacco use, 50% reported being advised to quit or reduce use. Brief intervention was more likely among current daily smokers compared to current nondaily smokers, as well as at schools with higher smoking rates. Screening and brief intervention were more likely at schools with lower clinic caseloads. Conclusions: Results highlight the need to encourage college health providers to screen every patient at every visit and to provide brief intervention for tobacco users.     

Actual Versus Perceived Risk of Cervical Cancer Among College Women Smokers

Cervical cancer is a well-established smoking-related illness, but many at-risk women are unaware of this link. Objective: The authors designed this study to (1) investigate the relationship of smoking behavior with the history of abnormal Pap test results, sexual history, and perceived risk of cervical cancer and (2) determine whether self-classified smoking status (and hence perceived risk) corresponds with actual smoking behavior in a college student population. Participants and Method Summary: College women students (N = 135) completed a survey assessing smoking history, health history, sexual risk behavior, and risk awareness. Results: Relative to those who had not smoked in the past month, current smokers (n = 36, or 27% of the total sample) perceived themselves to be at higher risk for developing cervical cancer, but did not demonstrate increased awareness of specific cervical cancer risk factors, including smoking. Twenty-eight percent (10 of 36) of past-month smokers did not define themselves as current smokers. Conclusion: The authors conclude that antismoking and health-related messages targeting smokers may misfire for individuals who do not define themselves as smokers but are nonetheless at risk for smoking-related consequences and escalating use.     

Social Smoking: An Untenable Position

Abstract

Social smokers manage the conflicting aspects of their liminal identities by negotiating complex roles of performance and exchange. Using a combination of methods, including both participant observation of cultural performances and informal interviews, to elicit lay theories and accounts of self-conscious practices, this project examines social actors, self-defined as nonsmokers (or reformed smokers), who engage in recreational tobacco use. Through in-depth interviews and observations of self-identified female social smokers, we document general characteristics of this subpopulation, sampled from a large Midwest capital and its surrounding areas. Social smokers occupy an untenable social space; as neither smokers nor nonsmokers, they use both practices and discourses about those practices to stake their claim to an untenable social position. We conclude with a theoretical discussion that compares our findings with other discourses on smoking, especially the discourse of addiction narratives. In an age of increasing awareness of the health consequences, smoking has become a culturally unavailable category producing “disconfirming realities” in which social smokers constantly renegotiate their status.     

Characteristics of social smoking among college students

Social smoking is a newly identified phenomenon in the young adult population that is poorly understood. We investigated differences in social smoking (smoking most commonly while partying or socializing) and other smoking within a convenience sample of college smokers (n = 351) from a large midwestern university. Results revealed that 70% of 351 current (past 30-day) smokers reported social smoking. No significant difference was found in motivation to quit between smoking groups. However, a significant difference was found between groups in confidence to quit, the number of days smoked, and the number of cigarettes smoked on those days. More social smokers than expected did not perceive themselves as smokers. Logistic regression analysis revealed that lower physical and psychological dependence and higher social support scores predicted social smoking.     

Smoking initiation and smoking patterns among US college students.

The ages at which 18- to 24-year-old college students started smoking and its relationship to subsequent smoking were explored, using data from the 1995 National College Health Risk Behavior Survey. Most students (70%) had tried smoking; among those who had tried, 42% were current smokers, 19% were current frequent smokers, and 13% were current daily smokers. The majority (81%) who had ever smoked daily began doing so at age 18 years or younger, and 19% began smoking daily at age 19 years or older. Women were as likely as men to report ever having smoked a whole cigarette or ever having smoked daily. Most students (82%) who had ever smoked daily had tried to quit, but 3 in 4 were still smokers. Policies and programs designed to prevent the initiation of smoking and to help smokers quit are needed at both the high school and the college levels to reduce the proportion of young adults who smoke cigarettes.     

Enhancing response rates to a smoking survey for enlisted U.S. Navy women.

This study examined the effectiveness of a stepped approach for increasing response rates to a mailed follow-up smoking survey among newly enlisted women in the navy. The effect of the stepped approach on response rates and on the characteristics of respondents was evaluated. Also, costs were estimated for each of the steps to determine their relative benefits. Results showed that the stepped approach was effective in more than doubling the survey response rate among smokers. Reluctant respondents did not differ from on-time respondents in terms of demographics or baseline smoking, although nonrespondents were less educated and heavier smokers than on-time and reluctant respondents. Strategies documented here could well apply to survey efforts with other hard-to-reach populations.     

A qualitative study of attitudes, beliefs, and practices among 40 undergraduate smokers

OBJECTIVE: Because little is known about college-age smokers, the authors conducted a qualitative study to better understand this population. PARTICIPANTS: Forty college student smokers from 12 Pacific Northwest colleges participated in the study. METHODS: The authors identified themes and built models to ascertain important factors related to smoking and smoking cessation. Four models emerged: smoking facilitators, smoking barriers, cessation facilitators, and cessation barriers. RESULTS: The authors observed physical, psychological, and social influences across models, and social influences were strongly associated with both smoking and cessation. Many smokers were unlikely to define themselves as regular smokers. Most smokers had made prior quit attempts. CONCLUSIONS: College students are a unique category of smoker and colleges can play a role in helping them achieve cessation.     

Predictors of misreporting cigarette smoking initiation among adolescents

This study examines the prevalence of invalid reports of cigarette smoking initiation among adolescents (i.e., reporting cigarette smoking at one time point and denying ever trying cigarettes at a subsequent time point) and the association of misreports with scores on other problem-prone variables. Misreports did not vary as a function of item complexity and did not reflect careless responding. In the seventh grade, misreporters' scores on the problem-prone variables were higher than those of nonsmokers and lower than those of smokers. In contrast, when measured in the eighth grade, misreporters' scores did not differ from those of nonsmokers. Misreporters did show a greater decrease in intentions to smoke, alcohol use, and number of friends who smoke compared to nonsmokers and consistent smokers. Explanations for these findings are discussed.     

Attitudinal and behavioral differences between cigarette users who do and do not identify as “smokers”

Objective: The current research aimed to understand differences in smoking-related identity among college students and to illustrate the distinct characteristics of nonidentified smokers (NIS). Participants: Students from 2 colleges in Massachusetts (N = 538; April 2016). Methods: Respondents reported by online survey whether or not they had smoked a cigarette in the past 30 days and if they self-identified as smokers. Nonsmokers (NIS) and identified smokers (IS) were then compared on their smoking attitudes and behavior. Results: NIS made up 12.5% of the sample and 64% of all tobacco users. NIS perceived themselves as less addicted and were more confident in their ability to quit smoking. They also were less likely to smoke alone, buy their own cigarettes, or have friends who smoked. Conclusions: College health officials can best motivate NIS to quit smoking by focusing on peer norms and the potential of long-term addiction.     

Heterogeneous rates of time preference and the decision to smoke

Individuals with higher personal rates of time preference will be more likely to smoke. Although previous studies have found no evidence of a relationship between smoking and rates of time preference, analysis of implicit rates of time preference associated with workers' wage fatality risk trade-offs indicates that smokers have higher rates of time preference with respect to years of life. Current smokers have an implied rate of time preference of 13.8% as compared to 8.1% for nonsmokers. Current smokers who are blue-collar workers have rates of time preference with respect to years of life of 16.3% compared to 7.8% for nonsmoking blue-collar workers.     

Cigarette smoking and cessation among trade or technical school students in Texas

Although students enrolled in trade or technical colleges are at an elevated risk for tobacco use, virtually no information exists regarding their smoking behaviors. OBJECTIVE AND PARTICIPANTS: In the present study, the authors examined (1) the prevalence of smoking and quitting among 617 students in 2 trade or technical colleges in East Texas and (2) on-campus media exposure to antitobacco messages. METHODS: Students voluntary completed the 42-item Texas Trade and Technical School Tobacco Survey during a required introductory-level class. RESULTS: Of the participating students, 34% reported past-30-day smoking (current smoking). Of current smokers, 74% reported a previous quit attempt and 64% wanted to quit before graduation. Although most current smokers expressed a desire to quit smoking, the antitobacco message they were least likely to see on campus was that regarding how to quit. Current smokers cited their own health as the most likely reason to quit smoking, and most reported wanting to quit on their own, without the use of resources. However, of the 9 listed resources, students were most likely to report the possible use of medication. CONCLUSIONS: Given that most smoking students desire to quit smoking--and that they are enrolled in trade or technical schools for an extended period of time--additional research should examine how successful interventions can be delivered at the trade or technical school itself.     

The employment disadvantage of being a smoker

Three studies were done to examine the effects of being a tobacco smoker on employment prospects. In Study 1, thirty-two subjects reviewed application forms and rated four applicants as prospective employees. The subjects rated the nonsmoker version of the job applicants significantly more highly for hiring. In Study 2, forty-four subjects stated whether they preferred to hire smokers or nonsmokers and estimated the preference of employers generally. Those who stated a personal preference gave their reasons. Seven personal reasons for preferring a nonsmoker were mentioned by at least two subjects. The reasons ranged from dislike of tobacco smoke to concern about smokers taking more sick leave. In Study 3, which involved forty-six subjects, degree of endorsement of the attitudes underlying four of the seven preference reasons were found to be associated with degree of preference for non-smokers. The results of the three studies provide potentially useful information for job applicants and for individuals who design smoking prevention interventions.     

Cigarette Smoking and Cessation Among Trade or Technical School Students in Texas

Although students enrolled in trade or technical colleges are at an elevated risk for tobacco use, virtually no information exists regarding their smoking behaviors. Objective and Participants: In the present study, the authors examined (1) the prevalence of smoking and quitting among 617 students in 2 trade or technical colleges in East Texas and (2) on-campus media exposure to antitobacco messages. Methods: Students voluntary completed the 42-item Texas Trade and Technical School Tobacco Survey during a required introductory-level class. Results: Of the participating students, 34% reported past-30-day smoking (current smoking). Of current smokers, 74% reported a previous quit attempt and 64% wanted to quit before graduation. Although most current smokers expressed a desire to quit smoking, the antitobacco message they were least likely to see on campus was that regarding how to quit. Current smokers cited their own health as the most likely reason to quit smoking, and most reported wanting to quit on their own, without the use of resources. However, of the 9 listed resources, students were most likely to report the possible use of medication. Conclusions: Given that most smoking students desire to quit smoking—and that they are enrolled in trade or technical schools for an extended period of time—additional research should examine how successful interventions can be delivered at the trade or technical school itself.     

Understanding factors related to nonsmoking intention among college students

Abstract

Objective: While cigarette smoking in the United States has declined, the age range of smoking initiation has risen to include young adults. This study investigated the relationship of Theory of Planned Behavior constructs (TPB; attitudes, subjective norms, and perceived behavioral control [PBC]) to nonsmoking intention among college students. Participants: Participants were 619 students at a Southeastern US university (69.8% female, 70.8% ≤ age 21, and 73.5% white). Methods: Students were recruited by email in March 2013 to participate in an online TPB-based questionnaire. Results: Future-oriented attitudes and PBC predicted higher nonsmoking intention; subjective norms did not. Moderator analyses indicated injunctive norms were more influential for occasional smokers and PBC was less influential. Conclusions: Findings suggest TPB is useful in predicting nonsmoking intention, but differentially for nonsmokers and occasional smokers. Future work should consider the health-related utility of future-oriented attitudes toward nonhealth domains and the differing beliefs of occasional smokers.     

Urban resident attitudes toward rodents,rodent control products,and environmental effects

Rodent control in urban areas can result in the inadvertent mortality of non-target species (e.g., bobcats). However, there is little detailed information from urban residents about rodent control practices. We evaluated urban rodent control behaviors in two areas of California (southwestern Bakersfield and in proximity to Santa Monica Mountains National Recreation Area (SAMO)) where biologists have observed non-target mortality among carnivores resulting from exposure to anticoagulant rodenticides. Using a mail survey instrument, we asked residents about rodent control practices including products used and application, attitudes toward rodents, and concern about non-target mortality. Forty-one percent of Bakersfield (response rate = 20%) and 59% of SAMO (response rate = 31%) respondents reported rodent or other animal control on their property. Snap traps and anticoagulants were the most commonly used physical and chemical control products, respectively. Many respondents were unsure whether (12% Bakersfield; 17% SAMO) or which (39% Bakersfield; 46% SAMO) chemical products were used on their property. When told of possible non-target effects, a majority of respondents were either very or somewhat concerned. Attitudes toward rodents were relatively negative across all respondents. Respondents who applied control products themselves (as opposed to a third party) were most supportive of ensuring availability of rodent control products. Our results suggest that residents do not readily connect their personal or household activities with larger environmental effects, and highlight potential focal areas for policy evaluation related to wildlife management, such as providing explicit information about potential environmental effects of rodent control products.     

Sexual Concerns and Counseling Needs of “Normal” Women Attending a Student Health Service Women's Clinic

Abstract

The responses of approximately 1000 female university students attending a Women's Health Service for gynecologic or contraceptive services are presented. A self-report questionnaire examined the frequency of sexual problems experienced by the respondents and their partners. The most common concerns expressed about themselves were orgasmic difficulties (74%), dyspareunia (58%), and body inhibitions (46%). Forty-five percent of these women expressed a desire for counseling. The most common concerns that the respondents perceived in their partners were premature ejaculation (46%), too much interest in sex (33%), and difficulty maintaining an erection (28%). Twenty percent of the women thought their partners would desire counseling. Specific types of counseling desired (e.g., individual, group, mixed group) were determined. Various self-help educational interests of the students were also evaluated. Substantial numbers of “normal” female university students expressed sexual concerns and desire for counseling services and educational aids.