Examining the use of tobacco on college campuses.

The authors used the Health Risk Behavior Survey for University Students to assess the prevalence of tobacco use among undergraduates in the Florida state university system. They examined the relationships of gender, marital situation, and minority status to 6 smoking behaviors (tried cigarettes, smoked regularly, tried to quit smoking, age when first smoked regularly, number of cigarettes smoked in the last month, and number of days smoked in the past month). Findings suggested that White students were more likely than minority students to try cigarettes and women more likely than men to smoke regularly. Married students smoked more regularly than others and were less likely than single students to have tried to quit smoking. The investigators suggested analyzing latent behaviors associated with smoking and called for a national meta-analysis of data from smoking studies to help clinicians deal with student tobacco use.     

Factors Associated With Growth in Daily Smoking Among Indigenous Adolescents

North American Indigenous adolescents smoke earlier, smoke more, and are more likely to become regular smokers as adults than youth from any other ethnic group, yet we know very little about their early smoking trajectories. We use multilevel growth modeling across five waves of data from Indigenous adolescents (aged 10–13 years at Wave 1) to investigate factors associated with becoming a daily smoker. Several factors, including number of peers who smoked at Wave 1 and meeting diagnostic criteria for major depressive episode and conduct disorder, were associated with early daily smoking. Only age and increases in the number of smoking peers were associated with increased odds of becoming a daily smoker.     

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.     

Smoking among New England College Men and Women

Abstract

Smoking behavior was examined among college students at 34 New England colleges. Women were more often smokers (44%) than men (32%) and were also more likely to smoke daily than men (23 vs. 16%). Men in private colleges were significantly less likely to smoke (22%) than those in public colleges (26%). At both public and private colleges, women were more likely to smoke than men. Smoking was inversely related to health habits for both men and women.

The percentage of college women who smoked is similar to that reported for the general population, while that for men is less. Prevention programs should be targeted to girls in the primary and secondary grades, as well as to college women, and support for smoking cessation should be made available on college campuses.     

The Relations Between Parents' Smoking, General Parenting, Parental Smoking Communication, and Adolescents' Smoking

The present study examined whether the associations between general parenting practices (i.e., support, behavioral control, and psychological control) and parental smoking on the one hand and older and younger siblings' smoking on the other were mediated by parental smoking communication (i.e., frequency and quality of parent–adolescent communication concerning smoking-related issues). The focus of this paper was on examining whether these associations of parental actions and adolescents' smoking were different in older and younger siblings within the family. Participants were 428 Dutch families (mother, father, and their 2 adolescent siblings aged 13–17). The results of parent and adolescent reports indicated that general parenting practices and parental smoking were associated with parental smoking communication, which, in turn, was related with adolescent smoking. The magnitude of the associations between parenting and adolescent smoking did not differ between older and younger siblings. Supportive parents were generally more likely to engage in a high quality communication about smoking with their adolescent children; this was related to a lower likelihood to smoke. Parents who exerted psychological control were more likely to talk more frequently with their adolescents on smoking matters, which in turn, relates to a higher likelihood to smoke. Also, smoking parents were less likely to have high-quality parent–adolescent communication that relates to higher likelihoods to smoke. In general, the findings were similar across reporters. Implications for prevention are addressed.     

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.     

Drinking Motives,Alcohol Use,and Sexual Attraction in Youth

Sexual minority youth were found to be more likely to drink alcohol during weekdays compared to heterosexual youth. Drinking during weekdays was associated with consuming alcohol as a coping strategy. Sexual minority youth also more frequently consumed alcohol to eliminate personal worries (coping) and to not be excluded by their peers (conformity). Sexual orientation–related alcohol problems should be addressed at an early stage. Such efforts are likely to be effective if insecurities and stress related to sexual orientation are addressed as well.     

RISK BELIEFS AND SMOKING BEHAVIOR

We analyze smoking risk beliefs and smoking behavior using individual data from 1997 for the United States and 1998 for Massachusetts. Smokers and adults more generally overestimate the lung cancer risks of smoking and the mortality risks and life expectancy loss. Higher risk beliefs decrease the probability of starting to smoke and increase the probability of quitting among those who begin. Better educated smokers have lower and more accurate risk beliefs, but education decreases the probability of smoking. Higher state cigarette taxes correlate with risk beliefs but not with smoking status. The uninsured are especially likely to remain current smokers. ( JEL I12, I18, D80)     

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.     

Socioeconomic correlates of current and regular smoking among college students in Rhode Island

Objective: The objective of this study was to determine how sociodemographic variables, in particular socioeconomic status, correlate with current and regular smoking among college students in Rhode Island. Participants and Methods: Over a 4-year period (academic year 2000-2001 to 2003-2004), the authors examined sociodemographic correlates of cigarette use among 3,984 students aged 17 to 24 years from 10 colleges and universities in Rhode Island. Results: One-third of participants (32.0%) had smoked a cigarette in the 30 days preceding the questionnaire. Findings from a pair of logistic regression models indicated that participants from upper-income families were more likely to be current smokers-although not regular smokers-suggesting that the effect of socioeconomic status on smoking is partly dependent on the level of addiction. In addition, freshmen were more likely to be current and regular smokers than were upperclassmen, and white students were most likely to be regular smokers. Conclusions: The frequency of college students who reported that they first tried smoking and first smoked regularly while in college increased from freshman to senior year, indicating that the college years are a vulnerable period for smoking initiation and habituation.     

‘Kids who Smoke Think that They Can Be Adults as Well’: Children's Smoking and Transitions to Adulthood

This article aims to explore the ways in which preadolescents associate smoking with transitions to adulthood, in the context of sociological theories of childhood, using data from the Liverpool Longitudinal Study of Smoking. The research found that at age 9 many of the cohort argued that smoking was more acceptable for adults because they had bigger bodies than children. Some children also suggested that smoking was appropriate for adults because adults were competent to make important decisions and to balance risks. By age 11, when several of the cohort had actually tried smoking, children's views about the risks smoking posed to their bodies had altered, and many children were aware of smoking‐related disease among adults. The cohort also suggested that some children might take up smoking to demonstrate that they are ‘grown up’ too. In the UK, legal restrictions on the age of tobacco purchase are reinforced by social norms that construct smoking as an activity that is only suitable for adults. The goal of legal restrictions that ban the sale of cigarettes to children is to protect their health. The unintended outcome, however, is that for many young people smoking is a way of demonstrating maturity and adult status.     

Nonresident fathers' involvement and adolescents' smoking

Although prior research has shown that adolescents from divorced and separated households are more likely to smoke than their peers from intact families, few studies have addressed factors that may minimize this risk, such as the role of involvement by nonresident fathers. A sample from the National Longitudinal Study of Adolescent Health (Add Health) is used to examine the longitudinal effects of nonresident fathers 'involvement, changes in involvement, and fathers' modeling of smoking behavior on the probability that adolescents will begin smoking regularly. Results indicate that adolescents who are more involved with their fathers are less likely to begin smoking regularly, that changes in involvement over time predict changes in the probability that adolescents will begin to smoke regularly, and that fathers' smoking also affects this outcome. Implications for theory and public policy are discussed.     

Socioeconomic Correlates of Current and Regular Smoking Among College Students in Rhode Island

Objective: The objective of this study was to determine how sociodemographic variables, in particular socioeconomic status, correlate with current and regular smoking among college students in Rhode Island. Participants and Methods: Over a 4-year period (academic year 2000-2001 to 2003-2004), the authors examined sociodemographic correlates of cigarette use among 3,984 students aged 17 to 24 years from 10 colleges and universities in Rhode Island. Results: One-third of participants (32.0%) had smoked a cigarette in the 30 days preceding the questionnaire. Findings from a pair of logistic regression models indicated that participants from upper-income families were more likely to be current smokers—although not regular smokers—suggesting that the effect of socioeconomic status on smoking is partly dependent on the level of addiction. In addition, freshmen were more likely to be current and regular smokers than were upperclassmen, and white students were most likely to be regular smokers. Conclusions: The frequency of college students who reported that they first tried smoking and first smoked regularly while in college increased from freshman to senior year, indicating that the college years are a vulnerable period for smoking initiation and habituation.     

Stress and impact of spirituality as a mediator of coping methods among social work college students

ABSTRACT

This exploratory pilot study was conducted to understand the stress level and coping strategies of social work students, with the aim to develop strategies to help students increase their ability to manage stress. The study examined the levels of stress perceived by the students in a faith-based program, identified their coping methods, and explored the impact of spirituality on the perceived stress level. A significant association between students’ stress levels and their coping methods existed among all the measures. Adaptive coping methods, such as Active Coping, Positive Framing, and Religion, were significantly correlated with lower levels of stress, while maladaptive coping methods, such as Behavioral Disengagement, Self-Distraction, Denial, Substance Abuse, Venting, and Self-Blame were correlated with higher levels of stress. Spirituality had a greater buffering effect on the students’ ability to handle stress. The higher the level of student spirituality the less likely the students were to have higher levels of stress and the more likely they were to use adaptive coping methods rather than dysfunctional coping methods. This study discusses the important ramifications of reducing stress in college students especially in a faith-based program, as well as strategies for reframing how stress and coping methods are viewed so as to better help students for current and future social work education and practice landscapes.     

Living Arrangements,Knowledge of Health Risks,and Stress as Determinants of Health-Risk Behavior Among College Students

Abstract

The association of knowledge of health risks, living arrangements, and perceived stress with health-risk behaviors was examined in a sample of college students included in the Health Promotion and Disease Prevention Supplement of the National Health Interview Survey. Regressions of each health-risk behavior (dependent variable) were performed on the predicted correlates. Although knowledge was not associated with participation in physical activity or smoking, the study found that students who knew more about the harmful effects of alcohol drank less, and those with greater knowledge of health risks practiced fewer risky behaviors. Students living independently were more likely to smoke, and those living in residence halls were less like to do so. Drinking, however, was more common among students living in residence halls or independently than among those living at home. Hall residents engaged in more group physical activity than other students did, but their physical activity was unrelated to health-risk behaviors. Stress was associated with smoking but not with other health practices. The findings suggest that smoking may be less influenced by health knowledge and more associated than drinking is with a response to stress. Drinking appears to be a social activity associated with living among peers and is potentially modifiable by increased knowledge about the effects of alcohol on health.     

Living arrangements, knowledge of health risks, and stress as determinants of health-risk behavior among college students.

The association of knowledge of health risks, living arrangements, and perceived stress with health-risk behaviors was examined in a sample of college students included in the Health Promotion and Disease Prevention Supplement of the National Health Interview Survey. Regressions of each health-risk behavior (dependent variable) were performed on the predicted correlates. Although knowledge was not associated with participation in physical activity or smoking, the study found that students who knew more about the harmful effects of alcohol drank less, and those with greater knowledge of health risks practiced fewer risky behaviors. Students living independently were more likely to smoke, and those living in residence halls were less like to do so. Drinking, however, was more common among students living in residence halls or independently than among those living at home. Hall residents engaged in more group physical activity than other students did, but their physical activity was unrelated to health-risk behaviors. Stress was associated with smoking but not with other health practices. The findings suggest that smoking may be less influenced by health knowledge and more associated than drinking is with a response to stress. Drinking appears to be a social activity associated with living among peers and is potentially modifiable by increased knowledge about the effects of alcohol on health.     

Assessment of Cigarette Smoking and Smoking Susceptibility among Youth: Telephone Computer-Assisted Self-Interviews versus Computer-Assisted Telephone Interviews

This experimental study assesses the effect of two survey methods,telephone audio computer-assisted self-interviewing (T-ACASI)and computer-assisted telephone interviewing (CATI), on self-reportsof smoking behavior and smoking susceptibility among adolescents12–17 years of age in California. In T-ACASI, participantslisten to prerecorded, computer-controlled questions and respondby pressing the keypad on a touch-tone telephone. In CATI, interviewersadminister the questions and enter responses into a computer.Prior research suggests that youth may be more likely to reportsensitive behaviors in a self-administered survey like T-ACASIcompared to an interviewer-administered survey like CATI, dueto greater perceived confidentiality. Logistic regression analyseswere conducted on unweighted data, controlling for demographicdifferences. Adjusted estimates of current smoking (past 30days) were significantly greater in T-ACASI (8.3 percent) thanCATI (4.5 percent). Smoking susceptibility (i.e., lack of afirm commitment not to smoke among those who have never smoked)was also greater in T-ACASI (45.0 percent) than CATI (34.9 percent).In both surveys, social desirability response bias was negativelyassociated with smoking, which suggests that response bias wasproblematic for both modes. Many respondents reported that aparent was present during the interview (59.4 percent in CATI;42.0 percent in T-ACASI). In both surveys, parental presencewas negatively associated with smoking, which suggests thatthis factor could also contribute to underreporting. Applicationof sample weights to the data eliminated the survey mode effects;however, the CATI current smoking estimate (9.3 percent) fromthis study was significantly less than an estimate (14.2 percent)obtained from a self-administered, school-based survey conductedthe same year on California adolescents.     

Smoking cessation and relapse prevention among undergraduate students: a pilot demonstration project

The prevalence of college students' tobacco use is widely recognized, but successful cessation and relapse-prevention programs for these smokers have drawn little attention. The authors, who explored the feasibility of training peers to lead cessation and relapse-prevention programs for undergraduates, found a quit rate of 88.2%, suggesting that peers were effective facilitators. Relapse-prevention interventions, which began immediately after participants quit smoking, included 6 monthly group programs and individual meetings. Each session provided education and training in stress management, nutrition and exercise habits, managing environmental smoking triggers, and coping in social situations. After participating in the relapse-prevention programs, 63.3% of the initial quitters remained smoke free, another indication that peers were effective facilitators. The success of the program, combined with the dearth of population-specific cessation and relapse-prevention tools, suggests that college administrators and health educators should develop integrated tobacco management strategies on college campuses.