The Bumpy Road to a Tobacco-Free Community: Lessons from Well City

Over 880 communities have put regulations in place to reduce or eliminate tobacco use in buildings used by the public. This study examines the experience of one such community—Well City, Ohio. The nonsmoker protection efforts in Well City help us identify and discuss eight important considerations affecting policy development and implementation: (1) anticipate community opposition, (2) identify and collaborate with a support network, (3) control the community hearing process, (4) anticipate outside interests, (5) recognize the potential for legal challenges, (6) address life with legal limbo, (7) start strong, and (8) watch the mix of politics and public health. Current clean indoor air efforts seem to focus on establishing coalitions and encouraging employers to voluntarily establish tobacco-free workplaces and restaurants. These efforts certainly need to continue but as a basic part of a comprehensive program which recognizes the importance and fosters the development of strong nonsmoker protection regulations developed at the local level by health boards, county boards of supervisors, and/or city councils.     

Prevalence and reasons for Juul use among college students

Abstract

Objective: Examine Juul use patterns, sociodemographic and personal factors associated with Juul use, and reasons for Juul initiation and current use, among college students. Participants: Convenience sample of 371 undergraduates at a large university in the southeast; recruited April 2018. Methods: Cross-sectional design using an online survey. Logistic regression identified the personal risk factors for current use. Results: Over 80% of participants recognized Juul; 36% reported ever use and 21% past 30-day use. Significant risk factors for current Juul use were: male, White/non-Hispanic, lower undergraduate, and current cigarette smoker. Current Juul users chose ease of use and lack of a bad smell as reasons for use. Ever Juul users most commonly endorsed curiosity and use by friends as reasons for trying Juul. Conclusions: Given the propensity for nicotine addiction among youth and young adults, rates of Juul use are alarming and warrant immediate intervention.     

卷烟物流服务质量评估指标的实证遴选及其应用

SERVQUAL量表作为一个基本框架,被广泛应用于竞争性行业的服务质量评估,本文尝试将其应用到具有垄断特征的卷烟物流行业,初步遴选出了34个指标作为卷烟物流服务质量的理论评估指标.基于行业专家的两次较大规模的问卷调查数据,采用隶属度分析和重要性分析方法,对理论评估指标进行实证遴选,最终形成了由硬件保障性、配送可靠性、客户导向性和成本经济性4个构面共12个指标构成的卷烟物流服务质量评估体系,并采用层次分析法确定了指标权重.该指标体系体现了主观性与客观性、科学性与可操作性的结合.以浙江省9个地市卷烟物流服务质量评估为例,测试了评估体系的可行性.     

Behavioral Risk Disparities in a Random Sample of Self-Identifying Gay and Non-Gay Male University Students

This Internet-based study was designed to compare health risk behaviors of gay and non-gay university students from stratified random cross-sectional samples of undergraduate students. Mean age of the 4,167 male participants was 20.5 (±2.7) years. Of these, 206 (4.9%) self-identified as gay and 3,961 (95.1%) self-identified as heterosexual. After adjusting for selected characteristics and clustering within university, gay men had higher odds of reporting: multiple sexual partners; cigarette smoking; methamphetamine use; gamma-hydroxybutyrate (GHB) use; other illicit drug use within the past 30 days and during lifetime; and intimate partner violence (IPV). Understanding the health risk behaviors of gay and heterosexual men is crucial to identifying associated factors and intervening upon them using appropriate and tailored strategies to reduce behavioral risk disparities and improve health outcomes.     

THE IMPACT OF METHOD CHOICE ON META-ANALYSIS

This paper focusses mainly on three crucial choices identified in recent meta-analyses, namely (a) the effect of using approximate statistical techniques rather than exact methods, (fa) the effect of using fixed or random effect models, and (c) the effect of publication bias on the meta-analysis result. The paper considers their impact on a set of over thirty studies of passive smoking and lung cancer in non-smokers, and addresses other issues such as the role of study comparability, the choice of raw or adjusted data when using published summary statistics, and the effect of biases such as misclassification of subjects and study quality. The paper concludes that, at least in this example, different conclusions might be drawn from metaanalyses based on fixed or random effect models; that exact methods might increase estimated confidence interval widths by 5–20% over standard approximate (logit and Mantel-Haenszel) methods, and that these methods themselves differ by this order of magnitude; that taking study quality into account changes some results, and also improves homogeneity; that the use of unadjusted or author-adjusted data makes limited difference; that there appears to be obvious publication bias favouring observed raised relative risks; and that the choice of studies for inclusion is the single most critical choice made by the modeller.     

烟草装箱站压实器积料的改进

为解决烟丝装箱过程中压实器积料、漏料的问题,对排气系统进行分析及改进。通过分析可知,积料、漏料主要 是由于排气方式、排气时间以及排气通道不合理所致。排气方式的改进：将压实器改为金属网格框架及筛网搭配的形式 进行压实过程排气;通过对压实气缸进行复合式节流调速回路控制改进排气时间;通过对装箱站加装除尘管路及控制风 门进行吸尘来优化排气通道。通过整改,装箱站每块压实板的积料、漏料量由18 kg/d下降至0.9 kg/d,降低损耗95%。     

Parental Expertise,Trustworthiness, and Accessibility: Parent‐Adolescent Communication and Adolescent Risk Behavior

A communication framework of persuasion and attitude change was utilized to analyze parent‐adolescent communication about adolescent risk behavior. Three parent dimensions were deemed important: (a) perceived expertise, (b) perceived trustworthiness, and (c) perceived accessibility. Data were collected in surveys from 668 mother‐adolescent dyads in economically disadvantaged neighborhoods in New York City (N= 668). Results showed weak correspondence between how expert, trustworthy, and accessible mothers thought they were on the one hand and how their sons and daughters characterized them on the other. All dimensions were related to how often adolescents said they talked with their mothers about a risk behavior, which, in turn, was predictive of lower levels of adolescent risk behavior. Implications for future research are discussed.     

College Smoking Policies and Smoking Cessation Programs: Results of a Survey of College Health Center Directors

Abstract

College students' cigarette smoking rose dramatically during the 1990s. Little is known about what colleges do to address the problem. Health center directors at 393 4-year US colleges provided information (response rate: 65.1%) about college policies addressing smoking and the availability of smoking cessation programs. Of the health center directors surveyed, 85% considered students' smoking a problem; yet only 81% of colleges prohibit smoking in all public areas and only 27% ban smoking in all indoor areas, including students' rooms in dormitories and in private offices. More than 40% of the respondents reported that their schools did not offer smoking cessation programs and that the demand for existing program was low. Colleges need to do more to discourage student tobacco use. Recommended actions include campus-wide no-smoking policies that apply to student residences and identification of new ways of providing smoking prevention and cessation services.     

Social Facilitation Expectancies for Smoking: Psychometric Properties of a New Measure

Abstract

Objective: Expectancies about social outcomes for smoking are relevant to college student smokers, who frequently report “social smoking.” A new measure, the Social Facilitation Expectancies (SFE) scale, was developed to assess these beliefs. Participants: The SFE was administered to undergraduate college student smokers (N = 1,096; study completed in May 2011). Methods: Items were scored on a 5-point scale with a summed total score. The sample was randomly split and principle axis factoring and confirmatory factor analysis applied to determine scale structure. The structure was tested across sex and smoking groups and validation analyses were conducted. Results: A 9-item, 1-factor scale was replicated within each group. Higher SFE scores were observed among those with greater smoking experience and higher scores were associated with greater endorsement of other smoking-related beliefs. Conclusions: These preliminary findings provide support for the sound psychometric properties of this measure for use with young adult college students.     

An Assessment of America's Tobacco-Free Colleges and Universities

Abstract

Objective: This study examined the extent to which US campuses identified as “100% tobacco-free” by the American Lung Association of Oregon adhered to the American College Health Association's the most recent guidelines and recommendations promoting tobacco-free environments in colleges and universities. Participants: A key informant from 162 of 175 institutions (92.6% response rate) completed an online survey between January 2010 and February 2010. Methods: The variables under study were assessed via a cross-sectional research design. Participants completed a 35-item survey regarding their school's tobacco policies, procedures, and enforcement practices. Results: Although the vast majority of schools had written policies and procedures in place, schools with current policies were the most compliant. Numerous opportunities for improved adherence were identified in the results. Conclusions: Findings from this study may help institutions in the development and implementation of a new tobacco policy, as well as strengthen policies among existing tobacco-free schools.