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Screening and Brief Intervention for Tobacco Use by Student Health Providers on College Campuses
Authors:Erin L. Sutfin PhD  Robert S. McNamara PhD  Jill N. Blocker MS  Edward H. Ip PhD  Mary Claire O’Brien MD  Mark Wolfson PhD
Affiliation:1. Department of Social Sciences and Health Policy , Wake Forest University School of Medicine , Winston-Salem , North Carolina;2. University Counseling Center , Wake Forest University , Winston-Salem , North Carolina;3. Department of Biostatistical Sciences , Wake Forest University School of Medicine , Winston-Salem , North Carolina;4. Department of Emergency Medicine , Wake Forest University School of Medicine , Winston-Salem , North Carolina
Abstract: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.
Keywords:cessation  smoking  tobacco
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