Tobacco Prevention and Evaluation Program, Department of Family Medicine, UNC School of Medicine, Chapel Hill, North Carolina, USA.
Tob Control. 2010 Aug;19(4):311-7. doi: 10.1136/tc.2009.032888. Epub 2010 May 14.
As smoking among college students reached new highs in the 1990s, most interventions for college student smoking prevention focused on individual student knowledge, attitudes and beliefs. No published studies report on statewide movements to accelerate the adoption of tobacco-free policies on college campuses. The results of the first 4 years of the North Carolina Tobacco-Free Colleges Initiative are presented.
The North Carolina Health and Wellness Trust Fund developed a multilevel intervention to accelerate the diffusion of tobacco-free policies on college campuses, including funding campus coordinators and coalitions to tailor activities to the campus environment at 64 colleges. Evaluators tracked process and policy outcomes as well as the diffusion of policy adoption from January 2006-December 2009.
Prior to the initiative, only one small, private college campus in North Carolina was tobacco-free. By 4 years into the initiative, 33 colleges and community colleges, representing more than 159 300 students, have adopted comprehensive tobacco-free policies to protect students, faculty, staff and visitors. Participating campuses also adopted 68 policies restricting smoking in certain areas and limiting industry activity.
Tobacco-free policy adoption on college campuses can be accelerated with a multilevel statewide intervention.
20 世纪 90 年代，大学生吸烟率达到新高，针对大学生吸烟预防的大多数干预措施都集中在学生个人的知识、态度和信念上。没有发表的研究报告全州范围内推动在大学校园里采用无烟政策。本文介绍了北卡罗来纳州无烟大学校园倡议的前 4 年的结果。
北卡罗来纳州健康和福利信托基金制定了一个多层次的干预措施，以加速大学校园无烟政策的传播，包括为 64 所高校的校园协调员和联盟提供资金，根据校园环境定制活动。评估人员从 2006 年 1 月至 2009 年 12 月跟踪了过程和政策结果以及政策采用的扩散情况。
在该倡议之前，北卡罗来纳州只有一所小型私立大学校园是无烟的。到倡议实施 4 年后，已有 33 所学院和社区学院，代表了超过 159300 名学生，通过全面的无烟政策来保护学生、教职员工和访客。参与的校园还通过了 68 项限制在某些区域吸烟和限制行业活动的政策。
通过多层次的全州范围的干预措施，可以加速大学校园的无烟政策采用。
