Ickes Melinda J, Rayens Mary Kay, Wiggins Amanda, Hahn Ellen J
1 Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY, USA.
2 BREATHE, College of Nursing, University of Kentucky, Lexington, KY, USA.
Policy Polit Nurs Pract. 2017 Feb;18(1):17-25. doi: 10.1177/1527154417700633. Epub 2017 Mar 29.
Tobacco-free (TF) college campus policies have potential to be a high-impact tobacco control strategy. The purposes of the study presented here were to (a) determine the demographic and personal characteristics associated with students' beliefs about and perceived effectiveness of a TF campus policy and (b) assess whether tobacco use status and exposure to secondhand smoke (SHS) predicted beliefs and perceived effectiveness. Five thousand randomly selected students from a large southeastern university were invited by e-mail to participate in an online survey in April 2013, three and a half years after policy implementation. Students held positive beliefs about the policy (average rating 84% of the maximum possible score). Sixty-one percent believed that the policy was successful at reducing SHS exposure; and 40% thought the policy encouraged quitting. Males were less likely than females to believe the policy was effective in reducing SHS exposure and encouraging quitting. Lower undergraduates were more likely to perceive the policy as less effective in reducing SHS exposure; international students were more likely than domestic students to perceive the policy as more effective at encouraging quitting. Students most exposed to SHS were less likely to perceive the policy was effective. Compared with nonusers, those who smoked cigarettes were less likely to perceive the policy as effective in encouraging quitting. Tailored messaging regarding policy benefits are necessary. Perceived effectiveness of TF policies may be related to compliance with the policy and should be further investigated. Objective measures of effectiveness and tobacco use behaviors are needed to fully measure the success of TF campus policies.
无烟（TF）大学校园政策有可能成为一项具有重大影响的控烟策略。本文所述研究的目的是：（a）确定与学生对TF校园政策的信念及感知效果相关的人口统计学和个人特征；（b）评估烟草使用状况和二手烟（SHS）暴露是否能预测信念和感知效果。2013年4月，在一项政策实施三年半后，通过电子邮件邀请了一所大型东南部大学随机抽取的5000名学生参与一项在线调查。学生们对该政策持有积极信念（平均评分达到满分的84%）。61%的人认为该政策成功减少了二手烟暴露；40%的人认为该政策鼓励了戒烟。男性比女性更不太可能相信该政策在减少二手烟暴露和鼓励戒烟方面有效。低年级本科生更有可能认为该政策在减少二手烟暴露方面效果较差；国际学生比国内学生更有可能认为该政策在鼓励戒烟方面更有效。接触二手烟最多的学生不太可能认为该政策有效。与非吸烟者相比，吸烟者更不太可能认为该政策在鼓励戒烟方面有效。有必要针对政策益处提供个性化信息。TF政策的感知效果可能与对政策的遵守情况有关，应进一步调查。需要对效果和烟草使用行为进行客观测量，以全面衡量TF校园政策的成功程度。
