Ickes Melinda J, Wiggins Amanda T, Rayens Mary Kay, Hahn Ellen J
Department of Kinesiology and Health Promotion, 4530University of Kentucky, Lexington, KY, USA.
BREATHE, College of Nursing, 4530University of Kentucky, Lexington, KY, USA.
Am J Health Promot. 2020 Sep;34(7):747-753. doi: 10.1177/0890117120904015. Epub 2020 Feb 12.
To examine the association between strength of policy and self-reported tobacco use behavior, controlling for demographic characteristics, polytobacco use, knowledge of campus tobacco policy, and perceived policy compliance by others.
Cross-sectional, online survey.
Ten participating State University of New York (SUNY) campuses; 5 with designated smoking/tobacco use areas and 5 with 100% tobacco-free policies.
Convenience sample of students from SUNY campuses: only tobacco users (N = 576 students) included for analysis.
Items assessing tobacco use behaviors on campus, policy knowledge, and observation of others using tobacco on campus.
tests and chi-square tests of association used to compare responses between tobacco users across campuses. Generalized estimating equations modeling used to evaluate predictors of tobacco use on campus; model estimated with students nested within campus.
Those on campuses without a comprehensive policy were more likely to report (in the past week) having seen others smoke on campus (98% vs 69%, < .001), having personally smoked on campus (65% vs 36%, < .001), and seeing others use tobacco products on campus (88% vs 67%, < .001), compared to those on tobacco-free campuses.
Tobacco-free campus policies provide numerous protective factors for tobacco users and nonusers. However, compliance strategies are imperative for intended policy success.
在控制人口统计学特征、多种烟草使用情况、校园烟草政策知识以及他人对政策遵守情况的认知的条件下，研究政策力度与自我报告的烟草使用行为之间的关联。
横断面在线调查。
十所参与调查的纽约州立大学（SUNY）校园；5所设有指定吸烟/烟草使用区域，5所实行100%无烟政策。
来自纽约州立大学校园的便利样本：仅纳入烟草使用者（N = 576名学生）进行分析。
评估校园烟草使用行为、政策知识以及观察校园内他人使用烟草情况的项目。
使用t检验和卡方关联检验比较各校园烟草使用者的反应。采用广义估计方程模型评估校园烟草使用的预测因素；模型以校园内嵌套的学生为单位进行估计。
与无烟校园的学生相比，没有全面政策的校园的学生更有可能报告（在过去一周内）在校园内看到他人吸烟（98%对69%，P <.001）、自己在校园内吸烟（65%对36%，P <.001）以及看到他人在校园内使用烟草制品（88%对67%，P <.001）。
无烟校园政策为烟草使用者和非使用者提供了众多保护因素。然而，为使政策取得预期成功，合规策略势在必行。
