Tobacco

Facilitators of a Campus Tobacco-free Policy: Navigating the Politics

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available for subscribers, subscribe here.

Authors:

Maxim Gakh, JD, MPH
Timothy J. Grigsby, PhD
Courtney Coughenour, PhD
Malcolm Ahlo, MPA
Kacie Washburn, BS
Shawn Gerstenberger, PhD

Objective:

In this paper, we discuss prioritization, formulation, and adoption of a comprehensive campus tobacco-free policy on a large, diverse campus at a public university in the United States.

Methods:

We examined the comprehensive campus tobacco-free policy experience through Kindgon’s Multiple Streams Framework, which stipulates that policy change can happen when problem, policy, and politics align. We focus on the factors that led the political stream to align with the problem and policy streams to create a “window of opportunity” for adopting this policy.

Results:

The campus experience with COVID-19 helped spur policy adoption. Support from leadership, a committed faculty-administration team, engagement with stakeholders and community partners, knowledge of the policy adoption process, and sustained advocacy all contributed to policy adoption.

Conclusions:

Campus tobacco-free policy advocates can navigate the politics of prioritizing, formulating, and adopting a campus smoke-free policy by knowing the context and process, being comfortable with policy work, engaging with tobacco prevention stakeholders, sustaining their efforts and advocating in multiple ways, and considering implementation and evaluation early.

Source: Health Behavior and Policy Review
Publisher: Paris Scholar Publishing Ltd.
Source: Health Behavior and Policy Review, Volume 10, Number 1, February 2023, pp. 1165-1172(8)
Article Link: https://doi.org/10.14485/HBPR.10.1.3

2023-04-22T15:43:33-06:00March 19th, 2023|College Health, Tobacco|

Examining Flavor Appeal (Liking), Emotions and Openness to Use in Adults Who Do Not Use E-cigarettes

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Ban Majeed, MBChB, PhD
Hailey Treadaway, MS
Mishma Ahmad Farsi, BS
Christos Hatzigeorgiou, DO, MPH, FACP
Kate O’Connor, PharmD, BCACP, BC-ADM
Vahe Heboyan, PhD
Thomas Eissenberg, PhD

Objective:

In this study, we examined emotional profiles, the pattern of intensities of evoked emotions, and the associations between emotions and openness in the use flavored e-cigarettes among adults who do not currently use e-cigarettes – younger/never smoked and older/currently smoked.

Methods:

We conducted an Internet experiment in women (N = 141) who do not currently use e-cigarettes. Experiment stimuli appeared as flavor names (classic tobacco, cool mint, fresh strawberry, top-shelf bourbon) and were randomly presented to participants who rated their evoked emotions using the EsSenseTM Profile. Overall liking and openness to use were assessed per flavor. Seemingly unrelated regression models were constructed to determine factors associated with openness.

Results:

All flavors evoked greater intensities of negative emotions (disgusted, worried, and guilty) in younger/never smoked adults. The majority of the ratings on positive emotions (enthusiastic, interested, and satisfied) were positively and significantly correlated with flavor liking, whereas disgusted, was negatively correlated with flavor liking. Perceived harm was high whereas overall liking and openness were low. Flavor liking was significantly greater for “classic tobacco” in older/currently smoked (p < .001).

Conclusions:

Low intensities of positive emotions to flavor names suggest disinterest in e-cigarettes as a class product irrespective of flavor.

Source: Health Behavior and Policy Review
Publisher: Paris Scholar Publishing Ltd.
Source: Health Behavior and Policy Review, Volume 10, Number 1, February 2023, pp. 1153-1164(12)
Article Link: https://doi.org/10.14485/HBPR.10.1.2

2023-04-22T15:51:44-06:00February 27th, 2023|Tobacco, Women's Health|

Indoor Carbon Monoxide Levels of Hookah Lounges

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Mary Martinasek PhD, RRT
Allison Calvanese, BS
Frederic B. Montz, BS
Nicole Tosto, BS
Kimberly Dobrinski, PhD, MLS (ASCP)

Objective:

Waterpipe tobacco smoking results in the inhalation of carcinogens, bacteria and heavy metals; however, despite the negative health effects, waterpipe tobacco smoking or hookah smoking continues to be a favored social smoking behavior for young adults. High levels of carbon monoxide can impair normal brain function and put individuals at increased health risk. The purpose of this study was to measure the carbon monoxide levels in the ambient air of 10 hookah lounges surrounding college campuses in the metropolitan area of Tampa, Florida.

Methods:

The study consisted of repeated measurements of ambient air carbon monoxide inside the hookah lounges over 4 hours during peak times of use.

Results:

Of the 10 hookah bars, 7 had levels above what is considered harmful to human health. These data provide evidence of high levels of CO produced in indoor hookah lounges that varied and were not predictable based on cigarette smoking allowed, ventilation systems, and whether doors were opened or closed.

Conclusions:

Stricter regulation is needed in hookah lounges to avoid toxic exposures by patrons.

Source: Health Behavior and Policy Review, Volume 9, Number 6, November 2022, pp. 1103-1110(8)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.6.3

2023-01-18T11:22:38-07:00January 18th, 2023|Tobacco|

Smoking Intervention Practices in Texas Healthcare Centers with Sexual and Gender Minority Patients

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Matthew Taing, BS and Kathy Le, BA, Authors contributed equally
Maggie Britton, PhD
Tzuan A. Chen, PhD
Michael C. Parent, PhD
Irene Tamí-Maury, DrPH, DMD, MSc Isabel Martinez Leal, PhD
Anastasia Rogova, PhD
Bryce Kyburz, MA
Teresa Williams, MS
Mayuri Patel, MPH
Lorraine R. Reitzel, PhD, FAAHB, FSRNT

Objective:

We evaluated the use of evidence-based practices (EBPs) for smoking cessation in centers providing behavioral healthcare for patient populations that included some proportion of sexual and gender minorities (SGMs).

Methods:

Healthcare providers from 75 healthcare centers across Texas serving SGMs with behavioral health needs participated in a survey assessing their center’s tobacco control policies and practices.

Results:

Nearly half (N = 36) of participating centers had a comprehensive tobacco-free workplace policy, 30.67% employed ≥ 1 tobacco treatment specialist, 73.91% employed ≥ 1 prescriber, 80.82% mandated screening for patient tobacco use at intake, and 57.53% provided a template for tobacco use assessments. Overall, 70.67% of providers asked patients about smoking status, 69.33% advised patients to quit, 64.00% assessed patients’ interest in quitting, 58.67% assisted patients with quit attempts, and 36.00% arranged follow-up. Providers’ ability to tailor interventions for special populations like SGMs ranged from very low/0 to very high/10 (M = 4.63 + 2.59).

Conclusions:

There are opportunities to improve policy implementation, standardization and usage of evidence-based interventions, and intervention tailoring within settings providing care to SGM patients in Texas to address their tobacco use inequities.

Source: Health Behavior and Policy Review, Volume 9, Number 6, November 2022, pp. 1074-1088(15)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.6.1

2023-01-18T11:19:59-07:00January 18th, 2023|Tobacco|

Adolescents’ Nicotine/Tobacco Dependency Symptoms Using 4 Waves of PATH Data

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Carol J. Boyd, PhD Twitter
Sean Esteban McCabe, PhD
Rebecca J. Evans-Polce, PhD
Terri Voepel-Lewis, PhD
Clayton Shuman, PhD
Philip Veliz, PhD

Objective:

We aimed to characterize male and female adolescents’ use of e-cigarettes, cigarettes and dual use, and 7 symptoms of nicotine/tobacco dependence using 4 waves of national data from the Population Assessment of Tobacco and Health (PATH) Study.

Methods:

The analytic sample included 2902 adolescents 12-17 years old, who indicated past 30-day e-cigarette or cigarette use at least once between 2013-2018. We used items from the Wisconsin Inventory of Smoking Dependence Motives (WISDM-68) to report dependence symptoms.

Results:

Compared to cigarette users, exclusive e-cigarette users reported fewer symptoms of nicotine dependency. There were no differences between males and females concerning the odds of any reported dependency symptom. Among cigarette only users, the odds of indicating that their tobacco use helps them think better (AOR = 2.38, 95% CI = 1.08, 5.23) and wanting tobacco after waking up (AOR = 5.50, 95% CI = 1.10, 27.5) was higher among females versus males.

Conclusions:

These results extend earlier findings regarding subgroup differences in nicotine/tobacco dependency symptoms participating in the PATH Study and highlights the importance of identifying nicotine/tobacco dependency symptoms when counseling adolescent males and females.

Source: Health Behavior and Policy Review, Volume 9, Number 4, July 2022, pp. 980-995(16)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.4.6

2022-08-20T09:51:41-06:00August 20th, 2022|Adolescents, Tobacco|

School Personnel’s Responses to School-based Vaping Prevention Program: A Qualitative Study

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Hongying Dai, PhD
Athena Ramos, PhD
Niran Tamrakar, MA
Marshall Cheney, PhD
Kaeli Samson, MA, MPH
Brandon Grimm, PhD

Objective:

In this qualitative study, we sought to assess 3 topics of interest: (1) current status of vaping and school-based prevention; (2) school personnel’s perceptions of vaping; and (3) challenges in implementing school-based vaping prevention programs.

Methods:

We conducted 5 focus groups using a semi-structured interview guide during October through December 2019. School personnel (eg, principals, teachers [N = 32]) from 30 middle and high schools were recruited across diverse regions in Nebraska.

Results:

Eight themes arose from the thematic analysis in 3 topic areas. School personnel attributed student vaping to easy access, low perception of harm, addiction, and proliferation of stealthy products for concealed use. Whereas schools showed strong support for addressing youth vaping on school grounds, few schools had adopted a comprehensive e-cigarette prevention and cessation program. The top challenges to current school-based vaping prevention programs include lack of time, knowledge, and coordinated efforts. Participants also recognized the significance of parental engagement in the prevention effort.

Conclusions:

There is a considerable variation in school policies and actions to address youth vaping. An evidence-based youth vaping program that involves schools, parents, students, and communities needs to be developed and disseminated in school settings.

Source: Health Behavior and Policy Review, Volume 8, Number 2, March 2021, pp. 130-147(18)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.2.4

2021-04-29T21:58:28-06:00April 26th, 2021|School Health, Tobacco|

Effects of a School Tobacco Policy on Student Smoking and Snus Use

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Håkan Källmén, PhD
Peter Wennberg, PhD
Tove Sohlberg, PhD
Matz Larsson, PhD, MD

Objective:

A school tobacco policy (STP) commonly is used to reduce smoking among adolescents, but the effectiveness of such programs is unclear. We evaluated the impact of an STP on tobacco use in 4 schools.

Methods:

The study included 4 intervention and 4 control schools, located in the inner city of Stockholm, Sweden. Schools self-selected for assignment to either an intervention program or a comparison group. In total, the study was comprised of 2671 students in grades 9 and 11, ages 15 to 18, and 1998 students (75%) responded to the questionnaire. We used a repeated cross-sectional design with assessment of tobacco use prevalence before implementation of the STP in 2016 and after 2 years under the program, in 2018.

Results:

Two years after the STP, the intervention school in grade 9 showed a lower prevalence (13.5% vs 1.6%) in the proportion of students who reported smoking (χ2 = 4.54; p < .05) whereas the proportion reporting snus use was practically unchanged. We found no statistically significant impact of the STP for grade 11.

Conclusion:

The results are promising with regard to smoking, when the STP is implemented in early adolescence.

Source: Health Behavior and Policy Review, Volume 7, Number 4, July 2020, pp. 358-365(8)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.7.4.9

2021-04-29T22:15:17-06:00August 21st, 2020|School Health, Tobacco|
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