Tobacco Control at Community Colleges: Context and Opportunities
Tobacco Control at Community Colleges: Context and Opportunities
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DOI：
10.18332/tpc/66949
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发表时间：
2016-12-01
影响因子：
1.8
通讯作者：
Ossip, Deborah J.
中科院分区：
文献类型：
--
作者：
McIntosh, Scott;Wall, Andrew F.;Ossip, Deborah J.
美国大学生的烟草使用率仍然高于全国平均水平。虽然大多数公共卫生文献都解释了传统四年制学院和大学的烟草控制计划和政策，但对两年制社区学院的计划和政策的研究很少。重要的是要了解这些机构的努力，因为他们有着截然不同的基础设施和招收更多样化的和有风险的学生团体相比，传统的四年制colleges.METHODS社区学院的作用，旨在烟草使用的健康工作，在四个社区学院进行了检查。定性研究方法包括18个访谈和四个焦点小组（N=55），文件审查，和直接的环境observation.RESULTS社区学院提供了数量有限的戒烟和二手烟预防措施。所有学院都提供烟草控制文献，但额外的节目因学院而异。所有校园都有室内和室外烟草使用政策，尽管执行起来有问题。很少有证据表明，目前的计划和政策的方法是基于最佳实践或正在采用successful.CONCLUSIONS烟草控制的最佳实践策略的机会被确定为社区学院，并将需要一点额外的基础设施。通过提高学生、教职员工的认识，可以改善政策的遵守和执行。学生的终止工具必须方便，易于理解，并可从多个位置访问。未来倡议的可行方法可能包括测试低成本技术，如戒烟热线、网络辅助烟草干预措施以及与社区组织和卫生机构的外部伙伴关系。
INTRODUCTION Tobacco use among United States college-aged students remains higher than that of the national average. While a majority of public health literature has explained tobacco control programs and policies at traditional four-year colleges and universities, little research exists on programs and policies at two-year community colleges. It is important to understand such efforts at these institutions as they have vastly different infrastructures and enroll a more diverse and at-risk student body compared to traditional four-year colleges.METHODS The role of community colleges in health efforts aimed at tobacco use was examined at four community colleges. Qualitative research methods included 18 interviews and four focus groups (N=55), document review, and direct environmental observation.RESULTS Community colleges offered a limited number of tobacco cessation and secondhand smoke prevention initiatives. All colleges provided tobacco control literature, though additional programming varied by college. Indoor and outdoor tobacco use policies existed on all campuses though enforcement was problematic. Little evidence was found that current program and policy approaches are based upon best practices or are being employed successfully.CONCLUSIONS Opportunities for best practice strategies for tobacco control were identified for community colleges, and would require little additional infrastructure. Policy adherence and enforcement could be improved with awareness raising with students, faculty and staff. Cessation tools for students must be convenient, understandable, and accessible from multiple locations. Feasible approaches for future initiatives could include testing low cost technology such as quitlines, Web Assisted Tobacco Interventions (WATI) and outside partnerships with community organizations and health agencies.