Electronic cigarette use after the adoption of a tobacco-free campus policy |
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| Affiliation: | 1. The University of Texas at El Paso, USA;2. University of New Mexico, Gallup, New Mexico, USA;1. Department of Internal Medicine, Section of Pulmonary & Critical Care Medicine, Yale School of Medicine, New Haven, CT, United States;2. Department of Emergency Medicine, Yale School of Medicine, New Haven, CT, United States;3. Department of Health Policy, Yale School of Public Health, United States;4. Yale Cancer Center, United States;5. Occupational and Environmental Medicine Program, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, United States;6. Smilow Cancer Center at Yale, New Haven Hospital, United States;7. Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, United States;8. Hollings Cancer Center, Charleston, SC, United States;9. Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States;1. Department of Health Education and Behavior, College of Health and Human Performance, University of Florida, Gainesville, FL, United States;2. Department of Epidemiology, College of Public Health and Health Professions & College of Medicine, University of Florida, Gainesville, FL, United States;3. Dipartimento Interdisciplinare di Medicina, Clinica Medica Cesare Frugoni, University of Bari Aldo Moro, Bari, Italy;4. Department of Psychology, College Liberal Arts and Sciences, University of Florida, Gainesville, FL, United States;5. Department of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, United States |
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| Abstract: | Electronic (e)-cigarette use has increased markedly across groups in the past few years. For this reason, risk factors associated with e-cigarette use warrant further research. This study presents secondary data analyses on e-cigarette use from a large cross-sectional database assessing attitudes toward a tobacco-free campus (TFC) policy prior to policy implementation (n = 1188), one-month post policy (n = 1442), and one-year post policy(n = 1125). Students from a U.S. university located on the border with Mexico (Mage = 25.02 years, SD = 7.99; 59.2% female) were recruited via email to complete an online assessment of their tobacco use, attitudes toward TFC policies, perceived problematic tobacco use, and knowledge of tobacco use risk. The prevalence of any past-30-day e-cigarette use significantly increased from 4.4% to 26.6% between baseline and one-month post-policy, and reduced to 17.3% between one-month post-policy and one-year post policy. Weekly alcohol use was associated with e-cigarette use at each assessment point. There was some evidence of higher e-cigarette use among younger students and current smokers. Additional studies are needed to understand the influence of comprehensive TFC policies on both e-cigarette use and polysubstance use (i.e., alcohol and combustible cigarettes). |
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