School and Community Factors Associated With the Adoption of 100% Smoke-free Policy by California Community Colleges, 2003-2019. Issue 5 (June 2022)

• Record Type: Journal Article
• Authors: Lui, Camillia K.; Mulia, Nina; Ye, Yu; Patterson, Deidre; Trieu, Sang Leng
• Is Part Of: American journal of health promotion. Volume 36:Issue 5(2022)
• Page Start: 869
• Page End: 875
• Publication Date: 2022-06
• Subjects: smoke-free policy -- tobacco control -- community college -- young adults; Health promotion -- Periodicals; Health Promotion; Health promotion; Periodicals; Periodicals; 613.05
• DOI: 10.1177/08901171211073732
• Languages: English
• ISSNs: 0890-1171

Abstract

Purpose: Smoke- and tobacco-free policy (SFP) is an effective strategy that can reduce tobacco-related health disparities among young adults. Design: Longitudinal design using administrative, survey, policy data sources, and geocoded tobacco outlet and American Community Survey data Setting: California community colleges (CC) and cities/communities where colleges are located, 2003-2019. Sample: 114 California CCs Data: School-level (i.e., student population and demographics) and community-level data (socio-demographics, local tobacco control policy, tobacco-related norms and availability, and health resources) from 2003 to 2019. Measures: Key outcome is the year CC adopted a 100% SFP. Analysis: Bivariate and multivariate Cox survival models were used to analyze timing of SFP adoption. Results: By 2019, 61 out of 114 (53.5%) CCs were 100% SFP. While community smoking prevalence and tobacco availability were not significant, CCs in rural areas were less likely to be smoke-free. CCs located in cities with stronger tobacco policies (hazard ratio (HR) = 1.08, P < .05), which reported higher student health fees (HR = 2.00, P < .05) and received technical assistance for SFP (HR = 4.59, P < .01) were significantly associated with having 100% SFP. Conclusion: Findings suggest that key community factors (strong city tobacco policies) and school and community resources (student health fees, SFP technical assistance) are associated with the presence of 100% SFP at CCs. Resources from the community or within a college might support remaining CCs in becoming 100% smoke-free.