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Examine the prevalence of concurrent cannabis/THC vaping among those transitioning from high school to college who had ever used e-cigarettes and identify sociodemographic and personal factors associated with risk of cannabis/THC vaping among students in this population. Incoming undergraduate students reporting ever using e-cigarettes (N = 529) attending a public university in the southeastern United States. Cross-sectional survey administered November 2018. Comparisons of sociodemographic and personal characteristics between those who had vaped cannabis/THC and those who had not were done using chi-square test of association, or Fisher's exact test or the two-sample t-test. Predictors of cannabis/THC vaping status were determined using logistic regression. Slightly more than a quarter had ever vaped cannabis/THC (26%). Of those who had ever vaped with cannabis/THC, most said they used cannabis/THC "sometimes" when they vaped (78%). The significant predictors of cannabis/THC vaping status included membership or planned membership in a fraternity or sorority, ever use of alcohol, level of stress, number of five closest friends who currently use marijuana, and whether family member(s) use marijuana. Collaborative tailored prevention and treatment efforts are needed on college campuses to curb vaping/use of cannabis and resulting polysubstance use. [ABSTRACT FROM AUTHOR]

Objective: Assess the prevalence, perceptions, sociodemographic/personal factors that influence Juul use among incoming freshmen. Participants: Incoming undergraduate students (N = 1,706) attending a public university in the southeastern U.S. Methods: Cross-sectional survey administered August 2018. Bivariate relationships assessed using chi-square test of association. Multinomial logistic regression to determine factors associated with Juul use status. Results: 41% had ever used Juul, 24% had used within the past month. Among current users, one-third had used 20–30 days. Risk factors for current use: heterosexual orientation (relative to other sexual orientation) AOR = 2.16, 95% CI: 1.20–3.91), those who planned to join sorority/fraternity (relative to those who did not plan to; AOR = 2.15, 95% CI: 1.59–2.90), current smokers (relative to nonsmokers; AOR = 24.39, 95% CI: 7.52–76.92), current marijuana users (compared with nonusers of marijuana; AOR = 6.45, 95% CI: 3.92–10.64) and alcohol users (compared with nondrinkers; AOR = 7.81, 95% CI: 5.75–10.54). Conclusion: Prevention and treatment efforts are needed for emerging adults transitioning to college. [ABSTRACT FROM AUTHOR]

Objective: Examine Juul use patterns, sociodemographic and personal factors associated with Juul use, and reasons for Juul initiation and current use, among college students. Participants: Convenience sample of 371 undergraduates at a large university in the southeast; recruited April 2018. Methods: Cross-sectional design using an online survey. Logistic regression identified the personal risk factors for current use. Results: Over 80% of participants recognized Juul; 36% reported ever use and 21% past 30-day use. Significant risk factors for current Juul use were: male, White/non-Hispanic, lower undergraduate, and current cigarette smoker. Current Juul users chose ease of use and lack of a bad smell as reasons for use. Ever Juul users most commonly endorsed curiosity and use by friends as reasons for trying Juul. Conclusions: Given the propensity for nicotine addiction among youth and young adults, rates of Juul use are alarming and warrant immediate intervention. [ABSTRACT FROM AUTHOR]

Emerging tobacco product use is increasing. We evaluated factors associated with perceived risk of and intention to use waterpipe tobacco by surveying students at a large university in the southeastern U.S. (N=667). Proportional odds modeling assessed whether demographic characteristics and social acceptability are associated with perceived risk of waterpipe tobacco use; and if these factors and perceived risk are related to intention to use waterpipe tobacco. Participants who perceived waterpipe tobacco to be more socially acceptable had lower odds of perceiving it as risky (95% confidence interval [CI] 0.50-0.68). Compared with never users, former tobacco users and current users had lower odds of perceiving waterpipe tobacco use as risky (95% CI 0.38-0.80 and 0.28-0.63, respectively). Similarly, students with greater perceived social acceptability scores had higher odds of intending to use waterpipe tobacco (95% CI 1.41-2.63), while those who perceived greater risk had lower odds of intending to use it (95% CI 0.34-0.64). Compared with never users, former users had higher odds of intending to use waterpipe tobacco (95% CI 1.42-7.21). Among those who had ever used waterpipe tobacco, 90% reported 'to socialize' as the most frequent reason for deciding to do so. Findings underscore the need for future prevention efforts. [ABSTRACT FROM AUTHOR]

Background:Tobacco media campaigns are effective, but less is known regarding the impact on college students.Purpose:The purpose was to test the effects of an on-campus Tips television campaign on frequency and believability of ads recalled and to assess demographic and personal factors associated with believability.Methods:A quasi-experimental pre–post design was used to assess the 8-week campaign with 3 Tips ads. Two randomly selected cohorts of college students (N = 1593) from a large public university completed online surveys pre- and postcampaign. Group comparisons using chi-square tests, 2-samplettests, and logistic regression, controlling for residence or cohort, and predictors of believability using proportional odds modeling were examined.Results:Ads were recalled by significantly more students (68%) postcampaign. Believability for one or more ads was lower for males, undergraduates, those belonging to fraternity/sorority, and current polytobacco users (P < .05). Believability was greater for those who recalled seeing the ads more often (P < .05).Discussion:Subgroups of college students, including males and undergraduates, reported less ad believability, which should be considered when designing communication strategies.Translation to Health Education Practice:Considering the potential impact and cost-effective nature of on-campus TV media campaigns, these ads need to be integrated into current campus tobacco control strategies. [ABSTRACT FROM PUBLISHER]

Objectives: (1) Compare social norms and perceived peer use between college student cigarette, e-cigarette, and/or hookah users and nonusers; and (2) determine variables associated with social influences.Participants: Undergraduate students attending a large university in the Southeast United States (N= 511).Methods: An April 2013 online survey assessed use of 3 types of tobacco, social norms, perception of peer use, number of smokers in life, exposure to secondhand smoke, and demographic characteristics.Results: Participants indicated greater acceptance of emerging tobacco products than for cigarettes and consistently overestimated the percent of peers who use various tobacco products. Males and current users had higher social norm scores for all 3 forms of tobacco.Conclusion: To counter marketing of alternative tobacco products, education about the dangers of their use needs to be implemented across college campuses as part of a comprehensive tobacco control strategy that also includes tobacco-free campus policies. [ABSTRACT FROM PUBLISHER]

Objective: Assess impact and feasibility of a Tobacco-Free Ambassador Program on campus policy compliance.Participants: Trained Ambassadors made 253 visits to campus sites over 15 months to observe and/or approach violators.Methods: Policy violators were observed at 23 locations during Wave 1 (April–June 2012) and/or Wave 2 (April–June 2013). For locations with at least 5 visits, average violators per visit were compared between the 2 waves using a pairedttest. Attributes of violators were summarized. Cigarette butts were collected over 3-day periods in 4 campus hotspots during each wave. Personnel time and cost to implement the program were determined.Results: There were declines in observed violators per Ambassador visit and number of cigarette butts over time. Rate of violators per visit declined from 5.47 to 1.93, a 65% decrease. Personnel time was equal to 1.5 full-time equivalents annually.Conclusions: The Ambassador Program was a feasible and potentially effective strategy to increase policy compliance. [ABSTRACT FROM AUTHOR]

Despite potential benefits of tobacco-free campus policies, compliance remains a challenge. Observational measures hold the most promise in determining compliance with these policies. There is need for further study to determine validity of observational measures of compliance with tobacco-free campus policies. The purpose of this study was to determine the validity of two observational measures of compliance with a tobacco-free campus policy: direct observation of violators and cigarette butts. Data collection took place over a 1-year time period. Direct observation was operationally defined as the number of observed violators in hot spots. A cigarette butt protocol previously found to be reliable was used to count the number of butts in campus hot spots. Results indicated a positive relationship between number of violators observed per visit and number of cigarette butts collected. Although most of the hot spots exhibited two or fewer violators per visit and 100 butts or fewer per collection, the data points outside this range supported a positive association between observed violators per visit and cigarette butts. The findings support that direct observation of violators is a valid measure of compliance compared to cigarette butts. Given available resources, using one or the other as evaluation measures is warranted. [ABSTRACT FROM AUTHOR]

The article presents a study which describes and compares perceptions of the student and principal for school tobacco policy enforcement in five public high schools in southeastern city in the U.S. The study explores on the perceived barriers to enforcement and factors relative to enforcement beliefs and perception of smoking. The study finds out that there is varied perception among student and principal on tobacco policy enforcement.