Online Program

Intention to Quit and Polytobacco Use Among College Student Smokers

Tuesday, November 3, 2015 : 5:30 p.m. - 5:50 p.m.

Karen M. Butler, DNP, RN, BREATHE, University of Kentucky College of Nursing, Lexington, KY
Melinda Ickes, PhD, Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY
Amanda Wiggins, PhD, College of Nursing, University of Kentucky, Lexington, KY
Mary Kay Rayens, PhD, BREATHE, University of Kentucky Colleges of Nursing and Public Health, Lexington, KY
Ellen Hahn, PhD, RN, FAAN, College of Nursing, University of Kentucky, Lexington, KY
Background. Approximately 14.1% of college students are cigarette smokers. College students are also at increased risk for non-cigarette tobacco product use. Little is known about polytobacco use and quitting among college students. This study examined the association of intention to quit smoking cigarettes and multiple tobacco use variables. We hypothesized that polytobacco users would have less intention to quit smoking compared to cigarette-only users.

Methods.  The study was part of a larger, quasi-experimental study evaluating the impact of an on-campus TIPS ad campaign on tobacco use and attitudes. This analysis included 133 current college student cigarette smokers. Cigarettes per day (CPD), polytobacco use status, frequency of use, intention to quit smoking, and demographics were measured. Multivariate logistic regression assessed predictors of intention to quit smoking cigarettes.

Results. Polytobacco-using college students were as likely as cigarette-only users to intend to quit. Students who smoked more than 10 CPD were 72% less likely to indicate intention to quit, compared to those who smoked at most 10 CPD (OR=0.28, p=.017). Females were 160% more likely to report intention to quit smoking, compared to males, controlling for all other variables in the model (OR=2.60, p=.040). Academic status and frequency of tobacco use were not related to intention to quit smoking.

Conclusions. Inconsistent with other studies, college student polyusers in this sample were as likely as cigarettes smokers to intend to quit. Campus tobacco treatment services need to target both polyusers and cigarette-only users, especially those who smoke less than 10 CPD.

Learning Areas:

Planning of health education strategies, interventions, and programs

Learning Objectives:
Identify variables related to intention to quit in college students. Compare intention to quit between college students who are cigarette-only users and polytobacco users.

Keyword(s): College Students, Tobacco Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Karen Butler is an Associate Professor in the University of Kentucky College of Nursing and a Faculty Associate in the Tobacco Policy Research Program. She has clinical and research experience in health promotion, including tobacco dependence prevention and treatment with college students. Currently, she is also a Co-Investigator in an NIH-finded study directed at reducing exposure to secondhand smoke and radon in the home.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.