Tobacco Control at Community Colleges: Context and Opportunities.

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 smoking 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 smoking 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 smoking cessation and secondhand smoke prevention initiatives. All colleges provided cessation literature, though additional programming varied by college. Indoor and outdoor smoking 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: Future tobacco control initiatives at community colleges need to require little infrastructure and minimal staffing, and be low cost. 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 Web Assisted Tobacco Interventions (WATI) and outside partnerships with community organizations and health agencies. Policy enforcement could be improved with tobacco policy education at orientation for students, faculty and staff.