Tobacco Policies For Colleges & Universities

Transcription

1 Tobacco Policies For Colleges & Universities Fayetta Royal, MA Tobacco Prevention & Control Coordinator Alabama Department of Public Health Area 3

2 Why Implement Tobacco Free Policies i? The 2006 U.S. Surgeon General s Report on the Health Consequences of Involuntary Exposure to Tobacco Smoke. The American College Health Association (ACHA) Position Statement on Tobacco on College and University Campuses, September, Findings from the National College Health Assessments Source: Centers for Disease Control & Prevention American College Health Association

3 The 2006 U.S. Surgeon General s Report Secondhand smoke exposure causes disease and premature death in children and adults who do not smoke. Children exposed to secondhand d smoke are at an increased risk for sudden infant death syndrome (SIDS), acute respiratory problems, ear infections, and asthma attacks, and that smoking by parents causes respiratory symptoms and slows lung growth in their children. Source: Centers for Disease Control and Prevention

4 The 2006 U.S. Surgeon General s Report Exposure of adults to secondhand smoke has immediate and adverse effects on the cardiovascular system and causes coronary heart disease and lung cancer. There is no risk-free level of exposure to secondhand smoke. Establishing smoke-free workplaces is the only effective way to ensure that secondhand smoke exposure does not occur in the workplace, because ventilation n and other air cleaning technologies cannot completely control exposure to nonsmokers to secondhand smoke. Source: Centers for Disease Control & Prevention

5 American College Health hassociation i ACHA (American College Health Association) acknowledges and supports the finding of the Surgeon General that tobacco use in any form, active and/or passive, is significant health hazard. ACHA recognizes that environmental tobacco smoke has been classified as a Class-A carcinogen and that there is no safe level of exposure to environmental tobacco smoke (ETS), a recognized toxic air contaminant. Source: American College Health Association

6 American College Health hassociation i ACHA in light of these health risks, adopted a NO TOBACCO USE policy and encourages colleges and universities to be diligent in their efforts to achieve 100% indoor and outdoor campus-wide tobacco free environments. Source: American College Health Association

7 National lcollege Health hassessments ACHA (American College Health Association) 2008 National College Health Assessments showed that 83% of college students described themselves as non-smokers (never smoked or have not smoked cigarettes in the last 30 days); 90% reported being non-smokers for hookah/water pipes (never used or have not used in the last 30 days); and 97% described d themselves as non-users of smokeless tobacco (never used or have not used in the last 30 days.) Source: American College Health Association

8 Tobacco Policy Implementation ti Develop a strongly worded tobacco policy that reflects the best practices in tobacco prevention, cessation, and control. Inform all members of the campus community by widely distributing ib ti the campus tobacco policy on an annual basis. The tobacco policy is clearly posted in the employee and student handbooks, on the college/university website, and in other relevant publications. Key components of the policy are also shared with parents, alumni/ae, and visitors. The general policy should be included in prospective p student materials in both printed and electronic formats. Source: American College Health Association

9 Tobacco Policy Implementation ti Offer and promote prevention and education initiatives that actively support non-use and address the risks of all forms of tobacco use. Offer and promote programs and services that include practical, evidence-based d approaches to end tobacco use, including screenings through health and counseling services, free/reduced-cost tobacco-cessation counseling, free/reduced-cost nicotine replacement therapy, and medication options on campus. Advocate for the inclusion of tobacco use cessation products, medications, and services in student health insurance plans. materials in both printed and electronic formats. Source: American College Health Association

10 Tobacco Policy Implementation ti Provide a comprehensive marketing and signage g effort to ensure that all college/university visitors, vendors, guests, and others arriving on property owned or leased by the institution are aware of the tobacco-free policy. Plan, maintain, and support effective and timely implementation, administration, and consistent enforcement if all college/university tobacco-related policies, rules, regulations, and practices. Provide a well- publicized reporting system for violations. Source: American College Health Association

11 Tobacco Policy Implementation ti Collaborate with local, state, and national public health entities and tobacco prevention and control public, private, and national non-profit tobacco-related organizations in support of maintaining a healthy tobacco-free environment, Develop and maintain a tobacco task force on campus to identify and address needs and concerns related to tobacco policy, compliance, enforcement, and cessation. Source: American College Health Association

12 Tobacco Policy Implementation ti Key individuals and departments to invite/include: Undergraduate and graduate students (particularly from student-elected/representative organizations) Health and counseling center professionals Faculty (including faculty senate or other faculty governing bodies) Residence life/housing Judicial affairs Campus safety/police Human resources Source: American College Health Association

13 Tobacco Policy Implementation ti Campus safety/police Human resources Neighborhood liaisons Facilities Other important stakeholders specific to your campus Source: American College Health Association

14 Tobacco Free Policy Implementation Combines traditional tobacco education/cessation programs with efforts to create a physical, social, and policy environment that supports tobacco-free campuses Individually-focused id d programs (e.g. education and cessation programs) with environmental management strategies (e.g. creating a tobacco-free normative environment, developing and enforcing tobacco-related rules and policies) to create a campus environment that promotes healthful decisions about tobacco use Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

15 Strategies t for Comprehensive Policy Create a tobacco-free normative environment Restrict tobacco sales, advertising, and promotion Increase and enforce sound tobacco-related rules and policies Educate students about tobacco prevention Offer tobacco cessation programs designed for college students Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

16 Create a tobacco-free normative environment Changing g the physical environment so that campus building are tobacco-free Make resident halls tobacco-free Move tobacco use users away from building entrances. Prohibiting tobacco use on all university property, including outdoor areas. Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

17 Create a tobacco-free normative environment Implement social norms marketing campaigns designed to correct misconceptions about the prevalence of tobacco use on campus Source: Tobacco Technical Assistance Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

18 Restrict tobacco sales, advertising, and promotion Ban tobacco advertising on campus, including the school newspaper and other publications i (e.g. ads for products, tobacco promotions at bar, and tobacco company sponsored events) and at campus events. Ban distribution ib ti of tobacco-related ltd products, paraphernalia with tobacco logos, or coupons on campus. Ban tobacco sales on campus: vending machines, campus store. Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

19 Increase and enforce tobacco-related rules and policies i Develop sound tobacco-related rules, policies, and related sanctions with input from all stakeholders: students, faculty, administration, staff, and parents. Publicize tobacco-related rules, policies and sanctions. Enforce sanctions for violating tobacco-related rules and policies. Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

20 Educate students about tobacco prevention Implement campus-wide high quality tobacco prevention education programs. Implement targeted tobacco prevention education programs for high-risk groups such as athletes (chew tobacco), freshmen, fraternity and sorority members, students concerned with weight loss, art and theater students, and Lesbian, Gay Bisexual and Transgender students. Work with professors to implement curriculum infusion Involve students as peer educators and leaders Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

21 Offer tobacco cessation programs designed d for college students t Offer a full-range of high-quality tobacco cessation programs-such as individual and group counseling, nicotine replacement therapy, referrals to local programs, internet-based programs that are easily accessible and well-publicized. Offer programs geared towards the unique needs of college students. Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

22 Offer tobacco cessation programs designed d for college students t Track student tobacco use status at every college health service visit, i and offer tobacco users regular reminders of campus tobacco cessation options. Train health care providers in motivational interviewing techniques so they can conduct effective interventions at each health center visit for students who smoke. Lobby for insurance coverage of cessation services for students, faculty, and staff. Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

23 Offer tobacco cessation programs designed for college students Train health care providers in motivational interviewing techniques so they can conduct effective interventions at each health center visit for students who smoke. Lobby for insurance coverage of cessation services for students, faculty, and staff. Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

24 Tki Taking Action Ati on Your rcampus Conduct a Problem Analysis Set Goals and Objectives Select Strategies Implement Change Evaluate Efforts Source: Tobacco Technical Assistance Consortium Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

25 Conduct a Problem Analysis Taking a comprehensive look at tobacco use and prevention on your campus will help you to identify needs, wants, allies, resources, and barriers. Look beyond your campus to learn the basic College Tobacco Facts, review recommended campus tobacco prevention policies and models and find out what other campuses are dong with respect to tobacco. Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

26 Conduct a Problem Analysis Some key questions to consider in the problem analysis stage: What are the tobacco use rates and trends on your campus? How do they compare with those on other campuses? What are students attitudes and perceptions related to tobacco use? Do students have an exaggerated perception of the number of students who smoke? What are the current campus tobacco policies and enforcement strategies? Are current policies enforced? By whom? Source: Tobacco Technical Assistance Consortium College Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

27 StG Set Goals and dobjectives Goals should be broad, yet realistic and appropriate p for your campus at the time. Each goal should be linked to one or more objectives. Objectives should have a clear indication of what changes are planned. Objectives should be measurable and specific in numerical terms when possible. Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

28 StG Set Goals and dobjectives Goals and objective links and resources: American Cancer Society s Smoke-Free New England Campus Initiative Advocating for a Smoke-Free Campus: A Manual for College and University Students. Healthy People 2010 Toolkit: Setting Health Priorities and Establishing Objectives Centers for Disease Control and Prevention, Planned Approach to Community Health Guide. Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

29 Sl Select tstrt Strategies Some key yquestions to consider when selecting strategies and developing an action plan: Will the proposed changes help with you reach your stated goals and objectives? What actual tasks will need to be taken to implement the proposed changes? What level of support (e.g. financial, personnel) will be necessary to carry out these changes? Is official approval of the plan necessary before the plan can be put into action? What groups will need to be involved in the change process? Source: Tobacco Technical Assistance College Tobacco Prevention Resource

30 Implement Change Implementation is the process of putting a new policy or program into effect. Some key questions to consider when implementing change Who should comprise a working group or committee to execute the plan? How long a time period should there be from authorization of new policies to implementation? Who should the message about a major policy change come from? The President, The Director of Health Services, The President of Student Government? How will change be advertised? Does signage need to be made? Source: Tobacco Technical Assistance College Tobacco Prevention Resource

31 Evaluate Efforts Conduct process and out come evaluations Process evaluation Addressing questions about whether a program was carried out as planned. Conducting short interviews or surveys with the students to assess whether the communication channels were effective in reaching them. Outcome evaluation Addressing whether or nor policy or program objectives were met. Source: Tobacco Technical Assistance Consortium Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

32 Evaluation Efforts Some key questions to consider when evaluating efforts: What was the impact of the implemented changes? Were the programs/policies implemented as planned? How did the program/policy affect different groups on campus? Did unforeseen problems arise during the implementation? i If so, what were they? Did we meet our objectives? What other factors may have contributed to the effectiveness of the program or policy? What additional steps are necessary to reach the stated goals? What did we learn that can guide us in the future efforts Sources: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

33 Other Issues to Consider Coalition Building Presidential Leadership Enforcement Issues Student Involvement Faculty/Staff Support Mdi Media Coverage Source: Tobacco Technical Assistance Consortium College Tobacco Prevention Resource

34 Rfr References &R Resources American Cancer Society s Smoke-Free New England Campus Initiative. i i Advocating for a Smoke Free Campus: A Manual for College and University Students. Chapter 2, Action Plan American College Health Association website: ANR (American Non-Rights ) Americans for Nonsmokers' Rights is the leading national n lobbying organization n (501 (c) 4), dedicated to nonsmokers' rights, taking on the tobacco industry at all levels of government, protecting nonsmokers from exposure to secondhand smoke, and preventing tobacco addiction among youth. ANR pursues an action-oriented program of policy and legislation. Website:

35 Rfr References &R Resources ttac (Tobacco Technical Assistance Consortium College Tobacco Prevention Resource) website: /approach.html) TobaccoFreeU.org is the official Bacchus website devoted to tobacco control with college and university campuses and young adults. TobaccoFreeU.org has information about types of tobacco, policy change, data collection and evaluation, and sample campus and community programs.

36 Contact t Information Fayetta Royal, MA Tobacco Prevention & Control Coordinator Alabama Department of Public Health Area Hargrove Road East Tuscaloosa, AL Phone: (205) Fax: (205) al