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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Smoking and Smoking Cessation Interventions on Ontario Post-Secondary Campuses: Healthcare Providers' and Students' Perspectives

Kelli-an Lawrance, PhD, Community Health Sciences, Brock University, 500 Glenridge Avenue, St. Catharines, ON L2S 3A1, Canada, Sharon Lawler, RN, MEd, Brock Research Institute for Youth Studies, Brock University, 500 Glenridge Avenue, St. Catharines, ON L2S 3A1, Canada, Melodie Shick-Porter, RN, Clinical Services, Student Health Services, Brock University, 500 Glenridge Avenue, St. Catharines, ON L2S 3A1, Canada, and Linda Jessup, PhD, Health Studies & Gerontology, University of Waterloo, 200 University Ave. West, Waterloo, ON N2L 3G1, Canada.

Objective: Using large, representative samples of Ontario university students and campus healthcare providers, we examined students' smoking, smoking cessation and use of campus health services, as well as campus clinicians' self-reported use of Ďask-advise-assist-arrange' Clinical Tobacco Intervention (CTI) protocols and students' perceptions of clinician-provided cessation interventions.

Methods: In November 2004, confidential questionnaires were distributed to 593 health professionals from 16 universities. In November 2005, 100,000 students from 10 universities received email invitations to complete an anonymous on-line questionnaire. In both surveys, institutions were representative of Ontario's 20 4-year-degree universities in terms of size, location, programs and student demographics.

Results: Response rates exceeded 60% for professionals and 10% for students. 28% of the students currently smoked; half wanted to quit. One-quarter of the students had visited a campus clinic in the current semester, and 40% of them reported being asked about their smoking. Among those asked about smoking, 10% reported being advised to quit, but few indicated having follow-up arranged. Healthcare providers reported asking 50% of their patients about smoking, and 75% said they advised patients identified as smokers to quit. Many (40%) said they arranged for follow-up. Previous training increased healthcare providers' use of CTI protocols.

Conclusion: Campus health professionals reported offering smoking cessation support to most smokers. Smaller proportions of student smokers reported receiving such support. Overall, the findings suggest more consistent implementation of CTI protocols is needed. This study informs CTI training protocols for campus settings leading to improved standards of care for student smokers.

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