Abstract
Background
Occasional smoking is defined as any smoking occurring on a less than daily basis. Social smoking, i.e. smoking primarily in social contexts, is a sub-group of occasional smoking. Data on occasional cigarette smoking and the subset of social smoking among third level students are limited.
Objectives
(1) To determine prevalence of occasional/social smoking among third level students in an Irish university; (2) to evaluate students’ attitudes to occasional/social smoking, including perceived benefits and harm; (3) to explore when students commenced occasional/social smoking, their reasons and continued smoking habits; and (4) to determine any influence of other factors, e.g. alcohol consumption, on occasional/social smoking.
Methods
An anonymous online survey was distributed to undergraduates and postgraduates, using SurveyMonkey. Data were analysed in Microsoft Excel.
Results
Of 18,407 students surveyed, 1310 (7.1%) responded;1267 (96.7%) provided adequate data for analysis. Of the 1267 students, 423 (33.4%) self-reported as current smokers of whom 106/1267 (8.4%) self-classified as daily smokers and 317/1267 (25%) as occasional smokers. The 25% of occasional smokers comprised 266/1267 (21%) social smokers and 51/1267 (4%) non-social smokers. Occasional smokers tended to start smoking earlier and think less about quitting than daily smokers. Of 423 current smokers, 386 (97.2%) reported that alcohol increased their smoking habits.
Conclusion
Prevalence of self-reported occasional smoking among university students was higher than daily smoking. Most occasional smokers primarily smoked in social contexts. All current smokers reported that alcohol increased cigarette intake. Effective intervention campaigns tailored to determinants of occasional/social smoking are needed as part of induction to third level.
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References
Health Service Executive. Smoking the FACTS. https://www.hse.ie/eng/about/who/tobaccocontrol/kf/. Accessed 12/03/2019
Department of Health (2017) Healthy Ireland Survey 2017: summary of findings. Department of Health, Dublin
Department of Health (2013) Tobacco Free Ireland. Tobacco Policy Review Group. Department of Health, Dublin
Trinity College Dublin (2019) Tobacco Free Trinity. https://www.tcd.ie/collegehealth/promotion/smoking/Tobacco%20Policy.php. Accessed 05/02/2019
McKee G, Barry J, Mullin M et al (2017) Predictors of daily and occasional smoking and quitting in Irish university students. Health 9(3):435–450
Royal College of Physicians of Ireland (2018) Occasional smoking and its associated health risks. Policy Group on Tobacco, Royal College of Physicians of Ireland, Dublin
Weinstein ND, Marcus SE, Moser RP (2005) Smokers’ unrealistic optimism about their risk. Tob Control 14(1):55–59. https://doi.org/10.1136/tc.2004.008375
Løchen ML, Gram IT, Mannsverk J et al (2017) Association of occasional smoking with total mortality in the population-based Tromsø study, 2001-2015. BMJ Open 7(12):e019107. https://doi.org/10.1136/bmjopen-2017-019107
U.S. Dept. of Health and Human Services Centers for Disease Control and Prevention (2014) The health consequences of smoking-50 years of progress: a report of the Surgeon General. U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Centre for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health., Atlanta, GA
Jackson KM, Colby SM, Sher KJ (2010) Daily patterns of conjoint smoking and drinking in college student smokers. Psychol Addict Behav 24(3):424–435. https://doi.org/10.1037/a0019793
Berg CJ, Ling PM, Hayes RB et al (2012) Smoking frequency among current college student smokers: distinguishing characteristics and factors related to readiness to quit smoking. Health Educ Res 27(1):141–150. https://doi.org/10.1093/her/cyr106
Moran S, Wechsler H, Rigotti NA (2004) Social smoking among US college students. Pediatrics 114(4):1028–1034. https://doi.org/10.1542/peds.2003-0558-L
Robertson L, Iosua E, McGee R, Hancox RJ (2016) Nondaily, low-rate daily, and high-rate daily smoking in young adults: a 17-year follow-up. Nicotine Tob Res 18(5):943–949. https://doi.org/10.1093/ntr/ntv167
Baska T, Straka S, Mad’ar R (2000) Smoking habits in university students in Slovakia. Cent Eur J Public Health 8(4):245–248
Colder CR, Flay BR, Segawa E, Hedeker D (2008) Trajectories of smoking among freshmen college students with prior smoking history and risk for future smoking: data from the University Project Tobacco Etiology Research Network (UpTERN) study. Addiction 103(9):1534–1543. https://doi.org/10.1111/j.1360-0443.2008.02280.x
Haas SA, Schaefer DR (2014) With a little help from my friends? Asymmetrical social influence on adolescent smoking initiation and cessation. J Health Soc Behav 55(2):126–143. https://doi.org/10.1177/0022146514532817
Otsuki M, Tinsley BJ, Chao RK, Unger JB (2008) An ecological perspective on smoking among Asian American college students: the roles of social smoking and smoking motives. Psychol Addict Behav 22(4):514–523. https://doi.org/10.1037/a0012964
Evans NJ, Gilpin E, Pierce JP et al (1992) Occasional smoking among adults: evidence from the California Tobacco Survey. Tob Control 1(3):169–175
Piasecki TM, McCarthy DE, Fiore MC, Baker TB (2008) Alcohol consumption, smoking urge, and the reinforcing effects of cigarettes: an ecological study. Psychol Addict Behav 22(2):230–239. https://doi.org/10.1037/0893-164x.22.2.230
McKee SA, Hinson R, Rounsaville D, Petrelli P (2004) Survey of subjective effects of smoking while drinking among college students. Nicotine Tob Res 6(1):111–117. https://doi.org/10.1080/14622200310001656939
King AC, Epstein AM (2005) Alcohol dose-dependent increases in smoking urge in light smokers. Alcohol Clin Exp Res 29(4):547–552. https://doi.org/10.1097/01.alc.0000158839.65251.fe
Harrison ELR, Hinson RE, McKee SA (2009) Experimenting and daily smokers: episodic patterns of alcohol and cigarette use. Addict Behav 34(5):484–486. https://doi.org/10.1016/j.addbeh.2008.12.013
Harrison ELR, Desai RA, McKee SA (2008) Nondaily smoking and alcohol use, hazardous drinking, and alcohol diagnoses among young adults: findings from the NESARC. Alcohol Clin Exp Res 32(12):2081–2087. https://doi.org/10.1111/j.1530-0277.2008.00796.x
Hackshaw A, Morris JK, Boniface S et al (2018) Low cigarette consumption and risk of coronary heart disease and stroke: meta-analysis of 141 cohort studies in 55 study reports. BMJ 360:j5855. https://doi.org/10.1136/bmj.j5855
Rigotti NA, Lee JE, Wechsler H (2000) US college students’ use of tobacco products: results of a national survey. JAMA 284(6):699–705. https://doi.org/10.1001/jama.284.6.699
Sutfin EL, McCoy TP, Berg CJ et al (2012) Tobacco use by college students: a comparison of daily and nondaily smokers. Am J Health Behav 36(2):218–229. https://doi.org/10.5993/AJHB.36.2.7
D’Abundo MI, Marinaro LM, Fiala KA (2009) An online survey of cigarette use in college students: using demographic information to influence health education, prevention and intervention efforts. ICHPER-SD J Res 4(2):6–9
University College London (UCL) (2013) Why young people might not heed your warnings. UCL News. https://www.ucl.ac.uk/news/2013/sep/why-young-people-might-not-heed-your-warnings. Accessed 20/03/2019
Acknowledgements
A small research fund (€250) was provided to this research study by the School of Medicine, Trinity College Dublin. This fund enabled the purchase of two Trinity Ball tickets to provide an incentive for students to complete the survey.
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Murray, S.R., Lyne, S.J., Cryan, M.D. et al. Not really a smoker? A study on the prevalence of and attitudes to occasional social smoking in a third level institution in Ireland. Ir J Med Sci 190, 941–948 (2021). https://doi.org/10.1007/s11845-020-02439-5
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DOI: https://doi.org/10.1007/s11845-020-02439-5