Australian university smoke-free policy implementation: a staff and student surveyAshleigh Guillaumier A E , Billie Bonevski A , Christine Paul A , John Wiggers A B , John Germov C , Dylan Mitchell D and Diane Bunch D
A School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle and Hunter Medical Research Institute, Locked Bag 1000, New Lambton, NSW 2305, Australia.
B Hunter New England Population Health, Locked Bag 10, Wallsend, NSW 2287, Australia.
C School of Humanities and Social Science, Faculty of Education and Arts, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia.
D Human Resource Services, University of Newcastle, University Drive, Callaghan, NSW 2308, Australia.
E Corresponding author. Email: Ashleigh.Guillaumier@newcastle.edu.au
Health Promotion Journal of Australia 28(2) 165-169 https://doi.org/10.1071/HE16063
Submitted: 2 June 2016 Accepted: 7 October 2016 Published: 18 November 2016
Issue addressed: Universities represent important settings for the implementation of public health initiatives such as smoke-free policies. The study aimed to assess staff and student attitudes towards policy enforcement and compliance as well as the acceptability of the provision of cessation support in this setting.
Methods: A cross-sectional study was conducted following the introduction of a designated-areas partial smoke-free policy at two campuses of one Australian university in 2014. Staff (n = 533) and students (n = 3060) completed separate online surveys assessing attitudes towards smoke-free policy enforcement and compliance, and acceptability of university-provided cessation support.
Results: Students held significantly stronger beliefs than staff that the smoke-free policy required staff enforcement (69% vs 60%) and violation penalties (67% vs 60%; both P’s <0.01); however, most staff (66%) did not believe enforcement was part of their role. Only 55% of student smokers were aware that the university provided any cessation support. ‘Free or cheap nicotine replacement therapy’ (65%) and ‘free stop smoking counselling service’ (60%) were the most popular strategies student smokers thought the university should provide.
Conclusions: University staff and students hold conflicting views over the need for policy enforcement and who is responsible for enforcement roles. Students view the university as an acceptable setting for the provision of smoking cessation support.
So what?: Where staff are expected to enforce smoke-free policies, specific education and training should be provided. Ongoing monitoring of compliance and enforcement behaviour appears necessary to avoid the pervasive kind of non-compliance to smoke-free policies that have been seen in other settings.
References Fichtenberg CM, Glantz SA (2002) Effect of smoke-free workplaces on smoking behaviour: systematic review. Brit Med J 325, 188
| Effect of smoke-free workplaces on smoking behaviour: systematic review.CrossRef |
 Callinan JE, Clarke A, Doherty KCK (2010) Legislative smoking bans for reducing secondhand smoke exposure, smoking prevalence and tobacco consumption. Cochrane Database Syst Rev CD005992
 Jancey J, Bowser N, Burns S, Crawford G, Portsmouth L, Smith J (2014) No smoking here: examining reasons for noncompliance with a smoke-free policy in a large university. Nicotine Tob Res 16, 976–83.
| No smoking here: examining reasons for noncompliance with a smoke-free policy in a large university.CrossRef |
 Fennell R (2012) Should college campuses become tobacco free without an enforcement plan? J Am Coll Health 60, 491–4.
| Should college campuses become tobacco free without an enforcement plan?CrossRef |
 Hahn EJ, Fallin A, Darville A, Kercsmar SE, McCann M, Record RA (2012) The three Ts of adopting tobacco-free policies on college campuses. Nurs Clin North Am 47, 109–17.
| The three Ts of adopting tobacco-free policies on college campuses.CrossRef |
 Fallin A, Goodin A, Rayens MK, Morris S, Hahn EJ (2014) Smoke-free policy implementation: theoretical and practical considerations. Policy Polit Nurs Pract 15, 81–92.
| Smoke-free policy implementation: theoretical and practical considerations.CrossRef |
 Russette HC, Harris KJ, Schuldberg D, Green L (2014) Policy compliance of smokers on a tobacco-free university campus. J Am Coll Health 62, 110–6.
| Policy compliance of smokers on a tobacco-free university campus.CrossRef |
 Sorensen G, Glasgow RE, Corbett K, Topor M (1992) Compliance with worksite nonsmoking policies: baseline results from the COMMIT study of worksites. Am J Health Promot 7, 103–9.
| Compliance with worksite nonsmoking policies: baseline results from the COMMIT study of worksites.CrossRef | 1:STN:280:DyaK3sbgsVOgtA%3D%3D&md5=90092adbfee4b19d120dc5067baec867CAS |
 Burns S, Jancey J, Bowser N, Comfort J, Crawford G, Hallett J, et al (2013) ‘Moving forward: a cross sectional baseline study of staff and student attitudes towards a totally smoke free university campus.’ BMC Public Health 13, 738
| ‘Moving forward: a cross sectional baseline study of staff and student attitudes towards a totally smoke free university campus.’CrossRef |
 Bonevski B, Guillaumier A, Paul C, Walsh R (2013) The vocational education setting for health promotion: a survey of students’ health risk behaviours and preferences for help. Health Promot J Austr 24, 185–91.
| The vocational education setting for health promotion: a survey of students’ health risk behaviours and preferences for help.CrossRef |
 Bonevski B, Paul CL, Walsh RA, Bryant J, Lecathelinais C (2011) Support for smoke-free vocational education settings: an exploratory survey of staff behaviours, experiences and attitudes. Health Promot J Austr 22, 11–6.
 Wye P, Gow LB, Constable J, Bowman J, Lawn S, Wiggers J (2014) Observation of the extent of smoking in a mental health inpatient facility with a smoke-free policy. BMC Psychiatry 14, 94
| Observation of the extent of smoking in a mental health inpatient facility with a smoke-free policy.CrossRef |
 Lawn S, Campion J (2010) Factors associated with success of smoke-free initiatives in Australian psychiatric inpatient units. Psychiatr Serv 61, 300–5.
| Factors associated with success of smoke-free initiatives in Australian psychiatric inpatient units.CrossRef |
 Office on Smoking and Health (US). The health consequences of involuntary exposure to tobacco smoke: a report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2006.