Social Smoking Among US College Students

Objective. Young smokers commonly identify themselves as “social smokers,” a pattern of smoking behavior that is poorly understood. We assessed the prevalence and correlates of social smoking among US college students. Methods. Cross-sectional survey of a random sample of 10 904 students enrolled at 119 nationally representative US colleges in 2001. Results. A total of 51% of 2401 current (past 30-day) smokers were social smokers. (To assess social smoking, students were asked, “In the past 30 days, do you smoke mainly when you are with people, mainly when you are alone, or do you smoke as often by yourself as with others?” Students who stated that they smoked mainly with others rather than alone or equally by themselves and others were defined as social smokers for this analysis.) Social smoking was independently associated with a lower frequency and intensity of tobacco use, less nicotine dependence, less intention to quit, and fewer recent quit attempts. Conclusions. Social smoking is a distinct pattern of tobacco use that is common among college students and may represent a stage in the uptake of smoking.

[1]  J. Koplan,et al.  Preventing tobacco use among young people. A report of the Surgeon General. Executive summary. , 1994, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.

[2]  A. Trosclair,et al.  Cigarette smoking among adults--United States, 2000. , 2002, MMWR. Morbidity and mortality weekly report.

[3]  Patrick M. O'Malley,et al.  Monitoring the Future National Results on Adolescent Drug Use: Overview of Key Findings, 2004. , 2003 .

[4]  Deborah J. Short,et al.  Integrating Language and Culture in the Social Studies. A Final Report to the U.S. Department of Education, Office of Educational Research and Improvement. , 1996 .

[5]  J. Schorling,et al.  Tobacco, alcohol and other drug use among college students. , 1994, Journal of substance abuse.

[6]  E. Wynder,et al.  Comparison of smoking habits of blacks and whites in a case-control study. , 1991, American journal of public health.

[7]  Pamela M Ling,et al.  Why and how the tobacco industry sells cigarettes to young adults: evidence from industry documents. , 2002, American journal of public health.

[8]  H. Wechsler,et al.  Health and behavioral consequences of binge drinking in college. A national survey of students at 140 campuses. , 1994, JAMA.

[9]  H Wechsler,et al.  Predictors of smoking among US college students. , 1998, American journal of public health.

[10]  C. McGuire,et al.  Office of Educational Research and Improvement , 1999 .

[11]  S. Zeger,et al.  Longitudinal data analysis using generalized linear models , 1986 .

[12]  L. Pederson,et al.  Prevalence of current cigarette smoking among adults and changes in prevalence of current and some day smoking--United States, 1996-2001. , 2003, MMWR. Morbidity and mortality weekly report.

[13]  S. Glantz,et al.  Smooth moves: bar and nightclub tobacco promotions that target young adults. , 2002, American journal of public health.

[14]  H. Wechsler,et al.  Trends in College Binge Drinking During a Period of Increased Prevention Efforts: Findings from 4 Harvard School of Public Health College Alcohol Study Surveys: 1993–2001 , 2002, Journal of American college health : J of ACH.

[15]  L. Kozlowski,et al.  The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. , 1991, British journal of addiction.

[16]  Nicole L. Nollen,et al.  Regular and Occasional Smoking by College Students: Personality Attributions of Smokers and Nonsmokers , 1998, Psychological reports.

[17]  P. Schnohr,et al.  Importance of light smoking and inhalation habits on risk of myocardial infarction and all cause mortality. A 22 year follow up of 12 149 men and women in The Copenhagen City Heart Study , 2002, Journal of epidemiology and community health.

[18]  W. Willett,et al.  Relative and absolute excess risks of coronary heart disease among women who smoke cigarettes. , 1987, The New England journal of medicine.

[19]  S. Glantz,et al.  Using tobacco-industry marketing research to design more effective tobacco-control campaigns. , 2002, JAMA.

[20]  N. Rigotti,et al.  US College Students' Use of Tobacco Products , 2006 .

[21]  N. Rigotti,et al.  US college students' use of tobacco products: results of a national survey. , 2000, JAMA.

[22]  P. Pattison,et al.  Instability in smoking patterns among school leavers in Victoria, Australia , 1998, Tobacco control.

[23]  J. Prochaska,et al.  Stages and processes of self-change of smoking: toward an integrative model of change. , 1983, Journal of consulting and clinical psychology.

[24]  J. Sargent,et al.  Predictors of smoking cessation in adolescents. , 1998, Archives of pediatrics & adolescent medicine.

[25]  L. Johnston,et al.  Monitoring the Future National Survey Results on Drug Use, 1975-2001. Volume 1: Secondary School Students, 2001. , 2002 .

[26]  S. Schinke,et al.  Preventing tobacco use among young people. , 1986, Health & social work.

[27]  N. Rigotti,et al.  Increased levels of cigarette use among college students: a cause for national concern. , 1998, JAMA.

[28]  P. Albert,et al.  Models for longitudinal data: a generalized estimating equation approach. , 1988, Biometrics.

[29]  F. Hu,et al.  Psychosocial predictors of different stages of cigarette smoking among high school students. , 1998, Preventive medicine.

[30]  H Wechsler,et al.  Cigarette use by college students in smoke-free housing: results of a national study. , 2001, American journal of preventive medicine.

[31]  S. Glantz,et al.  Bar and club tobacco promotions in the alternative press: targeting young adults. , 2002, American journal of public health.

[32]  R. Jeffery,et al.  Occasional smoking in a Minnesota working population. , 1996, American journal of public health.

[33]  Patrick M. O'Malley,et al.  Monitoring the Future National Survey Results on Drug Use, 1975-2000. Volume II: College Students and Young Adults Ages 19-40. , 2001 .