Policy Trends and ENDS on College Campuses

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1 Policy Trends and ENDS on College Campuses Presented by: Kristen Scholly, PhD, MSW Lisa Kehl, MSW, MPH, LSW, TTS University Health Services- Health Promotion University of Hawaii at Manoa

2 Learning Objectives 1. Understand the current research related to e-cigarettes and other ENDS products. 2. List effective strategies for increasing knowledge regarding the negative health effects of e-cigarette use and decrease ecigarette use on college campuses. 3. Learn how to create social norms marketing campaigns designed to address e-cigarette misperceptions among the college student population.

3 The Journey: Hawaii s Tobacco Control Efforts 1. A long history of tobacco-free and smoke-free campus policy initiatives. 2. An extensive network of community partners and strong unions. 3. New State laws that protect the workplace and prohibit the sale of all tobacco products to anyone under the age of 21.

4 Myth #1 Not Just Water Vapor 1. Contain Harmful Chemicals 2. Risk of Second Hand and Third Hand Exposure to these chemicals 3. Contain addictive levels of nicotine 4. Flavors like cotton candy and bubble gum are designed to attract young people (Flora et al., 2016; Gostin & Glasner, 2014; Herrington & Myers, 2015; Maina et al., 2016)

5 Myth #2 Not Regulated 1. Still waiting for FDA Regulations to be released 2. E-Cigarettes are mass produced with little quality control, units have been known to explode 3. Children have been poisoned by drinking the e-cigarette liquid (California Dept. of Health Tobacco Control Program Officers Report, 2015)

6 Myth #3 Not a Cessation Device 1. Originally marketed as an effective smoking cessation device. 2. Studies show that e-cigarette use may increase dual use of e-cigarettes and conventional cigarettes. 3. Gateway drug: E-Cigarette use can lead young people to use conventional cigarettes who never would have started smoking. (Bunnell et al., 2015; Dutra & Glanz, 2014; Pokhrel et al., 2014)

7 Myth # 4 Not Allowed (The Good News!) 1. Approximately 1500 U.S. college campuses that have smoke or tobacco-free policies. 2. Smoke free workplace policies and laws can prohibit the use of ecigarettes indoors, making classrooms and offices healthier places to work and live. 3. Laws raising the age of sale of tobacco products including ecigarettes can discourage young people from using them. (American Non-Smokers Rights Association, 2016)

8 Using Social Norms Theory to Address ENDS Trends on College Campuses 1. Behavior is influenced by how others behave and these perceptions are often incorrect 2. Students overestimate risk-taking behaviors among their peers and underestimate protective behaviors 3. Replacing misperceived norms with actual norms encourages healthier behavior among college students

9 Developing a Social Norms Marketing Campaign to Address ENDS Trends

10 Developing a Social Norms Marketing Campaign Small Group Activity 1. Break up into groups of 3 or 4 colleagues. You are now a creative team! 2. Choose one campus or community that you want to target. Using the 7 step model, brainstorm a campaign you could develop. 3. Include at least one normable statistic that is easily recognizable within your e-cigarette poster campaign. 4. Create a simple mock up of your poster to share with the other teams.

11 Mahalo for Your Participation!

12 References American Non-Smokers Rights Foundation. (2016) Smokefree and Tobacco-Free U.S. and Tribal Colleges and Universities. Retrieved from: Bunnell, R. E., Agaku, I., Arrazola, R., Apelberg, B., Caraballo, R., Corey, C., King, B. (2015). Intentions to smoke cigarettes among never-smoking US middle and high school electronic cigarette users: National Youth Tobacco Survey, Nicotine & Tobacco Research, 17, California Department of Public Health, California Tobacco Control Program. (2015). State Health Officer s Report on E-Cigarettes: A Community Health Threat, Sacramento, CA. Dutra, L. M., & Glantz, S. A. (2014). Electronic cigarettes and conventional cigarette use among U.S. adolescents: A cross-sectional study. JAMA Pediatrics, 168(7), Electronic Cigarettes (e-cigarettes). (2015, July 7). Retrieved from

13 References Flora, J. W., Meruva, N., Huang, C. B., Wilkinson, C. T., Ballentine, R., Smith, D. C., Mckinney, W. J. (2016). Characterization of potential impurities and degradation products in electronic cigarette formulations and aerosols. Regulatory Toxicology and Pharmacology, 74, Gostin, L. O., & Glasner, A. Y. (2014). E-Cigarettes, vaping, and youth. JAMA: The Journal of the American Medical Association, 312(6), Herrington, J. S., & Myers, C. (2015). Electronic cigarette solutions and resultant aerosol profiles. Journal of Chromatography A, 1418, Maina, G., Castagnoli, C., Passini, V., Crosera, M., Adami, G., Mauro, M., & Filon, F. L. (2016). Transdermal nicotine absorption handling e-cigarette refill liquids. Regulatory Toxicology and Pharmacology, 74, Pokhrel, P., Little, M. A., Fagan, P., Muranaka, N., & Herzog, T. A. (2014). Electronic cigarette use outcome expectancies among college students. Addictive Behaviors, 39(6),

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