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      The Development of a Web-Based Tobacco Tracker Tool to Crowdsource Campus Environmental Reports for Smoke and Tobacco–Free College Policies: Mixed Methods Study

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          Abstract

          Background

          College campuses in the United States have begun implementing smoke and tobacco–free policies to discourage the use of tobacco. Smoke and tobacco–free policies, however, are contingent upon effective policy enforcement.

          Objective

          This study aimed to develop an empirically derived web-based tracking tool (Tracker) for crowdsourcing campus environmental reports of tobacco use and waste to support smoke and tobacco–free college policies.

          Methods

          An exploratory sequential mixed methods approach was utilized to inform the development and evaluation of Tracker. In October 2018, three focus groups across 2 California universities were conducted and themes were analyzed, guiding Tracker development. After 1 year of implementation, users were asked in April 2020 to complete a survey about their experience.

          Results

          In the focus groups, two major themes emerged: barriers and facilitators to tool utilization. Further Tracker development was guided by focus group input to address these barriers (eg, information, policing, and logistical concerns) and facilitators (eg, environmental motivators and positive reinforcement). Amongst 1163 Tracker reports, those who completed the user survey (n=316) reported that the top motivations for using the tool had been having a cleaner environment (212/316, 79%) and health concerns (185/316, 69%).

          Conclusions

          Environmental concerns, a motivator that emerged in focus groups, shaped Tracker’s development and was cited by the majority of users surveyed as a top motivator for utilization.

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          Most cited references25

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          Effect of smoke-free workplaces on smoking behaviour: systematic review

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            Effect of smoke-free workplaces on smoking behaviour: systematic review.

            To quantify the effects of smoke-free workplaces on smoking in employees and compare these effects to those achieved through tax increases. Systematic review with a random effects meta-analysis. 26 studies on the effects of smoke-free workplaces. Workplaces in the United States, Australia, Canada, and Germany. Employees in unrestricted and totally smoke-free workplaces. Daily cigarette consumption (per smoker and per employee) and smoking prevalence. Totally smoke-free workplaces are associated with reductions in prevalence of smoking of 3.8% (95% confidence interval 2.8% to 4.7%) and 3.1 (2.4 to 3.8) fewer cigarettes smoked per day per continuing smoker. Combination of the effects of reduced prevalence and lower consumption per continuing smoker yields a mean reduction of 1.3 cigarettes per day per employee, which corresponds to a relative reduction of 29%. To achieve similar reductions the tax on a pack of cigarettes would have to increase from $0.76 to $3.05 (0.78 euro to 3.14 euro) in the United States and from 3.44 pounds sterling to 6.59 pounds sterling (5.32 euro to 10.20 euro) in the United Kingdom. If all workplaces became smoke-free, consumption per capita in the entire population would drop by 4.5% in the United States and 7.6% in the United Kingdom, costing the tobacco industry $1.7 billion and 310 million pounds sterling annually in lost sales. To achieve similar reductions tax per pack would have to increase to $1.11 and 4.26 pounds sterling. Smoke-free workplaces not only protect non-smokers from the dangers of passive smoking, they also encourage smokers to quit or to reduce consumption.
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              The effect of a smoke-free campus policy on college students' smoking behaviors and attitudes.

              To evaluate the impact of a smoke-free campus policy on college students' smoking behaviors and attitudes.
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                Author and article information

                Contributors
                Journal
                J Med Internet Res
                J Med Internet Res
                JMIR
                Journal of Medical Internet Research
                JMIR Publications (Toronto, Canada )
                1439-4456
                1438-8871
                October 2021
                29 October 2021
                : 23
                : 10
                : e26280
                Affiliations
                [1 ] Center for Healthcare Policy and Research University of California Davis Sacramento, CA United States
                [2 ] Department of Psychology California State University San Marcos San Marcos, CA United States
                [3 ] Department of Occupational Health Services University of California Davis Sacramento, CA United States
                [4 ] Department of Internal Medicine University of California Davis Sacramento, CA United States
                Author notes
                Corresponding Author: Elisa K Tong ektong@ 123456ucdavis.edu
                Author information
                https://orcid.org/0000-0003-0024-7903
                https://orcid.org/0000-0002-0282-1975
                https://orcid.org/0000-0002-9936-0043
                https://orcid.org/0000-0003-0677-5379
                https://orcid.org/0000-0003-0225-1316
                https://orcid.org/0000-0002-8326-4524
                Article
                v23i10e26280
                10.2196/26280
                8590190
                34714248
                d34e9352-b104-4a75-9e8d-ecfda3f5e715
                ©Sabrina F Loureiro, Kim Pulvers, Melissa M Gosdin, Keavagh Clift, Myra Rice, Elisa K Tong. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 29.10.2021.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.

                History
                : 4 December 2020
                : 1 February 2021
                : 12 February 2021
                : 19 July 2021
                Categories
                Original Paper
                Original Paper

                Medicine
                tobacco cessation,college smoke and tobacco–free policies,crowdsourcing,environmental reporting,public health,smoke and tobacco research

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