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Smoking, health and academic outcomes: evidence from a limited smoking campus policy

Published online by Cambridge University Press:  21 June 2018

Colin Cannonier ,
Monica G. Burke  and
Kathryn Steward
Colin Cannonier*
Affiliation:
Jack C. Massey College of Business, Belmont University, Nashville, TN, USA
Monica G. Burke
Affiliation:
Department of Counseling and Student Affairs, Western Kentucky University, Bowling Green, KY, USA
Kathryn Steward
Affiliation:
Health Education and Promotion, Western Kentucky University, Bowling Green, KY, USA
*
*Correspondence to: Colin Cannonier, Jack C. Massey College of Business, Belmont University, Nashville, TN 37212, USA. Email: [email protected]
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Abstract

Although there is substantial literature on the impact of smoking laws, the number of studies that investigate the impact of such policies on college campuses is sparse. Using a rich data set from various waves of the American College Health Association National College Health Assessment survey for a mid-sized public university in the southern United States, we investigate a possible causal link between a limited smoking policy and smoking behaviours, health and academic outcomes among college students. We employ propensity score matching methods to control for endogeneity of unobservable characteristics. Our results show a significant reduction in the propensity to smoke cigarettes and cigars following the introduction of the policy. Further, we find that the policy has increased academic outcomes; however, it has no significant effect on student health. These findings have important policy implications for schools that are considering instituting comprehensive smoking bans on college.

Type
Articles
Information
Health Economics, Policy and Law , Volume 14 , Special Issue 2: SPECIAL ISSUE: Frontiers of Health Policy Research , April 2019 , pp. 205 - 230
Copyright
© Cambridge University Press 2018 

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Footnotes

†

Deceased 11 May 2017.

References

Adda, J. and Cornaglia, F. (2010), ‘The effect of bans and taxes on passive smoking’, American Economic Journal: Applied Economics, 21(1): 1–32.Google Scholar
American Nonsmokers’ Rights Foundation (2016), Smokefree and Tobacco-Free U.S. and TRIBAL COLLEGES and Universities, Berkley, CA: ANRF. http://no-smoke.org/goingsmokefree.php?id=447 [14 February 2017].Google Scholar
An, L. C., Berg, C. J., Klatt, C. M., Perry, C. L., Thomas, J. L., Luo, X., Ehlinger, E. and Ahluwalia, J. S. (2009), ‘Symptoms of cough and shortness of breath among occasional young adult smokers’, Nicotine & Tobacco Research, 11(2): 126–133.Google Scholar
Angrist, J. D. and Pischke, J.-S. (2008), Mostly Harmless Econometrics: An Empiricist’s Companion, Princeton, NJ: Princeton University Press.Google Scholar
Apel, M., Klein, K., McDermott, R. and Westhoff, W. W. (1997), ‘Restricting smoking at the University of Köln, Germany: a case study’, Journal of American College Health, 45(5): 219–223.Google Scholar
Barnoya, J. and Glantz, S. A. (2005), ‘Cardiovascular effects of secondhand smoke: nearly as large as smoking’, Circulation, 111(20): 2684–2698.Google Scholar
Borders, T. F., Xu, K. T., Bacchi, D., Cohen, L. and SoRelle-Miner, D. (2005), ‘College campus smoking policies and programs and students’ smoking behaviors’, BMC Public Health, 5: 74.Google Scholar
Callison, K. and Kaestner, R. (2014), ‘Do higher tobacco taxes reduce adult smoking? New evidence of the effect of recent cigarette tax increases on adult smoking’, Economic Inquiry, 52(1): 155–173.Google Scholar
Centers for Disease Control (2016), Fact sheet: current cigarette smoking among adults in the United States, https://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/ [14 February 2017].Google Scholar
Centers for Disease Control and Prevention (CDC) (2016), Fact sheets: health effects of secondhand smoke, https://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/health_effects/ [14 February 2017].Google Scholar
Chaaya, M., Alameddine, M., Nakkash, R., Afifi, R. A., Khalil, J. and Nahhas, G. (2013), ‘Students’ attitude and smoking behaviour following the implementation of a university smoke-free policy: a cross-sectional study’, BMJ Open, 3(4): e002100.Google Scholar
Chaloupka, F. J. (2004), ‘The effect of public polices and prices on youth smoking’, Southern Economic Journal, 70(4): 796–815.Google Scholar
Cho, Y.-N. and DeVaney, S. A. (2010), ‘Understanding college students’ opinions on a smoking policy’, International Journal of Consumer Studies, 34: 388–393.Google Scholar
DeCicca, P., Kenkel, D., Mathios, A., Shin, Y.-J. and Lim, J.-Y. (2008), ‘Youth smoking, cigarette prices, and anti-smoking sentiment’, Health Economics, 17(6): 733–749.Google Scholar
Dehejia, R. H. and Wahba, S. (1999), ‘Causal effects in nonexperimental studies: reevaluation of the evaluation of training programs’, Journal of the American Statistical Association, 94(1): 1043–1062.Google Scholar
Dehejia, R. H. and Wahba, S. (2002), ‘Propensity score-matching methods for nonexperimental causal studies’, Review of Economics and Statistics, 84(1): 151–161.Google Scholar
Dierker, L., Lloyd-Richardson, E., Stolar, M., Flay, B., Tiffany, S., Collins, L., Bailey, S., Nichter, M., Nichter, M. and Clayton, R., Tobacco Etiology Research Network (TERN) (2006), ‘The proximal association between smoking and alcohol use among first year college students’, Drug and Alcohol Dependence, 81(1): 1–9.Google Scholar
Evans, W. N., Farrelly, M. C. and Montgomery, E. (1999), ‘Do workplace smoking bans reduce smoking?’, American Economic Review, 89(4): 728–747.Google Scholar
Fallin, A., Roditis, M. and Glantz, S. A. (2015), ‘Association of campus tobacco policies with secondhand smoke exposure, intention to smoke on campus, and attitudes about outdoor smoking restrictions’, American Journal of Public Health, 105(6): 1098–1100.Google Scholar
Glantz, S. and Parmley, W. (2001), ‘Even a little secondhand smoke is dangerous’, JAMA, 286(4): 462–463.Google Scholar
Halperin, A. C., Smith, S. S., Heiligenstein, E., Brown, D. and Fleming, M. (2010), ‘Cigarette smoking and associated health risks among students at five universities’, Nicotine & Tobacco Research, 12(2): 96–104.Google Scholar
Hatziandreu, E. J., Pierce, J. P., Fiore, M. C., Grise, V., Novotny, T. E. and Davis, R. M. (1989), ‘The reliability of self-reported cigarette consumption in the United States’, American Journal of Public Health, 79(8): 1020–1023.Google Scholar
He, J., Vupputuri, S., Allen, K., Prerost, M. R., Hughes, J. and Whelton, P. K. (1999), ‘Passive smoking and the risk of coronary heart disease—a meta-analysis of epidemiologic studies’, New England Journal of Medicine, 340: 920–926.Google Scholar
Institute of Medicine (2009), Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence, Washington, DC: National Academies Press.Google Scholar
International Tobacco Control Project, World Health Organization, and World Heart Federation (2012), Cardiovascular Harms from Tobacco Use and Secondhand Smoke: Global Gaps in Awareness and Implications for Action, Waterloo, ON, and Geneva: International Tobacco Control Project, World Health Organization, and World Heart Federation. http://www.who.int/tobacco/publications/surveillance/cardiovascular_harms_from_tobacco_use.pdf?ua=1 [14 February 2017].Google Scholar
Jamal, A., King, B. A., Neff, L. J., Whitmill, J., Babb, S. D. and Graffunder, C. M. (2016), ‘Current cigarette smoking among US adults—United States, 2005-2015’, Morbidity and Mortality Weekly Report, 65(44): 1205–1211.Google Scholar
Johnston, L. D., O’Malley, P. M., Miech, R. A., Bachman, J. G. and Schulenberg, J. E. (2016), Monitoring the Future National Survey Results on Drug Use, 1975-2015: Overview, Key Findings on Adolescent Drug Use, Ann Arbor, MI: Institute for Social Research, The University of Michigan. http://www.monitoringthefuture.org/pubs/monographs/mtf-overview2015.pdf [14 February 2017].Google Scholar
Kenney, B. A. and Holahan, C. J. (2008), ‘Depressive symptoms and cigarette smoking in a college sample’, Journal of American College Health, 56(4): 409–414.Google Scholar
Lochbihler, S. L., Miller, D. A. and Etcheverry, P. E. (2014), ‘Extending animal models to explore social rewards associated with designated smoking areas on college campuses’, Journal of American College Health, 62(3): 145–152.Google Scholar
Marie, O. and Zölitz, U. (2015), ‘High Achievers? Cannabis Access and Academic Performance’, IZA Discussion Paper No. 8900, Institute for the Study of Labor, Germany, http://ftp.iza.org/dp8900.pdf [14 February 2017].Google Scholar
Mocan, N. and Tekin, E. (2006), ‘Catholic schools and bad behavior: a propensity score matching analysis’, Contributions to Economic Analysis & Policy, 5(1): 13.Google Scholar
Odermatt, R. and Stutzer, A. (2015), ‘Smoking bans, cigarette prices and life satisfaction’, Journal of Health Economics, 44(1): 176–194.Google Scholar
Prokhorov, A. V., Warneke, C., de Moor C, C., Emmons, K. M., Mullin Jones, M., Rosenblum, C., Hudmon, K. S. and Gritz, E. R. (2003), ‘Self-reported health status, health vulnerability, and smoking behavior in college students: implications for intervention’, Nicotine & Tobacco Research, 5(4): 545–552.Google Scholar
Rigotti, N. A., Lee, J. E. and Wechsler, H. (2000), ‘U.S. college students’ use of tobacco products: results of a national study’, JAMA, 284(6): 699–705.Google Scholar
Rosenbaum, P. and Rubin, D. (1983), ‘The central role of the propensity score in observational studies for causal effects’, Biometrika, 70(1): 41–55.Google Scholar
Seo, D., Macy, J., Torabi, M. and Middlestadt, S. E. (2011), ‘The effect of a smoke-free campus policy on college students’ smoking behaviors and attitudes’, Preventive Medicine, 53: 347–352.Google Scholar
Shetty, K. D., DeLeire, T., White, C. and Bhattacharya, J. (2011), ‘Changes in U.S. hospitalization and mortality rates following smoking bans’, Journal of Policy Analysis and Management, 30(1): 6–28.Google Scholar
Sutfin, E. L., McCoy, T. P., Berg, C. J., Champion, H., Helme, D. W., O’Brien, M. C. and Wolfson, M. (2012), ‘Tobacco use by college students: a comparison of daily and nondaily smokers’, American Journal of Health Behavior, 36: 218–229.Google Scholar
Tucker, J. S., Ellickson, P. L. and Klein, D. J. (2003), ‘Predictors of the transition to regular smoking during adolescence and young adulthood’, Journal of Adolescent Health, 32(4): 314–324.Google Scholar
US Department of Health and Human Services (2010), How Tobacco Smoke Causes Disease—The Biology and Behavioral Basis for Tobacco-Attributable Disease: A Report of the Surgeon General, Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.Google Scholar
US Department of Health and Human Services (2014), The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General, Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. https://www.surgeongeneral.gov/library/reports/50-years-of-progress/full-report.pdf [14 February 2017].Google Scholar
Wasserman, J., Manning, W. G., Newhouse, J. P. and Winkler, J. D. (1991), ‘The effects of excise taxes and regulations on cigarette smoking’, Journal of Health Economics, 10(1): 43–64.Google Scholar
Zhao, Z. (2005), ‘Sensitivity of Propensity Score Methods to the Specifications’, IZA Discussion Paper No. 1873, Institute for the Study of Labor, Germany, https://pdfs.semanticscholar.org/4b54/4d5ca55d21be7d658e67d1cb5938fcb359bf.pdf [14 February 2017].Google Scholar