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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 2007 Apr;99(4):338–344.

Attitudes and beliefs about smoking among African-American college students at historically black colleges and universities.

Barbara D Powe 1, Louie Ross 1, Dexter L Cooper 1
PMCID: PMC2569661  PMID: 17444422

Abstract

Smoking rates are lower among African Americans compared to Caucasians, but African Americans have higher lung cancer mortality. Guided by the Powe Fatalism Model, this descriptive study reports on attitudes and beliefs and predictors of lifetime cigarette smoking behaviors among students at historically black colleges and universities (HBCUs). Data were collected using the Attitudes and Beliefs about Perceived Consequences of Smoking Scale and a Demographic Data Questionnaire. The majority (N = 438) were female and single. More than 50% reported trying cigarettes in their lifetime and reported smoking a whole cigarette at age 15.5 years. Only 7.5% of the sample were lifetime smokers. The likelihood that a student would smoke was 15 times greater if their friends smoked and almost seven times greater if they were not members of a Greek organization compared to other students. Males associated smoking with self-confidence, endorsed the emotional benefits and influencing factors of smoking compared to females. Intervention efforts should focus on preventing the initiation of smoking as well as cessation efforts for students at HBCUs. Campus clubs and organizations can play a vital role in long-term changes in smoking behaviors for these students.

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Selected References

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  1. Budd G. M., Preston D. B. College student's attidudes and beliefs about the consequences of smoking: development and normative scores of a new scale. J Am Acad Nurse Pract. 2001 Sep;13(9):421–427. doi: 10.1111/j.1745-7599.2001.tb00061.x. [DOI] [PubMed] [Google Scholar]
  2. Castrucci Brian C., Gerlach Karen K., Kaufman Nancy J., Orleans C. Tracy. The association among adolescents' tobacco use, their beliefs and attitudes, and friends' and parents' opinions of smoking. Matern Child Health J. 2002 Sep;6(3):159–167. doi: 10.1023/a:1019774028526. [DOI] [PubMed] [Google Scholar]
  3. Choi Won S., Harris Kari Jo, Okuyemi Kolawole, Ahluwalia Jasjit S. Predictors of smoking initiation among college-bound high school students. Ann Behav Med. 2003 Aug;26(1):69–74. doi: 10.1207/S15324796ABM2601_09. [DOI] [PubMed] [Google Scholar]
  4. Eaton Danice K., Kann Laura, Kinchen Steve, Ross James, Hawkins Joseph, Harris William A., Lowry Richard, McManus Tim, Chyen David, Shanklin Shari. Youth risk behavior surveillance--United States, 2005. MMWR Surveill Summ. 2006 Jun 9;55(5):1–108. [PubMed] [Google Scholar]
  5. Emmons K. M., Wechsler H., Dowdall G., Abraham M. Predictors of smoking among US college students. Am J Public Health. 1998 Jan;88(1):104–107. doi: 10.2105/ajph.88.1.104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Fennell R. Health behaviors of students attending historically black colleges and universities: results from the National College Health Risk Behavior Survey. J Am Coll Health. 1997 Nov;46(3):109–117. doi: 10.1080/07448489709595596. [DOI] [PubMed] [Google Scholar]
  7. Haiman Christopher A., Stram Daniel O., Wilkens Lynne R., Pike Malcolm C., Kolonel Laurence N., Henderson Brian E., Le Marchand Loïc. Ethnic and racial differences in the smoking-related risk of lung cancer. N Engl J Med. 2006 Jan 26;354(4):333–342. doi: 10.1056/NEJMoa033250. [DOI] [PubMed] [Google Scholar]
  8. Hanson M. J. Cross-cultural study of beliefs about smoking among teenaged females. West J Nurs Res. 1999 Oct;21(5):635–651. doi: 10.1177/01939459922044090. [DOI] [PubMed] [Google Scholar]
  9. Hestick H., Perrino S. C., Rhodes W. A., Sydnor K. D. Trial and lifetime smoking risks among African American college students. J Am Coll Health. 2001 Mar;49(5):213–219. doi: 10.1080/07448480109596306. [DOI] [PubMed] [Google Scholar]
  10. Hines D., Fretz A. C., Nollen N. L. Regular and occasional smoking by college students: personality attributions of smokers and nonsmokers. Psychol Rep. 1998 Dec;83(3 Pt 2):1299–1306. doi: 10.2466/pr0.1998.83.3f.1299. [DOI] [PubMed] [Google Scholar]
  11. Laws Michelle A., Huang Chien Ju, Brown Roderick F., Richmond Al, Conerly Rhonda C. Cigarette smoking among college students attending a historically Black college and university. J Health Care Poor Underserved. 2006 Feb;17(1 Suppl):143–156. doi: 10.1353/hpu.2006.0007. [DOI] [PubMed] [Google Scholar]
  12. McCabe Sean Esteban, Schulenberg John E., Johnston Lloyd D., O'Malley Patrick M., Bachman Jerald G., Kloska Deborah D. Selection and socialization effects of fraternities and sororities on US college student substance use: a multi-cohort national longitudinal study. Addiction. 2005 Apr;100(4):512–524. doi: 10.1111/j.1360-0443.2005.01038.x. [DOI] [PubMed] [Google Scholar]
  13. Patterson Freda, Lerman Caryn, Kaufmann Vyga G., Neuner Geoffrey A., Audrain-McGovern Janet. Cigarette smoking practices among American college students: review and future directions. J Am Coll Health. 2004 Mar-Apr;52(5):203–210. doi: 10.3200/JACH.52.5.203-212. [DOI] [PubMed] [Google Scholar]
  14. Powe Barbara D., Underwood Sandra, Canales Mary, Finnie Ramona. Perceptions about breast cancer among college students: implications for nursing education. J Nurs Educ. 2005 Jun;44(6):257–265. doi: 10.3928/01484834-20050601-04. [DOI] [PubMed] [Google Scholar]
  15. Rigotti N. A., Lee J. E., Wechsler H. US college students' use of tobacco products: results of a national survey. JAMA. 2000 Aug 9;284(6):699–705. doi: 10.1001/jama.284.6.699. [DOI] [PubMed] [Google Scholar]
  16. Shervington D. O. Attitudes and practices of African-American women regarding cigarette smoking: implications for interventions. J Natl Med Assoc. 1994 May;86(5):337–343. [PMC free article] [PubMed] [Google Scholar]
  17. Wechsler H., Rigotti N. A., Gledhill-Hoyt J., Lee H. Increased levels of cigarette use among college students: a cause for national concern. JAMA. 1998 Nov 18;280(19):1673–1678. doi: 10.1001/jama.280.19.1673. [DOI] [PubMed] [Google Scholar]

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