1. Strengthening Smoking Policy at University of Hawai‘i through Community Partnership Hye-ryeon Lee, Mark Levin, Mike Taleff Jason Maddock, Kristen Scholly Elizabeth Tam, Melissa Stepp, & Toni Symons University of Hawai‘i at Manoa

2. Presentation Overview  Introduction & History  New UH Smoking Policy  Key Process  Driving Force - CPHFA  Engaging the UH leadership  Engaging Support Outside of UH  Implementation  Lessons Learned

3. Smoking Prevalence among College Students  In Hawai‘i, 30% of young adults between the ages of 18-24 were current smokers in 2002, up from 27% in 1999. - BRFSS  Nationally, prevalence of current smoking by young adults rose from 22.3% to 28.5% between 1993-1997. -Harvard College Study  In 1999, 61% of college students used tobacco products during their lifetimes and 32.9% were current users. -Harvard College Study

4. The University of Hawai‘i System  Sizable potential impact of policy change  State’s only public post-secondary education  Across six islands in the state: Three university campuses Seven community college campuses An employment training center Five education centers

6. UH Demographics (Fall 2002)  Student Enrollment: 48,173  43% Male, 57% Female  58% are in the 18-24 year old group  Ethnic Breakdown: Caucasian – 20.9%Japanese – 17.6% Hawaiian – 13.6%Filipino – 13.2% Mixed – 11.3%Chinese – 6.3% Pacific Island – 2.6%Others – 14.5%

7. History of Smoking Policy Change  Start: Three Concerned Faculty + New University President (December 2001)  Policy Draft and Review (January 2002)  Creation of Community Partnership for Health and Fresh Air (February 2002)  Policy Announcement (January 2003)  Faculty Housing goes smokefree (May 2003)  Student Housing goes smokefree (August 2003)

8. New UH Smoking Policy: Key Provisions  Secondhand smoke protection for all indoor and key outdoor areas  Ban on tobacco product marketing and promotion on campuses  Ban on tobacco product sales on campuses  Smokefree student and faculty residences  Cessation programs for students, faculty, and staff

9. Driving Force: UH Community Partnership for Health and Fresh Air (CPHFA)  Created in February 2002  A partnership of University of Hawai‘i students, faculty, and staff  Mission: To help everyone in the University community including students, faculty, and staff to not start using tobacco products, to quit using tobacco products if they wish to, and to not be exposed to tobacco smoke.

10. Key CPHFA Activities  Meetings with UH administration and other campus leaders for buy-in  Expert Report - Tobacco Use Prevalence -Tobacco Marketing to College Students -Second-hand Smoke -Smoking in the Workplace -CDC Best Practice Recommendations  Building External Support - Politicians - State Department of Health - Coalition for a Tobacco Free Hawaii

11. Key CPHFA Activities - Continued  Needs Assessment Reports - Faculty and Clerical Employees - Custodial, Ground, Maintenance Employees  Leveraged External Resources  Developed Communication Campaign Plan -System Wide Memorandum -Press Conference, Promotional Events -50,000 Brochures/5,000 Highlighters -Paid Ads/stories/editorials on Ka Leo -Radio spots -Website

12. Key CPHFA Activities: Policy Implementation  Watchdog administration on implementation  Follow-up surveys and data  Incorporating tobacco control issues into relevant UH programs and procedures (e.g. health services, new student orientations, student handbook, cessation training for dormitory residence assistants)  Spot future chances to strengthen UH policy  University community support for City and State-wide tobacco control policy agendas

13. What is Not in the Policy and Why  Voluntary policy, no punitive enforcement mechanisms  Reason – HI labor law empowered one historically intransigent labor union  Implications for compliance: requires focus on community cooperation and re-framing social norms

14. Lessons Learned  Impetus can come from just a few people  Bridge across campus with students, faculty, staff, administrators  Connect across disciplines  Prep work and team work Carrots (cessation support) and sticks (rules)  Implementation and follow-up are key

15. Acknowledgments  Nina Jones (University of Arizona)  California Youth Advocacy Network  New York ACS's College Project  American College Health Association  Americans for Non-Smokers' Rights  Smoke-Free Environments Law Project  State of Hawai‘i Department of Health  Coalition for a Tobacco Free Hawai‘i

16. Mahalo