Social influences on use of cigarettes, e-cigarettes, and hookah by college students

Melody Noland, Melinda J. Ickes, Mary Kay Rayens, Karen Butler, Amanda T. Wiggins, Ellen J. Hahn

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


ABSTRACT: Objectives: (1) Compare social norms and perceived peer use between college student cigarette, e-cigarette, and/or hookah users and nonusers; and (2) determine variables associated with social influences. Participants: Undergraduate students attending a large university in the Southeast United States (N = 511). Methods: An April 2013 online survey assessed use of 3 types of tobacco, social norms, perception of peer use, number of smokers in life, exposure to secondhand smoke, and demographic characteristics. Results: Participants indicated greater acceptance of emerging tobacco products than for cigarettes and consistently overestimated the percent of peers who use various tobacco products. Males and current users had higher social norm scores for all 3 forms of tobacco. Conclusion: To counter marketing of alternative tobacco products, education about the dangers of their use needs to be implemented across college campuses as part of a comprehensive tobacco control strategy that also includes tobacco-free campus policies.

Original languageEnglish
Pages (from-to)319-328
Number of pages10
JournalJournal of American College Health
Issue number4
StatePublished - May 18 2016

Bibliographical note

Publisher Copyright:
© 2016 Taylor & Francis Group, LLC.


  • College students
  • social influences
  • tobacco prevention

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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