Smoking at Ferris State University

By Kristen Kubik, Denise Montero, Brittany Pharo and Mackenzie Tunney

Analysis 25.4% of the 43,318 people living in Mecosta County

smoke, whereas in Michigan overall 20.3% of the 9,883,360 smoke, making Mecosta County above the state average (District Health Department #10, 2013).

The Healthy People 2020 goal for smoking is 12%. The Motivational Interviewing Behavior Model may

explain the difference between the Healthy People 2020 goal and the current trends.

Ferris State University students that attend classes over a period of four years is the target population.

Strengths:• Willingness to change• On campus support

groups• Off campus support

groups• Mecosta Medical Center• Michigan Quitline• Free Medical Clinic

Weaknesses/Barriers:• College “party scene”• Campus is not smoke free• High unemployment• High uninsured rate• Limited access to healthcare

Details for the resources currently available: Mecosta County Medical Centerhttp://www.mcmcbr.com/newsletter/mar_07/mar07.html 1-800-QUIT-NOWThe Michigan Tobacco Quitline offers free information and referral to all Michigan residents. You may also qualify for free one-on-one coaching and nicotine replacement therapy to help you quit. Hope House Free Medical ClinicThe Hope House offers free limited medical care to uninsured adults in Mecosta County and the surrounding area. Hope House operates out of the Trinity Fellowship Church on the 1st and 3rd Wednesdays of each month from 10:00am-1:00pm. For more information, contact the Hope House at (231) 796-0807.

Healthy People 2020 smoking goal is 12%, Mecosta County is at 25.4% (District Health Department # 10, 2013.

Healthy People 2020 lung cancer related death goal is 45.5, Mecosta County is at 60.3 (District Health Department # 10, 2013).

There are other disciplines that would be involved in addressing smoking cessation.

Community groups are potential resources in addressing smoking cessation.

Problem Statement

Ferris State University (FSU) students in Mecosta County, particularly the FSU students who attend classes on campus, are at increased risk of respiratory disorders due to the inhalation of harmful toxic chemicals in cigarette smoke as evidenced by the 25.4% of Mecosta County residents smoke cigarettes (Mecosta, 2013).

Problem Statement Goal: Reduction in the percentage of smokers from

25.4 to 15.4%.

Planning/Interventions WHO: Students 18 years or older WHAT: cigarette smoking WHEN: during 4 years at FSU WHY: 25.4% smokers is Mecosta county, goal is

12% HOW: interventions throughout the 4 years

Planning/Interventions What is an example of evidence based practice that applies to

our problem?

Evidence shows that by a medical professionals intervening and asking about smoking habits during physical exams and checkups increases smoking cessation significantly (Foote, 1996)

Planning/Interventions WHAT ARE SOME BEST PRACTICES FOR PROVIDING COMMUNITY PREVENTION OF CIGARETTE SMOKING?

Making tobacco products less affordable

Restricting tobacco marketing

Banning smoking in public places

Requiring health warnings to be on all tobacco products

Planning/Interventions Local Resources:

new pharmacy opened on campus that can host smoking cessation programs

Free smoker’s quit kit @ 1-800-537-5666 Funds Physicians, NP, Dentists, Nurses (…medical

professionals) School officials

Planning/Interventions Interventions Summary:

Discuss with medical professionals the importance of patient education

Billboards, pamphlets, flyers throughout campus Free cessation program, offered during the week with possible

extra credit points offered A Student Health Wellness program with possible extra credit Work towards making smoking illegal on campus

Evaluation Short term outcomes:

Increased attendance of smoking cessation programs

Increased communications between healthcare professionals and patients regarding smoking status/cessation

Increase in pharmacological use of Chantix, Nicorette, other smoking cessation pharmaceutical agents

Decreased ER visits for bronchitis

Long term outcomes:

Decreased numbers of hospitalizations related to COPD due to history of smoking

Decreased rates of smoking in Mecosta County

References Centers for Disease Control and Prevention (CDC). (2012). Preventing tobacco use

among youth and young adults. Centers for Disease Control and Prevention Office on Smoking and Health. Retrieved from http://www.cdc.gov/tobacco/data_statistics/sgr/2012/consumer_booklet/pdfs/consumer.pdf

College Tobacco Preference Resource (CTPR). 2014. College tobacco facts. Tobacco Technical Assistance Consortium. Retrieved from http://www.ttac.org/services/college/facts/cessation.html

Foote JA, Harris RB, Gilles ME, Ahner H, Roice D, Becksted T, Messinger T, Bunch R, and Bilant K. Physician advice and tobacco use: a survey of 1st-year college students. Journal of American College Health. 45(1996): 129-132.

ReferencesDistrict Health Department #10. (2013). Health profile chartbook 2013: Mecosta county. Retrieved from http://dhd10.org/images/Mecosta_Chartbook_2013__Feb_18_2014.pdf

Harkness, G. A., & DeMarco, R. F. (2012). Community and public health nursing: Evidence for practice. Philadelphia, PA: Wolters Kluwer Health-Lippincott Williams & Wilkins.

Healthy. (2014). Tobacco use. Office of Disease Prevention and Health Promotion. Retrieved from: http://www.healthypeople.gov/2020/topics-objectives/topic/tobacco-use/objectives

Mecosta. (2013). Health profile chart book: Mecosta county, 2013. District Health Department #10. Retrieved from: http://dhd10.org/dhd10-community-statistics

Muecke, M. (1984). Community health diagnosis in nursing. University of Washington. Public Health Nursing. (1) 23-25. doi: 0737-1209/84

ReferencesRollnick, S., & Miller, W. R. (1995). What is motivational interviewing? Behavioral and Cognitive Psychotherapy, 23, 325-334.