Defining "smoker": college student attitudes and related smoking characteristics.
BACKGROUND
Less than half of college students who have smoked in the past month identify themselves as smokers. Thus, we examined (a) how college students define the term "smoker" and (b) how this definition impacts smoking behavior and attitudes.


METHODS
We conducted 12 focus groups with a total of 73 college student smokers drawn from survey participants at two colleges in Minnesota (a two-year technical college and a four-year university). Each group was homogenous in terms of gender and school (two-year, four-year).


RESULTS
The majority (56.2%) were female, 49.3% attended a 2-year college, and 32.9% were regular smokers (smoked > or = 25 of the last 30 days). Participants described a "smoker" in terms of (a) smoking frequency, ranging from smoking infrequently to smoking daily; (b) contextual factors, such that smoking alone indicates being a smoker rather than smoking at parties; (c) time since initiation; (d) whether one purchases cigarettes, such that "smokers" buy cigarettes while nonsmokers borrow them; (e) addiction and being able to quit without great effort; (f) whether smoking is habitual; and (g) personality and physical characteristic. These beliefs had implications on experiences in quitting smoking, motivation to quit, and perceived barriers. Many participants indicated confidence in being able to quit but believed that they were not "smokers" and thus did not need to quit.


CONCLUSIONS
College students use a broad range of criteria to define who is a smoker. These criteria impact how motivated students are to quit smoking and their perception of needing to "quit smoking."
Berg
Carla J
CJ
Department of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, 1518 Clifton Road NE, 5th Floor, Atlanta, GA 30322, USA. cjberg@emory.edu
Parelkar
Pratibha P
PP
Lessard
Laura
L
Escoffery
Cam
C
Kegler
Michelle C
MC
Sterling
Kymberle L
KL
Ahluwalia
Jasjit S
JS
D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D008297:Male; D008910:Minnesota / Q000453:epidemiology; D010379:Peer Group; D012307:Risk Factors; D012649:Self Concept; D020377:Self Efficacy; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology / Q000706:statistics & numerical data*; D012938:Social Perception; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000453:epidemiology* / Q000523:psychology; D014495:Universities / Q000458:organization & administration; D055815:Young Adult