Evolution of a smoke- and tobacco-free campus: Lessons from the university of Washington, 1998-2013

Introduction: The college years are a time of increased risk of smoking initiation and transition to regular smoking. Campus tobacco control policies can reduce tobacco-use rates by changing social norms, in addition to reducing environmental damage and secondhand smoke exposure, and saving money in the form of healthcare costs, employee productivity, and maintenance. From 1998 - 2013, the University of Washington progressed from a campus allowing smoking in dorms and tobacco promotion on campus, to an entirely smoke- and tobacco-free University. This presentation outlines the advocacy tactics used and challenges faced. Methods: Advocates used a range of tactics to advance change, including: engaging student government; framing tobacco prevention around issues that matter to young adults; boycotts; letter-writing campaigns; meetings with University decision-makers; demonstrating how tobacco allowances violated University mission and policies; implementing enhanced tobacco treatment services; and securing a grant to make the University hospital smoke-free. Barriers faced included decision-maker concern that tobacco control would be costly to undertake and result in lost revenue and viewing tobacco use as a ‘personal choice.' Results: These methods resulted in the banning of smoking in dorms, sale of tobacco products on campus, tobacco advertising in the campus newspaper, University divestment from tobacco company stock, and, this year, a commitment to make all University property 100% smoke- and tobacco-free. Conclusions: A combination of bottom-up and top-down support, patience and persistence, and care, rather than blame, toward smokers was key to success. This case study reflects national trends and can provide guidance to other colleges.