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Despite the known harmful effects of smoking and secondhand smoke, tobacco-related disease, disability, and death continue to plague the United Stated and contribute to more than 480,000 individuals dying prematurely every year. Comprehensive smoke-free and tobacco free policies strive to prohibit the use of both traditional forms of tobacco (cigarettes, cigars) and smokeless forms of tobacco (vapes). The goal of this project was to examine the impact a tobacco control policy has on prevalence rates of use and knowledge regarding said policy among faculty, staff, and students. In the Fall of 2022, UNLV adopted a comprehensive tobacco-free and smoke-free policy (TFCP). Cross-sectional surveys were distributed to the UNLV community (students, faculty, and staff) in Spring 2022 (pre-implementation) and Fall 2022 (post-implementation) to gauge support for TFCP and examine rates of tobacco and nicotine product use on campus. Prevalence rates were higher for tobacco products at post-implementation among students, faculty, and staff at 28%, and 25% to 37% compared to pre-implementation rates of 10%, 7%, and 12%, respectively. Additionally, higher prevalence rates were observed in nicotine product use with students at post-implementation from 17% to 37%, faculty from 6% to 20% and staff from 7% to 36%. Support for policy was higher pre-implementation among students (m = 3.8, SD = 1.1; m = 3.4, SD = 1.3), faculty (m = 3.8, SD = 1.2; m = 3.4, SD = 1.3), and staff (m = 3.5, SD = 1.3; m =3.3, SD 1.3). Policy perceptions and tobacco/nicotine product use varied by sociodemographic characteristics of students, faculty, and staff. Despite observing higher prevalence rates post-implementation this study has contributed to understanding gaps in the literature such as how these policies affect different subgroups of college subpopulations (e.g., 1st generation students and sexual and gender minorities). Identifying predictors for support of college campus TFCP can help to inform future research on impacts of policy implementation.

Objective: In this paper, we discuss prioritization, formulation, and adoption of a comprehensive campus tobacco-free policy on a large, diverse campus at a public university in the United States. Methods: We examined the comprehensive campus tobacco-free policy experience through Kindgon's Multiple Streams Framework, which stipulates that policy change can happen when problem, policy, and politics align. We focus on the factors that led the political stream to align with the problem and policy streams to create a \"window of opportunity\" for adopting this policy. Results: The campus experience with COVID-19 helped spur policy adoption. Support from leadership, a committed faculty-administration team, engagement with stakeholders and community partners, knowledge of the policy adoption process, and sustained advocacy all contributed to policy adoption. Conclusions: Campus tobacco-free policy advocates can navigate the politics of prioritizing, formulating, and adopting a campus smoke-free policy by knowing the context and process, being comfortable with policy work, engaging with tobacco prevention stakeholders, sustaining their efforts and advocating in multiple ways, and considering implementation and evaluation early.

Objective: In this paper, we discuss prioritization, formulation, and adoption of a comprehensive campus tobacco-free policy on a large, diverse campus at a public university in the United States. Methods: We examined the comprehensive campus tobacco-free policy experience through Kindgon’s Multiple Streams Framework, which stipulates that policy change can happen when problem, policy, and politics align. We focus on the factors that led the political stream to align with the problem and policy streams to create a “window of opportunity” for adopting this policy. Results: The campus experience with COVID-19 helped spur policy adoption. Support from leadership, a committed faculty-administration team, engagement with stakeholders and community partners, knowledge of the policy adoption process, and sustained advocacy all contributed to policy adoption. Conclusions: Campus tobacco-free policy advocates can navigate the politicsof prioritizing, formulating, and adopting a campus smoke-free policy by knowing the context and process, being comfortable with policy work, engaging with tobacco prevention stakeholders,sustaining their efforts and advocating in multiple ways, and considering implementation and evaluation early.