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The Journal of School Nursing
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Research Article

Correlates of Young Adult Tobacco Use: Application of a Transition Framework

Brenda K. Lenz, RN, PhD

Brenda K. Lenz, RN, PhD, has been the district nurse and Safe & Drug Free School Coordinator in Buffalo, MN, for the past 8 years. During that time she taught Project Alert, a middle school tobacco prevention curriculum, and worked with high school students on a number of tobacco prevention efforts. Currently, she is an assistant professor at St. Cloud State University, Nursing Science Department, St. Cloud, MN. This study was done as part of the requirements for a PhD in nursing at the University of Minnesota, Minneapolis, MN

Anticipatory guidance is a traditional nursing intervention. The purpose of this study was to identify factors to serve as targets for anticipatory guidance prior to high school graduation to reduce tobacco initiation among young adults after graduation. A sample of 203 randomly selected freshmen and sophomore students at a major midwestern university completed a survey that included questions about tobacco use, drug use, mental health issues, stress, smoking environment, and other lifestyle choices. The prevalence rate for tobacco use was 32%. Multivariate analyses indicated that students who had used marijuana and alcohol were more likely to use tobacco. Implications for health promotion starting at the high school level were drawn from the study findings.

Key Words: anticipatory guidance • college students • high school • tobacco use • transition

The Journal of School Nursing, Vol. 19, No. 4, 232-237 (2003)
DOI: 10.1177/10598405030190040901
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