ArticleBMC health services research2025
The role of deans in implementing smoke-free campus policies: the case of medical schools in France.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Applying the Consolidated Framework for Implementation Research (CFIR) to understand college health administrator perceptions on adopting and implementing opioid overdose education and naloxone distribution (OEND) programs among universities nationally.Harm reduction journal · 2026Article
- Breaking new ground in tobacco control: student reactions to France's first smoke-free campus.BMC public health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundSmoke-free campus (SFC) policies prohibit smoking and vaping on all university grounds and for all users. The literature on SFC shows that these policies reduce exposure to secondhand smoke and increase smoking cessation. Engagement from high-level leaders has been proven to be a key determinant in the SFC implementation process, but their attitudes toward SFC has rarely been investigated, and only in the USA. The aim of this research is to analyze deans' perceptions of SFC in medical schools in France, where smoking prevalence remains high despite broad awareness of the harms of tobacco.
methodsWe used semi-structured interviews to explore medical school deans' perceptions of SFC implementation in France. Between October 2022 and January 2024, we interviewed 31 deans and two associate-deans, representing 31 out of the 35 medical schools in mainland France. Interviews were transcribed and the results were thematically analyzed using Nvivo 14, mobilizing the "individuals domain" from the updated Consolidated Framework for Implementation Research.
resultsOne school had a SFC policy, 6 were in the SFC implementation process, 23 had no SFC policy, and 1 had abandoned it. A majority of deans were unaware that a SFC goes beyond a smoking ban. However, 28 deans held a net-positive perception of SFC, arguing that it is a coherent multi-modal intervention and is effective in reducing smoking. However, SFC were also perceived as stigmatizing smokers and displacing the problem rather than solving it. Perceived barriers to SFC implementation were competing priorities, lack of funding, and opposition from smokers. Perceived facilitators of SFC implementation were access to existing resources, support from medical students, and natural legitimacy of medical schools. Deans felt they had a leadership role to play in initiating, promoting, and enforcing the SFC policy.
conclusionsSFC are poorly developed in medical schools in France, mostly because medical school deans prioritize other issues over smoking prevention and are under-aware of the benefits of SFC policy. However, they hold a net-positive opinion on SFC policy and express a willingness to implement it. We provide a set of practical strategies to help remove the main barriers to SFC implementation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.