Robert C Mcmillen

Robert C Mcmillen
Mississippi State University | MSU · Social Science Research Center (SSRC)

PhD, University of Georgia

About

96
Publications
5,877
Reads
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2,384
Citations
Introduction
I am a Professor with a joint appointment with the Social Science Research Center and the Department of Psychology.
Additional affiliations
July 2017 - present
Mississippi State University
Position
  • Professor
May 2014 - present
Mississippi State University
Position
  • Associate Director of the Tobacco Control Unit
August 2011 - June 2017
Mississippi State University
Position
  • Professor (Associate)
Education
August 1994 - December 1998
University of Georgia
Field of study
  • Social Psychology
July 1992 - December 1994
Mississippi State University
Field of study
  • Experimental Psychology
August 1987 - May 1991
Rhodes College
Field of study
  • Psychology

Publications

Publications (96)
Article
Full-text available
Objectives: We assessed trends in use of electronic cigarettes among U.S. adults, demographic predictors of use, and smoking status of current electronic cigarette users. Methods: Mixed-mode surveys were used to obtain representative, cross-sectional samples of U.S. adults in each of 4 years. Results: Sample sizes for 2010, 2011, 2012, and 201...
Article
Full-text available
This paper provides the first nationally representative estimates for use of four emerging products. Addressing the issue of land-line substitution with cell phones, we used a mixed-mode survey to obtain two representative samples of US adults. Of 3,240 eligible respondents contacted, 74% completed surveys. In the weighted analysis, 13.6% have trie...
Article
Full-text available
There is no safe level of exposure to tobacco smoke. Thirdhand smoke is residual tobacco smoke contamination that remains after the cigarette is extinguished. Children are uniquely susceptible to thirdhand smoke exposure. The objective of this study was to assess health beliefs of adults regarding thirdhand smoke exposure of children and whether sm...
Article
Full-text available
A substantial proportion of homes and automobiles serve as settings for environmental tobacco smoke (ETS) exposure, and many public settings that children frequent are still not smoke-free. Tobacco control efforts are attempting to increase smoking bans. The objective of this study was to describe the knowledge, attitudes, and practices of smokers...
Chapter
Although e-cigarettes have not been FDA approved as a smoking cessation device, questions arise about their public health impact. Do e-cigarettes provide a public health benefit as an aid to promote smoking cessation and reduction with adult smokers? Or, do these products create a public health harm by attracting new users, who might then transitio...
Chapter
Electronic cigarettes are the tobacco products most commonly used by youths in the United States. The use of e-cigarettes, also known as vaping or JUULing, is a public health epidemic. This collection offers reviews and research to assist pediatric health care providers in identifying and treating adolescent use and exposure to e-cigarettes. https:...
Article
Objectives: Any potential harm-reduction benefit of electronic cigarettes (e-cigarettes) could be offset by nonsmokers who initiate e-cigarette use and then smoke combustible cigarettes. We examined correlates of e-cigarette use at baseline with combustible cigarette smoking at 1-year follow-up among adult distant former combustible cigarette smoke...
Poster
Full-text available
Past 30-day e-cigarette use doubled among U.S. adolescents over the past year. Many attribute this increase to the popularity of pod-based e-cigarettes. JUUL Labs launched sales of these products in 2015, producing an e-cigarette that could approximate combustible cigarettes' rapid delivery of nicotine to the brain in a device that is easy to maint...
Article
Full-text available
Smoke-free ordinances and policies protect youth from exposure to secondhand smoke (SHS) and cigarette use. This study investigated whether smoke-free ordinances also protect youth from the use of other tobacco products. We compared the prevalence of SHS exposure, cigarette smoking, cigar smoking, smokeless tobacco use, and e-cigarette use among hi...
Poster
Full-text available
JUUL e-cigarettes can rapidly deliver nicotine to the brain, are not complicated to maintain and use, and can be used discreetly. These features may be attractive to adult cigarette smokers looking for a product to replace cigarettes, but may also attract nonsmoking youth and young adults. JUUL has changed the e-cigarette landscape in a short span...
Article
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Objective: This study assessed awareness, prevalence of trial, and frequency of Juul use among undergraduate students at three Mississippi universities. Methods: A random sample of students responded to web-based surveys assessing Juul awareness, trial, and use. Results: Most students were aware of Juul (69.5%) and recognized that a Juul pod provi...
Article
The U.S. Department of Housing and Urban Development (HUD) recently issued rules requiring that federally funded authorities administering public housing must have smoke-free policies. Importantly, this requirement does not extend to Section 8 housing. Under the Section 8 program, public housing vouchers provide subsidies for private rental housing...
Poster
Full-text available
Although Mississippi does not have statewide smoke-free legislation, 157 municipalities in Mississippi have smoke-free ordinances. This study compares hospital admission rates for acute cardiovascular, stroke, and pulmonary events for counties with and without smoke-free county seats.
Article
Full-text available
Introduction: The purpose of this study was to examine the relationships between screening questions for secondhand smoke (SHS) exposure and biomarker results using hair nicotine levels. Our ultimate goal was to develop sensitive and valid screening tools in pediatric clinical settings for SHS exposure. Methods: Investigators developed a core se...
Article
Full-text available
The Conversation brings evidence-based news to the public.
Article
BACKGROUND: Little is known about the characteristics of electronic cigarettes (e-cigarettes) used by adolescents. Understanding the product landscape of adolescent e-cigarette use may inform counseling and policy strategies. METHODS: Results are from 13 651 adolescents in wave 1 and 12 172 adolescents in wave 2 of the Population Assessment of Tob...
Article
Full-text available
Purpose: Although Mississippi does not have statewide smoke-free legislation, 157 municipalities in Mississippi have smoke-free ordinances. This study compares hospital admission rates for acute cardiovascular, stroke, and pulmonary events for counties with and without smoke-free county seats. Methods: The Mississippi Inpatient Outpatient Data Syst...
Article
Full-text available
Background and objectives: Since 2000, tobacco control efforts have greatly increased state and local protections from childhood tobacco smoke exposure. The objective of this study is to examine changes in attitudes and practices regarding smoking bans in multiple public and private settings from 2000 to 2015, as well as to examine the changes in...
Article
Objectives: Residents of multiunit housing can be exposed to tobacco smoke even if they do not permit smoking in their homes. Although even low levels of tobacco smoke exposure can cause health problems for children and adults, some landlords are reluctant to ban smoking for fear of decreased occupancy rates or tenant satisfaction. The objective o...
Article
Objectives: Tobacco smoke exposure (TSE) is associated with many adverse health outcomes. The goal of this study was to provide insight into the prevalence and location of self-reported TSE outside the home for US adults and children. Study design: Cross-sectional survey. Methods: Data from a nationally representative sample of US adults from...
Article
Full-text available
Purpose: To report on adults' recall of discussion by physicians and dentists about e-cigarettes. Design: A nationally representative cross-sectional survey (Internet and random digit dialing) in the United States. Participants: Adults who ever used e-cigarettes. Measures: Participant-reported discussion about the potential benefits and harm...
Poster
Full-text available
Mississippi State University has provided surveillance and evaluation services to Mississippi statewide tobacco control programs since 1999. In addition to informing programmatic decisions and monitoring progress towards outcome objectives, our survey and administrative data have shaped local and state policy decisions and health care practices. Th...
Conference Paper
Full-text available
Mississippi State University has provided surveillance and evaluation services to Mississippi statewide tobacco control programs since 1999. In addition to informing programmatic decisions and monitoring progress towards outcome objectives, our survey and administrative data have shaped local and state policy decisions and health care practices. Th...
Article
Full-text available
Second-hand smoke (SHS) exposure has been associated with significant health consequences in children. The objective of our study was to assess patterns of smoking, perspectives on smoking, and housing characteristics of families of infants with bronchopulmonary dysplasia (BPD) in the outpatient setting. From 2012 to 2014, caregivers of subjects wh...
Article
Introduction: The AAP advises pediatricians to counsel parents and patients who use tobacco to quit. This study assesses changes in counseling between 2004 and 2010, and factors associated with counseling in 2010. Methods: In 2004 and 2010, the Periodic Survey, a national survey of AAP members, inquired about tobacco counseling. Chi-square tests...
Article
Full-text available
Background: Electronic cigarettes (e-cigarettes) are currently unregulated nicotine delivery products, and use is increasing among youth and young adults in the U.S. Little is known about use in Mississippi. Design/Methods: Surveys assessed e-cigarette use among Mississippi adolescents and adults. UMMC provided data on reported cases of e-cigarette...
Conference Paper
Full-text available
Background: Section 8 public housing vouchers are administered by the Department of Housing and Urban Development (HUD) to provide subsidies for low-income residents. HUD encourages local public housing agencies to implement smokefree policies, but has proposed elimination of smoking in public housing which excludes Section 8 housing. This study ex...
Article
BACKGROUND: Mississippi has implemented several programs and policies to reduce youth tobacco. This study examines trends in youth tobacco use and compares current prevalence rates for cigarettes, cigars, smokeless tobacco, and e-cigarettes.
Article
This Viewpoint emphasizes the need for final FDA regulations for e-cigarettes to address product design, flavors, and marketing that appeal to younger individuals.E-cigarettes are a rapidly evolving category of battery-operated devices that heat nicotine, flavor additives, and chemicals to the point of areolation. Users generally refer to the inhal...
Conference Paper
Full-text available
Objectives: We assessed trends in use of electronic cigarettes among U.S. adults, demographic predictors of use, and smoking status of current electronic cigarette users. Methods: Mixed-mode surveys were used to obtain representative, cross-sectional samples of U.S. adults in each of five years. Results: Sample sizes for 2010, 2011, 2012, 2013, and...
Conference Paper
Full-text available
Background: E-cigarette use among adolescents and liquid nicotine poisonings of children are increasing, yet e-cigarette manufacturing, safety, advertising, sales, and use remain largely unregulated. This study examines support for e-cigarette regulations.
Conference Paper
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Objective: To measure support among US adults for regulations that would protect children form poisonings, marketing, and e­cigarette emissions. Design/Methods: Adults were recruited from a nationally representative online panel in 2014. Respondents were asked whether they agreed or disagreed with several potential e­cigarettes regulations. Respond...
Conference Paper
Full-text available
Many Hispanics live in multi-unit housing (MUH) without smoking restrictions. Tobacco smoke diffuses between units, potentially affecting non-smoking residents. Hispanics for whom English is not their primary language may be particularly vulnerable to tobacco smoke incursions due to language barriers, cultural differences, and concerns with their i...
Article
Objectives The vast majority of tobacco users began before the age of 21. Raising the tobacco sales age to 21 has the potential to reduce tobacco use initiation and progression to regular smoking. Our objective was to assess the level of public support nationally for ‘Tobacco 21’ initiatives in the USA. Methods The Social Climate Survey of Tobacco...
Conference Paper
Full-text available
Background: Marketing and availability of e-cigarettes has increased in recent years. We assessed nonsmokers’ susceptibility to e-cigarette use. Methods: Within a representative sample of U.S. adults, we assessed susceptibility to e-cigarette use among never-triers by asking “Do you think you will smoke an e-cigarette in the next year?” Those res...
Conference Paper
Full-text available
Importance Municipalities in three states have recently passed local laws making it illegal to sell tobacco products and electronic cigarettes to persons younger than 21 years of age. Raising the tobacco sales age to 21 has the potential to reduce initiation and progression to regular tobacco use. Objectives To assess the level of public support na...
Article
Objectives: We sought to describe the prevalence of secondhand tobacco smoke incursions reported by multiunit housing (MUH) residents, pinpoint factors associated with exposure, and determine whether smoke-free building policy was associated with prevalence of reported tobacco smoke incursions. Methods: Data are from a 2011 nationally representa...
Conference Paper
Full-text available
Background: Electronic cigarettes entered the U.S. market in 2007, and the affordability, availability, and marketing of these products has increased over recent years. Little is known about the use of these products among parents.
Conference Paper
Background: Recently, snus and electronic cigarettes have been introduced to the US market, while waterpipes have gained popularity. The purpose is to assess use of these products among youth and identify demographic, behavioral, and situational predictors of use. Methods: We administered the Mississippi Youth Tobacco Survey to high school studen...
Conference Paper
Background: Snus and electronic cigarettes have recently been introduced to the US market. These products and hookah waterpipes have been heavily promoted; however, to date, FDA only has regulated snus. We assess three year trends in use of these products among US adults, and current predictors of electronic cigarette use. Methods: In 2010-2012,...
Conference Paper
Purpose Snus and electronic cigarettes have recently been introduced to the US market. These products and hookah waterpipes have been heavily promoted; however, to date, FDA only has regulated snus. We assessed three year trends in use of these products among US parents, and current predictors of electronic cigarette use. Methods Three consecutive...
Article
This study examines the influence that smokefree workplaces, restaurants and bars have on the adoption of smokefree rules in homes and cars, and whether there is an association with adopting smokefree rules in homes and cars. Bivariate probit models were used to jointly estimate the likelihood of living in a smokefree home and having a smokefree ca...
Article
Full-text available
Pharmacy-based tobacco sales are a rapidly increasing segment of the U.S. retail tobacco market. Growing evidence links easy access to tobacco retail outlets such as pharmacies to increased tobacco use. This mixed-mode survey was the first to employ a nationally representative sample of consumers (n = 3057) to explore their opinions on sale of toba...
Article
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Objectives: We assessed the comparability of self-reported smoking prevalence estimates from a dual-frame survey with those from two large-scale, national surveys. Methods: The Social Climate Survey of Tobacco Control (SCS-TC) obtained self-reported current smoking status via a dual-frame methodology in the fall of 2010. One frame used random di...
Article
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Although the Fagerström Test for Nicotine Dependence (FTND) and the Heaviness of Smoking Index (HSI) are widely used, there is a uncertainty regarding what is measured by these scales. We examined associations between these instruments and items assessing different aspects of dependence. Adult current smokers (, mean age 33.3 years, 61.9% female) c...
Conference Paper
Background: Mississippi is one of only seven states without any type of statewide law restricting smoking in private indoor workplaces, restaurants, or bars. The negative health effects associated with exposure to secondhand smoke have been well documented. Research is emerging related to the impact of local smoke-free policy on Mississippi's econo...
Article
Full-text available
There is no safe level of exposure to tobacco smoke. More than 60 Mississippi communities have passed smoke-free ordinances in the past six years. Opponents claim that these ordinances harm local businesses. Mississippi law allows municipalities to place a tourism and economic development (TED) tax on local restaurants and hotels/motels. The object...
Article
Full-text available
Non-smokers are exposed to tobacco smoke from the burning cigarette and the exhaled smoke from smokers. In spite of decades of development of approaches to assess secondhand smoke exposure (SHSe), there are still unresolved methodological issues. This manuscript summarises the scientific evidence on the use of SHSe reported measures and their metho...
Conference Paper
Several tobacco products have recently entered the US market but the lifetime prevalence for these products among US adults is not known. Mixed-mode cross-sectional surveys representing national probability samples of adults were administered to an RDD frame and an internet panel frame (Knowledge Networks). Lifetime prevalence for snus, a hookah, d...
Article
Full-text available
Menthol is a cigarette flavoring that makes smoking more appealing to smokers. The US Food and Drug Administration (FDA) has regulatory authority to ban mentholated cigarettes to reduce youth uptake and encourage adult cessation. Survey findings indicate that more than half of all Americans (56.1%) and of Blacks alone (68.0% in one sample and 75.8%...
Article
Full-text available
Tests are available to measure children's exposure to tobacco smoke. One potential barrier to testing children for tobacco-smoke exposure is the belief that parents who smoke would not want their child tested. No previous surveys have assessed whether testing children for exposure to tobacco smoke in the context of their child's primary care visit...
Conference Paper
The Social Climate Survey of Tobacco Control (SCS-TC) measures tobacco control indicators using data from random samples of the US population. From 2000-2008, we have administered this annual cross-sectional survey to a representative sample of US adults using Random Digit Dialing (RDD) methods. However, data from the NHIS highlight the growing pro...
Conference Paper
Full-text available
Cigarette smoking is the leading cause of preventable death in the United States. It is estimated that every day in the U.S. approximately 4,000 adolescents initiate cigarette smoking for the first time. Individuals typically try cigarettes for the first time before they reach adulthood, so it important to identify risk factors for initiation of sm...
Article
OBJECTIVE, PARTICIPANTS, AND METHODS: In this study, the authors explored the psychometric properties of the Hooked on Nicotine Checklist (HONC) among 300 college students who were current smokers. The HONC is a 10-item survey instrument designed to measure diminished autonomy over smoking, a key aspect of dependence. Autonomy is diminished when sy...
Article
Unlabelled: This cross-sectional study examines the relation between obesity and self-reported pain (moderate or severe pain occurring at least monthly) in a general population sample of adults in the southeastern United States (N = 3637). Results of the study suggest that obese adults (body mass index [BMI] >30) are more likely to experience pain...
Article
Full-text available
Provision of telephone smoking cessation counseling can increase the rate of quitting smoking. The US Public Health Service recently helped to establish a free national quitline enrollment service. No previous surveys have assessed the acceptability to parents of enrollment in quitline counseling in the context of their child's health care visits....
Article
Both maternal smoking and depression are common and can adversely impact child health and functioning, yet few studies have explored their co-occurrence among mothers. To determine the prevalence and associations of depression and smoking among mothers in the United States. Random-digit-dial national telephone survey of 1530 households conducted in...
Article
Full-text available
To estimate the prevalence, intensity, frequency, and origins of pain in Mississippi residents and explore the social and cultural aspects of pain and pain management by measuring the impacts of pain on everyday life as well as respondents' beliefs and attitudes toward pain. Cross-sectional survey of Mississippi adults. Data from previous populatio...