Pharmacy Students’ Perceptions of Tobacco Sales in Pharmacies and
Suggested Strategies for Promoting Tobacco-Free Experiential Sites
Karen Suchanek Hudmon, DrPH,a,bDaniel A. Hussar, PhD,cChristine M. Fenlon, BFA,aand
Robin L. Corelli, PharmDb
aDepartment of Epidemiology and Public Health, Yale University School of Medicine*
bDepartment of Clinical Pharmacy, University of California San Francisco School of Pharmacy
cPhiladelphia College of Pharmacy, University of the Sciences
Submitted September 16, 2005; accepted January 8, 2006; published August 15, 2006.
Objective. The objectives of this report were to estimate the extent to which pharmacy student percep-
tions are aligned with the 2003 resolution of the American Association of Colleges of Pharmacy
(AACP) addressing the use of experiential sites that sell cigarettes and other tobacco products.
Methods. Pharmacy students participating in a national tobacco cessation training program completed
posttraining survey instruments and indicated their opinion about tobacco sales in pharmacies.
Responses were examined with respect to students’ sex and tobacco use status.
Results. Of 3,064 students, 3.5% were in favor of tobacco sales in pharmacies. Opinions varied by
students’ sex (p , 0.001) and tobacco use status (p , 0.001); in logistic regression analyses, males
(OR 5 2.62; 95% CI, 1.77, 3.89) and current tobacco users (OR 5 2.31; 95% CI, 1.41, 3.76) were most
likely to be in favor of tobacco sales.
Conclusion. Few pharmacy students are in favor of tobacco sales in pharmacies. Given the overall lack
of support, and acting in accordance with the 2003 AACP resolution, pharmacy schools are encouraged
to use only experiential sites that do not sell tobacco products. Suggested strategies for moving toward
this goal are presented.
Keywords: tobacco, pharmacies, pharmacy education, experiential sites, community pharmacy
repeatedly expressed its opposition to the sale of tobacco
ing from individuals to state and national organizations.1
In 1970, the American Pharmaceutical Association
is in direct contradiction to the role of the pharmacy as
a public health facility.’’ One year later, the APhA House
of Delegates passed a series of recommendations regard-
ing the dangers of cigarette smoking and the first recom-
mendation was that tobacco products not be sold in
pharmacies. Since that time, state organizations have
voiced similar opinions. For example, in 1973 and again
in 1977, the California Pharmacists Association adopted
the following recommendation: ‘‘Pharmacists, in the in-
terest of raising the standards for public health and social
welfare in the community, shall discourage the sale of
tobacco products in the pharmacies in which they prac-
tice.’’ The pharmacy profession is aligned with these rec-
ommendations, with fewer than 2% of current and future
California pharmacists being in favor of tobacco sales in
pharmacies.2,3Yet in 2003,461 of 100 pharmacies in
San Francisco sold cigarettes (93.8% of traditional chain
pharmacies and 24.1% of independently-owned pharma-
cies), and 84% of pharmacies selling cigarettes also dis-
played cigarette advertising.
Tobacco is the only consumable product that when
used as intended will contribute to the death of half or
more of its users.5As such, tobacco sales through phar-
macies directly contradicts the pharmacist’s code of
ethics,3which states that pharmacists must be committed
to the welfare of their patients and must act with honesty
and integrity in professional relationships, avoiding
actions that compromise dedication to the best interests
of their patients.6In 2003, the AACP House of Delegates
Corresponding Author: Karen S. Hudmon, DrPH, MS. RPh.
Address: Department of Pharmacy Practice,
Purdue University School of Pharmacy, Wishard Health
Services, W7555 Myers Building, 1001 W. 10thStreet,
Indianapolis, IN 46202-2879. Tel: 317-613-2315.
*Affiliation at time of study. Current affiliation:
Purdue University School of Pharmacy.
American Journal of Pharmaceutical Education 2006; 70 (4) Article 75.