Date of Conferral

2022

Degree

Ph.D.

School

Health Services

Advisor

Clarence Schumaker

Abstract

There has been a continuous increase in the use of e-cigarettes among adolescents. The growth threatens to nullify the years of successfully reducing cigarette smoking among this age demographic. Additionally, the increase has been a concern for public healthcare workers due to the limited research on the effects of long-term use of e-cigarettes on adolescents. I investigated the possible side effects of exposure to e-cigarette advertisements and the use of e-cigarettes. Additionally, the study reviewed the relationship between the age e-cigarette use was initiated and the subsequent use of cigarettes. The conceptual framework was based on the multi-theory model and Bandura's cognitive theory. Data were taken from the 2020 National Youth Tobacco Survey. There were 24,544 students who participated in the survey across 254 schools from around the country. The secondary analysis of the Centers for Disease Control and Prevention National Youth Tobacco Survey dataset was done using binomial and ordinal regression. Ordinal regression analysis revealed an association between the age of e-cigarette initiation and the use of cigarettes, while the analysis revealed no association between the extent of access to vaping products and the frequency of use of e-cigarettes. Additionally, the application of binary logistic regression to the predictor variable (extent of exposure to e-cigarettes ads) and the outcome variable (use of e-cigarettes) showed a significant association between these variables. The findings contribute to the understanding of the accessibility of adolescents to e-cigarettes and how it influences the use of other cigarettes.

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