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- Title
Exploring Native Hawaiian and Pacific Islander Youths' E-Cigarette Resistance Strategies: Implications for Tobacco Product Use Prevention.
- Authors
Okamoto, Scott K.
- Abstract
This study examined the e-cigarette and vaping resistance strategies used by Native Hawaiian and Pacific Islander (NHPI) youths in rural Hawai'i. Focus groups (N = 17) were conducted in eight geographically dispersed elementary, middle/intermediate, and multilevel schools in low-income communities on Hawai'i Island. Sixty-nine youths (67% NHPI, Mage = 12.5 years) participated in this study. The resistance strategies discussed across the greatest number of groups were "refuse" (saying no), "explain" (providing reasons for vaping refusal), "avoid" (avoiding people or places where e-cigarettes were used), and "leave" (walking away from a situation where e-cigarettes were being used). Participants described the challenges in using these strategies within contexts characterized by widespread peer and family vaping and strong social demands to use e-cigarettes. The findings suggest the need for multi-level interventions based on youths' resistance strategies to meaningfully reduce youth vaping use in rural and/or NHPI communities.
- Subjects
HAWAII; SMOKING prevention; HAWAIIANS; MIDDLE-income countries; RESEARCH funding; FOCUS groups; ELEMENTARY schools; ELECTRONIC cigarettes; PACIFIC Islanders; INTERVIEWING; DESCRIPTIVE statistics; RURAL conditions; SOCIAL skills; RESEARCH methodology; MIDDLE schools; DATA analysis software; LOW-income countries
- Publication
Journal of Health Care for the Poor & Underserved, 2024, Vol 35, Issue 2, p692
- ISSN
1049-2089
- Publication type
Article
- DOI
10.1353/hpu.2024.a928640