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Exploring Youths' Offers to Use E-Cigarettes in Rural Hawai'i: A Test Development and Validation Study.

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Summary
This summary is machine-generated.

A new survey identifies problematic e-cigarette situations for Native Hawaiian and Pacific Islander (NHPI) youth. Findings highlight peer and non-peer offers and coercive pressure, aiding prevention efforts for Indigenous youth.

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Native HawaiianPacific Islandere-cigarettetest developmentyouth

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Area of Science:

  • Public Health
  • Adolescent Health
  • Survey Development

Background:

  • E-cigarette use poses risks to youth, particularly in specific cultural and geographic contexts.
  • Limited research exists on e-cigarette use challenges faced by rural Native Hawaiian and Pacific Islander (NHPI) youth.
  • Measuring ecodevelopmental risk and protection factors is crucial for targeted prevention.

Purpose of the Study:

  • To develop and validate a survey assessing problematic e-cigarette situations among rural NHPI youth.
  • To address the gap in measurement tools for adolescent e-cigarette use risk and protective factors.
  • To inform culturally relevant prevention strategies for Indigenous youth populations.

Main Methods:

  • A 5-phase mixed-methods approach was employed for survey development and validation.
  • Focus groups with 69 middle schoolers informed item generation.
  • Exploratory factor analysis of data from 257 youths identified three key risk factors.

Main Results:

  • The survey identified three primary factors: E-Cigarette Offers from Friends (24% variance), E-Cigarette Offers from Non-Friends (16% variance), and Coercive Pressure to Use E-Cigarettes (10% variance).
  • Construct validity was supported by partially confirmed hypothesized relationships between offer situations and e-cigarette use.
  • The developed survey effectively measures ecodevelopmental risks and protective factors for e-cigarette use.

Conclusions:

  • The validated survey provides a crucial tool for understanding and measuring e-cigarette use risks in rural NHPI youth.
  • Findings have significant implications for developing and implementing effective e-cigarette use prevention programs for Indigenous youth.
  • This research contributes to filling a critical gap in adolescent health research concerning specific cultural and geographic groups.