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Exploring the Relationships Between Social Influence, Vaping Behaviors, and Susceptibility Across Grade Levels in
Raphael Adesiyan1, Odunayo Omotilewa1, Saber Feizy2
1College of Education, University of Kentucky, Lexington, KY, USA.
American Journal of Health Promotion : AJHP
|January 6, 2026
Summary
Social influence significantly impacts youth vaping. Having just one vaping friend triples the likelihood of trying e-cigarettes, highlighting the need for targeted interventions.
Area of Science:
- Public Health
- Adolescent Health
- Substance Use Research
Background:
- Youth vaping remains a significant public health concern.
- Understanding the drivers of vaping initiation and use is crucial for prevention.
- Social influence is a recognized factor in adolescent risk behaviors.
Purpose of the Study:
- To investigate the association between social influence, vaping behavior, and susceptibility in middle and high school students.
- To examine how these relationships differ across grade levels.
Main Methods:
- Cross-sectional study design.
- Convenience sample of 4677 students in grades 6-12 in Kentucky.
- Logistic regression analysis to assess relationships between social influence, vaping behavior, and susceptibility.
Main Results:
- Initial analysis indicated higher odds of vaping among high school students compared to middle school students.
- After adjusting for covariates, grade level differences in vaping were not statistically significant.
- A strong dose-response relationship was observed: youth with one vaping friend were 3 times more likely to try vaping, and those with five vaping friends were over 22 times more likely.
Conclusions:
- Social influence, particularly peer vaping, is a powerful predictor of youth vaping initiation and use.
- Interventions should prioritize addressing social influences to prevent and reduce youth vaping across all middle and high school grades.
- Findings underscore the importance of peer networks in shaping adolescent vaping behaviors.
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