Background: Tobacco users disproportionately reside in lower-and-middle income countries, with many people beginning consumption of tobacco in adolescence. Countries employ interventions in schools as a means of providing health education thereby creating mass awareness among them. However, research has mostly restricted to developed nations.…

Adolescent school connectedness generally protects from risk behaviors such as tobacco use; however, its relationship to e-cigarette use is unclear. This study examines the relationship between adolescent school connectedness and e-cigarette susceptibility in a diverse longitudinal sample. This secondary analysis of a school-based intervention…

The leading cause of preventable disease, disability, and death in the United States is tobacco product use. The 2022 National Youth Tobacco Survey, which was completed in 2022, showed that the e-cigarette epidemic among youth continues to remain a public health threat. The survey revealed that over 2.5 million middle and high school students…

Background: Despite recent tobacco control efforts, adolescent vaping remains an epidemic in the United States. The purpose of our study was to understand high school student vaping behaviors using the perceptions of Massachusetts school personnel during the critical window from when the Massachusetts statewide flavor ban legislation was passed in…

Youth vaping is a concern and schools may use many approaches to discipline students caught vaping at school. This study identified the prevalence of school staff seeing vaping in schools and the measures used to discipline students. A state-wide sample of 7,938 staff from 255 middle and high schools reported whether they saw any students vaping…

Background: Tobacco use is known to worsen asthma management. No studies have investigated how trends in youth tobacco use and related harm perceptions vary by asthma status and sex. This study examined these trends among Florida high school students during 2012-2018. Methods: Data from the 2012, 2014, 2016, and 2018 Florida Youth Tobacco Survey…

Background: Mental health care is critical to improving mental health but factors associated with student utilization are poorly understood. Methods: Data were from high school students (N = 2933; mean age = 15.7 ± 0.6) enrolled in a California cohort. We examined associations of sociodemographic factors, substance use, and mental health symptoms…

Objectives: Adolescence is a critical phase of life, involving both risks and opportunities. Preventive health services in this phase contribute to the development of adolescents' models for adulthood. The current study aimed to illuminate adolescents' experiences regarding health education through a patient visit in a hospital, which provides a…

This study aimed to examine the efficacy of school-based e-cigarette preventive interventions via a systematic review and meta-analysis. We searched Medline, Embase, PsycINFO, Scopus, CINAHL, Cochrane, and clinical trial registries for studies published between January 2000 and June 2023 using keywords for e-cigarettes, adolescents, and school. Of…

We investigate the mechanisms by which a student's age relative to classmates (i.e., relative age) influences risky health behaviors among European adolescents. Using a two-stage least squares approach, we show that relatively young students are more prone to engage in risky behaviors. These results hold after controlling for absolute age, country…

Causal inference under treatment interference is a challenging but important problem. Past studies usually make strong assumptions on the structure of treatment interference in order to estimate causal treatment effects while accounting for the effect of treatment interference. In this article, we view treatment diffusion as a concrete form of…

Research has indicated that early sexual intercourse in high school is associated with poor health outcomes such as unintentional pregnancy and sexually transmitted infections (STIs). What is lacking in the research is an understanding of the relationship between even earlier sexual initiation (i.e., before the age of 13) and alcohol, tobacco, and…

The current study assessed whether risk factors associated with vaping were distinct from risk factors associated with other substance use (e.g., alcohol, cannabis) during adolescence. Participants (N = 848, ages 10-16 years) completed a self-report survey to assess frequency and age of onset of substance use, risk perceptions of use, risk factors…

Substance use in adolescence is a significant public health issue, particularly in early-to-mid adolescence, which represents a window of risk in the etiology of substance abuse and dependence. Substance use during this development period often results from affiliation with deviant peers, who model, facilitate, and reinforce use. Existing…

Electronic cigarette use during middle school and high school has become an alarming public health concern. Educating youth about the risks of using e-cigarettes through a prevention program can be instrumental in curbing the growing numbers. Our Extension team implemented a prevention program, Escape Vapes, which adapted three Stanford University…