Archived

This content is available here strictly for research, reference, and/or recordkeeping and as such it may not be fully accessible. If you work or study at University of Kentucky and would like to request an accessible version, please use the SensusAccess Document Converter.

Author ORCID Identifier

https://orcid.org/0009-0008-4984-2707

Date Available

5-18-2025

Year of Publication

2025

Document Type

Master's Thesis

Degree Name

Master of Science (MS)

College

Education

Department/School/Program

Kinesiology and Health Promotion

Faculty

Dr. Melinda Ickes

Faculty

Dr. Shemeka Thorpe

Faculty

Dr. Jennifer McMullen

Abstract

Purpose: To explore the potential relationship between tobacco retailer proximity/density around Kentucky elementary, middle, and high schools, and students’ perceptions, perceived norms, susceptibility to, and use of e-cigarettes. Design: A mixed-methods analysis of youth’s self-reported survey results and geographical data. Setting: 106 Kentucky elementary, middle, and high schools which participated in #iCANendthetrend’s tobacco education program between September 2023 and May 2024. Subjects: Convenience sample of students from Ky schools (N = 7,823) Measures: Items assessing e-cigarette use, susceptibility, perceptions, and perceived norms. Analysis: ANOVA tests used to compare responses of elementary, middle, and high school students. Chi-squared tests were used to compare measures in proximity and density groups. Results: High density of tobacco retailers around schools was positively associated with greater rates of susceptibility and lower perceived risks of e-cigarette use compared to lower density groups (p< .05). Students within one mile of a retailer were more likely to report positive perceptions of e-cigarettes compared to students further than one mile (p< .05). Conclusion: Greater density and proximity of tobacco retailers around schools correlates with higher e-cigarette use, susceptibility, and positive perceptions. Identifying contributing factors to youth e-cigarette use and susceptibility can support efforts to limit tobacco retail frequency.

Digital Object Identifier (DOI)

https://doi.org/10.13023/etd.2025.250

Funding Information

This study was supported by a graduate research assistantship provided by the University of Kentucky from August 2023 until May 2025.

Share

COinS