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