Factors that influence decision-making among youth who vape and youth who don’t vape
Vaping rates among Canadian youth are significantly higher compared to adults. While it is acknowledged that various personal and socio-environmental factors influence the risk of school-aged youth for vaping uptake, we don’t know which known behavior change factors are most influential, for whom, a...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Addictive Behaviors Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352853223000317 |
| _version_ | 1797390402750251008 |
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| author | Laura Struik Kyla Christianson Shaheer Khan Youjin Yang Saige-Taylor Werstuik Sarah Dow-Fleisner Shelly Ben-David |
| author_facet | Laura Struik Kyla Christianson Shaheer Khan Youjin Yang Saige-Taylor Werstuik Sarah Dow-Fleisner Shelly Ben-David |
| author_sort | Laura Struik |
| collection | DOAJ |
| description | Vaping rates among Canadian youth are significantly higher compared to adults. While it is acknowledged that various personal and socio-environmental factors influence the risk of school-aged youth for vaping uptake, we don’t know which known behavior change factors are most influential, for whom, and how. The Unified Theory of Behavior (UTB) brings together theoretically-based behavior change factors that influence health risk decision making. We aimed to use this framework to study the factors that influence decision making around vaping among school-aged youth. Qualitative interviews were conducted with 25 youth aged 12 to 18 who were either vaped or didn't vape. We employed a collaborative and directed content analysis approach and the UTB constructs served as the coding framework for analysis. Gender differences were explored in the analysis. We found that multiple intersecting factors play a significant role in youth decision making to vape. Youth who vaped and those who did not vape reported similar mediating determinants that either reinforced or challenged their decision-making, such as easy access to vaping, constant exposure to vaping, and the temptation of flavors. Youth who didn't vape reported individual determinants that strengthened their intentions to not vape, including more negative behavioral beliefs (e.g., vaping is harmful) and normative beliefs (e.g., family disapproves), and strong self-efficacy (e.g. self-confidence). Youth who did vape, however, reported individual determinants that supported their intentions to vape, such as social identity, coolness, and peer endorsement. The findings revealed cohesion across multiple determinants, suggesting that consideration of multiple determinents when developing prevention messages would be beneficial for reaching youth. |
| first_indexed | 2024-03-08T23:11:11Z |
| format | Article |
| id | doaj.art-28d5b44194244af1867d65d3fbfe1a83 |
| institution | Directory Open Access Journal |
| issn | 2352-8532 |
| language | English |
| last_indexed | 2024-03-08T23:11:11Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Addictive Behaviors Reports |
| spelling | doaj.art-28d5b44194244af1867d65d3fbfe1a832023-12-15T07:24:55ZengElsevierAddictive Behaviors Reports2352-85322023-12-0118100509Factors that influence decision-making among youth who vape and youth who don’t vapeLaura Struik0Kyla Christianson1Shaheer Khan2Youjin Yang3Saige-Taylor Werstuik4Sarah Dow-Fleisner5Shelly Ben-David6School of Nursing, Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, Canada; Corresponding author at: University of British Columbia Okanagan, 1628 Dickson Ave, Landmark 4 - 609, Kelowna, BC V1Y 9X1, Canada.School of Nursing, Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, CanadaInterdisciplinary Studies, University of British Columbia Okanagan, Kelowna, British Columbia, CanadaSchool of Nursing, Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, CanadaInterdisciplinary Studies, University of British Columbia Okanagan, Kelowna, British Columbia, CanadaSchool of Social Work, Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, CanadaSchool of Social Work, Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, CanadaVaping rates among Canadian youth are significantly higher compared to adults. While it is acknowledged that various personal and socio-environmental factors influence the risk of school-aged youth for vaping uptake, we don’t know which known behavior change factors are most influential, for whom, and how. The Unified Theory of Behavior (UTB) brings together theoretically-based behavior change factors that influence health risk decision making. We aimed to use this framework to study the factors that influence decision making around vaping among school-aged youth. Qualitative interviews were conducted with 25 youth aged 12 to 18 who were either vaped or didn't vape. We employed a collaborative and directed content analysis approach and the UTB constructs served as the coding framework for analysis. Gender differences were explored in the analysis. We found that multiple intersecting factors play a significant role in youth decision making to vape. Youth who vaped and those who did not vape reported similar mediating determinants that either reinforced or challenged their decision-making, such as easy access to vaping, constant exposure to vaping, and the temptation of flavors. Youth who didn't vape reported individual determinants that strengthened their intentions to not vape, including more negative behavioral beliefs (e.g., vaping is harmful) and normative beliefs (e.g., family disapproves), and strong self-efficacy (e.g. self-confidence). Youth who did vape, however, reported individual determinants that supported their intentions to vape, such as social identity, coolness, and peer endorsement. The findings revealed cohesion across multiple determinants, suggesting that consideration of multiple determinents when developing prevention messages would be beneficial for reaching youth.http://www.sciencedirect.com/science/article/pii/S2352853223000317VapingE-cigaretteYouthAdolescenceQualitativeBehaviour change |
| spellingShingle | Laura Struik Kyla Christianson Shaheer Khan Youjin Yang Saige-Taylor Werstuik Sarah Dow-Fleisner Shelly Ben-David Factors that influence decision-making among youth who vape and youth who don’t vape Addictive Behaviors Reports Vaping E-cigarette Youth Adolescence Qualitative Behaviour change |
| title | Factors that influence decision-making among youth who vape and youth who don’t vape |
| title_full | Factors that influence decision-making among youth who vape and youth who don’t vape |
| title_fullStr | Factors that influence decision-making among youth who vape and youth who don’t vape |
| title_full_unstemmed | Factors that influence decision-making among youth who vape and youth who don’t vape |
| title_short | Factors that influence decision-making among youth who vape and youth who don’t vape |
| title_sort | factors that influence decision making among youth who vape and youth who don t vape |
| topic | Vaping E-cigarette Youth Adolescence Qualitative Behaviour change |
| url | http://www.sciencedirect.com/science/article/pii/S2352853223000317 |
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