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College Student E-cigarette Use: A Reasoned Action Approach Measure Development

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Objectives: The purpose of this study was to develop and validate an instrument using the reasoned action approach (RAA) to measure recreational electronic cigarette (e-cigarette) use among college students. Methods: Using a multi-phase, cross-sectional design, a 32-item measure was developed, and the factor structure was explored and confirmed using an exploratory factor analysis (EFA; N = 369) and confirmatory factor analysis (CFA; N = 320), respectively. An exploratory structural equation model (ESEM) and SEM also were employed to examine the relationships between latent constructs and to test the application of the RAA. Results: After removing 9 items, the EFA identified 3 RAA constructs (intention, attitude, social norms), and the ESEM established moderate model fit. The CFA confirmed the 3 factors; however, acceptable model fit was not met until a global social norm variable was loaded onto injunctive and descriptive norms. Based on this 5-factor solution, attitudes (β = .35, p < .001) and social norms (β = .50, p <.001) significantly predicted intention to use e-cigarettes. Conclusions: Attitudes and social norms influence college students' intention to use e-cigarettes and should be addressed via health education messaging and prevention programs.
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Keywords: COLLEGE STUDENTS; E-CIGARETTE; REASONED ACTION APPROACH; STRUCTURAL EQUATION MODELING

Document Type: Research Article

Affiliations: 1: Assistant Professor, University of Oklahoma, Health and Exercise Science Department, Norman, OK;, Email: [email protected] 2: Professor, Indiana University, Department of Applied Health Science, School of Public Health , Bloomington, IN 3: University of Arkansas, Department of Health, Human Performance and Recreation, Fayetteville, AR 4: Assistant Professor, University of Arkansas, Department of Health, Human Performance and Recreation, Fayetteville, AR 5: Associate Professor, University of Arkansas, Department of Health, Human Performance and Recreation, Fayetteville, AR 6: Associate Professor, University of Arkansas, Department of Rehabilitation, Human Resources and Communication Disorders, Fayetteville, AR 7: Professor, University of Arkansas, Department of Health, Human Performance and Recreation, Fayetteville, AR 8: Graduate Research Assistant, Community Clinic, Outreach and Development Department, Springdale, AR

Publication date: July 1, 2019

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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