ArticleAmerican journal of health promotion : AJHP2019
Adolescent Tobacco and Betel Nut Use in the US-Affiliated Pacific Islands: Evidence From Guam.
Article in American journal of health promotion : AJHP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 21 citations in OpenAlex.
- The Fuetsan Manhoben Curriculum: Effects on Risk Perceptions and Intentions Regarding Tobacco and Betel Nut Use Among Adolescents in Guam.Substance use & misuse · 2026Trial
- Relational Victimization, Depressive Symptoms, and E-cigarette Use Intentions Among Adolescents: A Parallel Process Growth Curve Model.Research on child and adolescent psychopathology · 2026Article
- A pilot stratified cluster randomized trial of school-based e-cigarette and other tobacco product use prevention for Pacific Island youths: An evaluation of the Fuetsan Manhoben curriculum.Tobacco induced diseases · 2026Article
- Latent Class Analysis of Cancer Risk Behaviors Among College Students on Guam: A Pacific Islands Cohort of College Students Study (PICCS).International journal of environmental research and public health · 2025Article
- Ethnic Disparities in Betel Nut Use: A Focus on Adolescents from Micronesia.International perspectives in psychology : research, practice, consultation · 2024Article
- Types of Offers of Combustible Cigarettes, E-Cigarettes, and Betel Nut Experienced by Guam Youths.International journal of environmental research and public health · 2023Article
- A Mediation Model for Biculturalism and Cigarette and Betel Nut Use: The Case of Adolescents in Guam.Asian American journal of psychology · 2023Article
- Guam Adolescents' Use of Strategies to Resist Cigarette, e-Cigarette, and Betel Nut Offers: Findings from a Focus Group Study.Substance use & misuse · 2023Article
- Exposure to tobacco and betel nut content on social media, risk perceptions, and susceptibility to peer influence among early adolescents in Guam.Addictive behaviors reports · 2022Article
- Evidence of areca nut consumption in the United States mainland: a cross-sectional study.BMC public health · 2022Article
- Prevalence of E-Cigarette Use and Its Associated Factors Among Youths Aged 12 to 16 Years in 68 Countries and Territories: Global Youth Tobacco Survey, 2012‒2019.American journal of public health · 2022Article
- Social media, peer norms, and betel nut susceptibility and use: Evidence from early adolescents in Guam.Frontiers in communication · 2022Article
- Development and evaluation of an undergraduate curriculum on non-communicable disease research in Guam: The Pacific Islands Cohort of College Students (PICCS).BMC public health · 2021Article
- 'Hybrid Survey' approach to non-communicable disease surveillance in the US-Affiliated Pacific Islands.BMJ global health · 2021Article
- An Instagram-Based Study to Understand Betel Nut Use Culture in Micronesia: Exploratory Content Analysis.Journal of medical Internet research · 2020Article
- Tobacco product use and cultural connectedness among Native Hawaiian/Pacific Islander, Asian American, and Filipino American young adults in Hawai'i.Journal of ethnicity in substance abuseArticle
- Tobacco use among native Hawaiian and Pacific Islander youth in the U.S. and USAPI: a systematic review of the literature.Journal of ethnicity in substance abuseArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
purposeTo determine the prevalence of, and the risk and protective factors associated with, tobacco product use among adolescents in Guam, a US-Affiliated Pacific Island (USAPI) territory. To examine disparities in risk and protective factors across indigenous and nonindigenous groups.
designQuantitative; cross-sectional.
settingMiddle and high schools in Guam. SAMPLE: The Global Youth Tobacco Survey sample included a representative sample of 2449 6th to 12th graders (71% response rate). Sample for the supplemental study included 670 middle school students (76% response rate across randomly selected classrooms). MEASURES: Self-reported measures of lifetime and past 30-day tobacco and betel nut use, social competence, resistance self-efficacy, risk perceptions, friend and family tobacco product use, and ease of access to tobacco products. ANALYSIS: Multilevel logistic regression and analysis of covariance.
resultsThe prevalence rates of current cigarette, smokeless tobacco, and e-cigarette use among middle school students were 8%, 8%, and 25%, respectively. Ability to resist social pressure to use tobacco/betel nut use was strongly associated with lower likelihood of tobacco (odds ratio [OR] = 0.76; 95% confidence interval [CI]: 0.68-0.84) and betel nut use (OR = 0.74; 95% CI: 0.67-0.82). Indigenous Pacific Islanders scored significantly lower on protective and higher on risk factors.
conclusionTobacco product use rates among Guam middle school students appear to be 4 to 5 times higher than the US national average rates. There is an urgent need for developing tobacco and betel nut use prevention programs for USAPI youth that are tailored to the needs of indigenous Pacific Islanders.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.