The Perceptions and Risk Factors Influencing the Use of Cigarettes and E-Cigarettes among Mambulo Nuevo National High School Students

In recent years, there has been significant public concern regarding the increased use of smoking products, such as combustible cigarettes and electronic smoking devices like e-cigarettes, especially within schools. Despite warnings and recommendations from health experts, government organizations, and school policies, the number of students who smoke or vape continues to rise.

Public Health

1. A. Books [Google Scholar] [Crossref]

2. Ajzen, I. (1991). The Theory of Planned Behavior. Englewood Cliffs, NJ: Prentice Hall. [Google Scholar] [Crossref]

3. American Psychological Association. (2018). APA Dictionary of Psychology. Retrieved August 8, 2025, from https://dictionary.apa.org [Google Scholar] [Crossref]

4. Bandura, A. (1977). Social Learning Theory. Englewood Cliffs, NJ: Prentice Hall. [Google Scholar] [Crossref]

5. B. Journal [Google Scholar] [Crossref]

6. Barrington-Trimis, J. L., Berhane, K., Unger, J. B., et al. (2016). The e-cigarette social environment, e-cigarette use, and susceptibility to cigarette smoking. [Google Scholar] [Crossref]

7. Journal of Adolescent Health, 59(1), 75–80. Retrieved August 12, 2025, from https://doi.org/10.1093/ntr/ntx155 [Google Scholar] [Crossref]

8. Cheng, T. (2014). Chemical evaluation of electronic cigarettes. Tobacco Control,23 (Suppl2), ii11–ii17. Retrieved August 8, 2025, from https://doi.org/10.1136/tobaccocontrol-2013-051482 [Google Scholar] [Crossref]

9. Choi, K., Bestrashniy, J., & Forster, J. (2017). Trends in awareness, use of, and beliefs about electronic cigarettes among young adults. Nicotine & Tobacco Research, 20(2), 239–245. Retrieved August 12, 2025, from https://doi.org/10.1093/ntr/ntx042 [Google Scholar] [Crossref]

10. Choi, K., Fabian, L., Mottey, N., Corbett, A., & Forster, J. (2021). The role of curiosity in adolescent e-cigarette use initiation: Findings from a longitudinal study. Preventive Medicine, 145, 106433. [Google Scholar] [Crossref]

11. Cooper, M., Loukas, A., Harrell, M. B., & Perry, C. L. (2017). College students' perceptions of risk and addictiveness of e-cigarettes and cigarettes. Journal of American College Health, 65(2), 103–111. Retrieved August 13, 2025, from https://pubmed.ncbi.nlm.nih.gov/27805472 [Google Scholar] [Crossref]

12. Dai, H., & Hao, J. (2016). Geographic density of vape shops and adolescent e-cigarette use: A longitudinal study. Tobacco Control, 25(4), 451–456. https://doi.org/10.1136/tobaccocontrol-2015-052651 [Google Scholar] [Crossref]

13. Degenhardt, L., Hall, W., & Whiteford, H. (2021). Peer influences on adolescent tobacco use: A longitudinal analysis. Addictive Behaviors, 118, 106891 [Google Scholar] [Crossref]

14. Hansen, J., Hanewinkel, R., & Morgenstern, M. (2018). Electronic cigarette marketing and smoking behaviour in adolescence. ERJ Open Research, 4(4), 00155–2018. Retrieved August 12, 2025, from https://doi.org/10.1183/23120541.00155-2018 [Google Scholar] [Crossref]

15. Kaur, P., Stoltzfus, J., & Yellapu, V. (2018). Descriptive statistics. International Journal of Academic Medicine, 4(1), 60. Retrieved August 12, 2025, from https://doi.org/10.4103/ijaijam [Google Scholar] [Crossref]

16. Kearney, M., Brown, T., & Smith, L. (2020). The role of parental smoking behavior in adolescent tobacco use: A longitudinal study. Journal of Adolescent Health, 66(3), 290–296. Retrieved August 13, 2025, from https://doi.org/10.18192/riss-ijhs.v4i1.1218 [Google Scholar] [Crossref]

17. Kumar, R., & Sharma, P. (2021). Parenting styles and adolescent smoking behavior: A systematic review. Tobacco Prevention & Cessation, 7, 15–22. [Google Scholar] [Crossref]

18. Lee, M. J., & Roberts, S. (2024). The role of stress in adolescent vaping behaviors: A longitudinal analysis. Journal of Adolescent Health, 74(2), 223–230. https://doi.org/10.1016/j.jadohealth.2023.08.005 [Google Scholar] [Crossref]

19. Leventhal, A. M., Strong, D. R., Kirkpatrick, M. G., Unger, J. B., Sussman, S., Riggs, N.R., … & Audrain-McGovern, J. (2019). Association of e-cigarette use with risk perceptions and substance use among college students. Journal of Adolescent Health, 64(6), 754–761. [Google Scholar] [Crossref]

20. Majeed, B. A., Weaver, S. R., Gregory, K. R., Whitney, C. F., Slovic, P., Pechacek, T. F.,& Eriksen, M. P. (2020). Changing perceptions of harm of e-cigarettes among U.S. adults. American Journal of Preventive Medicine, 60(6), 776–785. Retrieved August 12, 2025, from https://doi.org/10.1016/j.amepre.2020.01.020 [Google Scholar] [Crossref]

21. Moreno, P. J. M., & Baja, E. S. (2022). Prevalence and risk factors of smoking and vaping among nursing students in a private university in Manila. Philippine Journal of Science, 151(1). Retrieved August 8, 2025, from https://www.researchgate.net/publication/358045610 [Google Scholar] [Crossref]

22. Nguyen, T. T., Liu, S. T., Ong, M. K., & Liao, Y. (2023). Peer influence and social reinforcement in adolescent e-cigarette and cigarette use: A mixed-methods study. Addictive Behaviors, 142, 107698. [Google Scholar] [Crossref]

23. Orellana-Barrios, M. A., Payne, D., Mulkey, Z., & Nugent, K. (2015). Electronic cigarettes: A narrative review for clinicians. The American Journal of Medicine, 128(7), 674–681. Retrieved August 8, 2025, from https://pubmed.ncbi.nlm.nih.gov/25731134 [Google Scholar] [Crossref]

24. Padon, A., Lochbuehler, K., Maloney, E., & Cappella, J. (2018). Effect of youth-appealing e-cigarette advertising on susceptibility among youth. Nicotine & Tobacco Research, 20, 954–961. Retrieved August 12, 2025, from https://doi.org/10.1093/ntr/ntx155 [Google Scholar] [Crossref]

25. Pbert, L., et al. (2021). Educational interventions in schools to prevent tobacco use among students. BMJ Open, 5(3). [Google Scholar] [Crossref]

26. Pepper, J., Ribisl, K., & Brewer, N. (2016). Adolescents' interest in trying flavored e-cigarettes. Tobacco Control, 25(Suppl 2), ii62–ii66. Retrieved August 12, 2025, from https://doi.org/10.1136/tobaccocontrol-2016-053174 [Google Scholar] [Crossref]

27. Pokhrel, P., Little, M. A., Fagan, P., Muranaka, N., & Herzog, T. A. (2017). Electronic cigarette use outcome expectancies among college students. Addictive Behaviors, 65, 61–68. [Google Scholar] [Crossref]

28. Ramirez, J., & Lee, M. J. (2024). Curiosity and early nicotine use: A study of high school students' initial encounters with e-cigarettes. Journal of School Health, 94(3), 245–252. [Google Scholar] [Crossref]

29. Resano, J. E. P., Guce, M. N. D. A., Manicio, Z. Z., Serrano, S. M. A., Sicat, S. P. A., Rodriguez, A., Patel, A., & Jensen, J. (2024). School policy enforcement and accessibility of tobacco products: Impact on high school smoking rates. Journal of School Health, 94(2), 123–131. [Google Scholar] [Crossref]

30. Simons-Morton, B., Farhat, T., ter Bogt, T. F., Hublet, A., Kuntsche, E., Nic Gabhainn, S., & Kokkevi, A. (2016). Gender-specific trends in smoking prevalence and their determinants in Europe: A synthesis of 27 countries’ survey data. BMC Public Health, 16(1), 1–8. [Google Scholar] [Crossref]

31. Singh, T., Marynak, K., Arrazola, R. A., Cox, S., Rolle, I. V., & King, B. A. (2017). Exposure to advertisements and electronic cigarette use among U.S. middle and high school students. Pediatrics, 139(6), e20163276. [Google Scholar] [Crossref]

32. Villanti, A. C., Johnson, A. L., Ambrose, B. K., Cummings, K. M., Stanton, C. A., Rose, S. W., … & Hyland, A. (2017). Flavored tobacco product use in youth and young adults: Findings from the PATH study. Tobacco Control, 26(e1), e1–e7. [Google Scholar] [Crossref]

33. Villanueva-Blasco, V. J., Belda-Ferri, L., & Vázquez-Martínez, A. (2025). A systematic review on risk factors and reasons for e-cigarette use in adolescents. Tobacco Induced Diseases. https://doi.org/10.18332/tid/196679 [Google Scholar] [Crossref]

34. Wu, S., Li, H., & Zhang, Y. (2022). Stress and adolescent tobacco use: A cross-sectional study of high school students. Journal of Youth and Adolescence, 51(2), 432–442. [Google Scholar] [Crossref]

35. Zhao, S., Li, Z., Zhang, L., Yu, Z., Zhao, X., Li, Y., & Zhu, J. (2023). The characteristics and risk factors of e-cigarette use among adolescents in Shanghai. Tobacco Induced Diseases, 21, 83. https://doi.org/10.18332/tid/166131 [Google Scholar] [Crossref]

36. C. Websites [Google Scholar] [Crossref]

37. Britannica. (2024). Retrieved from https://www.britannica.com/.Centers for Disease Control and Prevention (CDC). (2023). Retrieved from https://www.cdc.gov/tobacco/data statistics/fact_sheets/youth_data/.Collins Dictionary. (n.d.). https://www.collinsdictionary.com [Google Scholar] [Crossref]

38. Department of Health Philippines. (2024). https://doh.gov.ph/tobacco-control [Google Scholar] [Crossref]

39. Hartney, E. (2024). Verywell Mind. https://www.verywellmind.com/what-is-peer-pressure-22246 [Google Scholar] [Crossref]

40. Merriam-Webster. (2024). Merriam-Webster Dictionary Online. https://www.merriam-webster.com [Google Scholar] [Crossref]

41. National Institute on Drug Abuse. (2021). Monitoring the Future: Trends in prevalence of various drugs. https://nida.nih.gov [Google Scholar] [Crossref]

42. Republic Act No. 9211. (2003). https://lawphil.net/statutes/repacts/ra2003/ra 9211_2003.htmlScienceDirect. (n.d.). Parental influence – An overview. https://www.sciencedirect.com/ [Google Scholar] [Crossref]

43. Truth Initiative. (2022). Impact of e-cigarette marketing on youth. https://truthinitiative.org [Google Scholar] [Crossref]

44. World Health Organization. (2023). https://www.who.int/health-topics/tobacco [Google Scholar] [Crossref]

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