Types of Offers of Combustible Cigarettes, E-Cigarettes, and Betel Nut Experienced by Guam Youths

Francis Dalisay (), Scott K. Okamoto, Jane Teneza, Christina Dalton, Kayli Lizama, Pallav Pokhrel and Yoshito Kawabata
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Francis Dalisay: College of Liberal Arts and Social Sciences, University of Guam, Mangilao, GU 96923, USA
Scott K. Okamoto: Population Sciences in the Pacific Program (Cancer Prevention in the Pacific), University of Hawai’i Cancer Center, Oahu, HI 96813, USA
Jane Teneza: Minority Health Research Training Program, Department of Tropical Medicine Medical Microbiology and Pharmacology, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, Honolulu, HI 96813, USA
Christina Dalton: Minority Health Research Training Program, Department of Tropical Medicine Medical Microbiology and Pharmacology, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, Honolulu, HI 96813, USA
Kayli Lizama: Pacific Island Partnership for Cancer Health Equity, University of Guam Cancer Research Center, Mangilao, GU 96913, USA
Pallav Pokhrel: Population Sciences in the Pacific Program (Cancer Prevention in the Pacific), University of Hawai’i Cancer Center, Oahu, HI 96813, USA
Yoshito Kawabata: College of Liberal Arts and Social Sciences, University of Guam, Mangilao, GU 96923, USA

IJERPH, 2023, vol. 20, issue 19, 1-12

Abstract: The present study examined types of scenarios in which Guam youths are offered tobacco—namely, combustible cigarettes and e-cigarettes—and betel (areca) nut. We conducted 10 focus groups with public middle school students ( n = 34) from Guam. Results suggested that the types of offer scenarios of combustible cigarettes, e-cigarettes, and betel nut referenced by the students fall into two categories—direct-relational offers and indirect-contextual offers. The results also suggested that both categories of offer scenarios were more likely to occur in school rather than in other locations such as the home. Family members were more likely to make offers than other types of people. Indirect-contextual offers were more easily avoidable depending on the substance offered, the location where the offer took place, and the person making the offer. Based on the findings, we provide brief suggestions on developing a school-based prevention curriculum focused on training young adolescents from Guam on ways to resist offers of cigarettes, e-cigarettes, and betel nut.

Keywords: adolescent; e-cigarette use; betel nut use; combustible cigarette use; prevention; offer scenarios; culturally specific (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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