{"doi":"10.18043/001c.83954","title":"Assessment of School Staff Knowledge and Perceptions of Student E-cigarette Use and Resource Needs, and E-cigarettes Confiscated at 12 North Carolina High Schools — 2019","abstract":"BACKGROUND: E-cigarettes are the most commonly used tobacco product among US youth and are regularly used on school grounds. We assessed school staff's awareness of students' e-cigarette use, response by schools, and resources needed to address use, and examined e-cigarettes confiscated by school staff in North Carolina to guide prevention and identify needed resources. METHODS: In May 2019, staff from a random sample of 25 of 451 North Carolina public and charter high schools were invited to complete an online survey and semistructured interview; 12 schools consented to ≥ 1 component (survey, N = 514; interviews, N = 35). Staff knowledge and perceptions of students' e-cigarette use and school tobacco policies were assessed, including school efforts to address e-cigarette use. E-cigarette products confiscated by nine schools from students during the 2018-2019 school year were collected. LIMITATIONS: Only 12 public high schools participated, and these schools might not be representative of all North Carolina high schools. Quantitative surveys were not collected from all staff at participating schools; however, the response rate was 62% and included different staff positions and both urban and rural schools. Finally, e-cigarette products collected by schools might not be representative of all devices used by students. RESULTS: Among surveyed staff, 33% observed students using e-cigarettes on school grounds; 86% believed e-cigarette use somewhat or largely contributes to learning disruptions. Overall, 94% of respondents knew their school's policy prohibits student e-cigarette use on school grounds, and 57% were not confident their school has resources to help students quit. From 35 interviews, themes included concern that schools' tobacco-free policies do not deter use and additional resources are needed to address e-cigarette use in schools. Of 336 collected devices, there were different e-cigarette types and most (65%) e-liquid bottles were flavored. CONCLUSION: Efforts are warranted to incorporate evidence-based curricula; educate staff, parents, and youth regarding health risks of e-cigarette use; and help youth quit e-cigarettes.","journal":"North Carolina Medical Journal","year":2023,"id":386483,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.955,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1155436,"name":"Courtney Heck","orcid":null,"position":1,"is_corresponding":false},{"id":1053892,"name":"Carolyn Herzig","orcid":"0000-0002-3271-0117","position":2,"is_corresponding":false},{"id":282010,"name":"Leah M. Ranney","orcid":"0000-0001-9766-4767","position":3,"is_corresponding":false},{"id":781940,"name":"Sally Herndon","orcid":null,"position":4,"is_corresponding":false},{"id":1155437,"name":"Jim Martin","orcid":null,"position":5,"is_corresponding":false},{"id":504736,"name":"Marisa Hast","orcid":"0000-0003-2471-6700","position":6,"is_corresponding":false},{"id":1155050,"name":"Eileen McGowan","orcid":"0000-0001-6371-3751","position":7,"is_corresponding":false},{"id":1155438,"name":"Guido Baler","orcid":null,"position":8,"is_corresponding":false},{"id":769497,"name":"Mays Shamout","orcid":"0000-0002-6456-5022","position":9,"is_corresponding":false},{"id":240261,"name":"Brian A. King","orcid":"0000-0003-4175-1559","position":10,"is_corresponding":false},{"id":404705,"name":"Michael A. Tynan","orcid":"0000-0001-5612-4019","position":11,"is_corresponding":false},{"id":1155439,"name":"Susan M. Kansagra","orcid":null,"position":12,"is_corresponding":false},{"id":458410,"name":"Lauren J. Tanz","orcid":"0000-0002-4191-7427","position":0,"is_corresponding":true}],"reference_count":20,"raw_metadata":null,"created_at":"2026-07-19T01:18:00.717763Z","pmid":"38919376","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}