Abstract

The use of electronic nicotine delivery systems (ENDS), including vaping devices and oral nicotine pouches, has increased among adolescents and young adults. Although often marketed as safer alternatives to cigarettes, emerging evidence suggests these products may still pose significant health risks, including potential contributions to cancer. Despite this, many college students perceive them as low risk. This study examines cancer risk perceptions and nicotine use behaviors among students at Eastern Kentucky University, focusing on perceptions of cigarettes, vaping devices, and oral nicotine pouches, as well as how these perceptions influence behavior. It also explores sources of health information and the role of Appalachian identity in shaping risk perception. Data are being collected through an anonymous online survey of approximately 1,500 students following Institutional Review Board approval. The survey includes nineteen questions addressing nicotine use, cancer risk perception, information sources, and attitudes toward health education. Although data collection is ongoing, a sufficiently high response rate has been reached to support statistically meaningful conclusions upon analysis. Findings are expected to reveal variation in risk perception and identify gaps in health literacy to inform future public health initiative.

Semester/Year of Award

Spring 5-4-2026

Mentor

Dr. Kendall Simpson

Mentor Department Affiliation

Biological Sciences

Access Options

Open Access Thesis

Degree Name

Honors Scholars

Degree Level

Bachelors

Department

Biological Sciences

IRB Approval Number (if applicable)

6745

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