The electronic cigarette is the novel product to become ever more the focus for smoking prevention strategies among adolescents in high school. In one year alone between 2013 and 2014, the percentage and total number of students smoking e-cigarettes tripled from 4.5 to 13.4 percent of students and 660,000 to 2 million teenagers, respectively (Centers for Disease Control, 2015). E-cigarette use for the first time exceeded over the use of every other tobacco product, including conventional cigarettes. The behavior of smoking electronic cigarettes has the influence and popularity that can undo the progress made in reducing youth cigarette smoking rates (CDC, 2015). Understanding why high school adolescents smoke e-cigarettes thus becomes imperative for developing an intervention that will target this age group and prevent the incidence of future lung disease. The Theory of Reasoned Action and the Theory of Planned Behavior best offers the theoretical framework to accomplish both tasks.
PUBLIC HEALTH OUTCOME
Lung Disease and Chronic Obstructive Pulmonary Disease
Lung disease is commonly associated with smoking behavior and one form of lung disease is chronic obstructive pulmonary disease (COPD). COPD obstructs the lungs by lessening the flow of air in and out of the lungs. Inflammation and thickening of the airways and destruction of the lung tissue where oxygen is exchanged occur with COPD (American Lung Association, 2015). As the disease worsens, breathing becomes more…