Abstract：
This study examined the e-cigarette and vaping resistance strategies used by Native Hawaiian and Pacific Islander (NHPI) youths in rural Hawai\'i. Focus groups (N = 17) were conducted in eight geographically dispersed elementary, middle/intermediate, and multilevel schools in low-income communities on Hawai\'i Island. Sixty-nine youths (67% NHPI, Mage = 12.5 years) participated in this study. The resistance strategies discussed across the greatest number of groups were \"refuse\" (saying no), \"explain\" (providing reasons for vaping refusal), \"avoid\" (avoiding people or places where e-cigarettes were used), and \"leave\" (walking away from a situation where e-cigarettes were being used). Participants described the challenges in using these strategies within contexts characterized by widespread peer and family vaping and strong social demands to use e-cigarettes. The findings suggest the need for multi-level interventions based on youths\' resistance strategies to meaningfully reduce youth vaping use in rural and/or NHPI communities.
摘要：
这项研究调查了夏威夷原住民和太平洋岛民（NHPI）青年在夏威夷农村地区使用的电子烟和电子烟抵抗策略。焦点小组(N=17)在八个地理上分散的小学进行，中间/中间，夏威夷岛低收入社区的多层次学校。69名年轻人(67%的NHPI，法师=12.5岁)参与了这项研究。在最多的群体中讨论的抵抗策略是“拒绝”(拒绝)，“解释”(提供拒绝电子烟的原因)，“避免”（避免使用电子烟的人或地方），和“离开”（远离使用电子烟的情况）。参与者描述了在广泛的同伴和家庭电子烟以及强烈的社会需求使用电子烟的背景下使用这些策略所面临的挑战。研究结果表明，需要基于青年抵抗策略的多层次干预措施，以有意义地减少农村和/或NHPI社区的青年电子烟使用。
