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. Author manuscript; available in PMC: 2026 Oct 1.
Published in final edited form as: J Community Health. 2025 Apr 5;50(5):796–812. doi: 10.1007/s10900-025-01466-6

Table 2.

Survey respondents preceptions about school tobacco programming needs and implementation (N=325).

School Tobacco Prevention Needs
N=325 No
n (%)
Yes
n (%)
- - -
Perceptions about school’s top 3 health priorities
 Mental health 108 (33.2%) 217 (66.8%)
 Bullying and school safety 141 (43.4%) 184 (56.6%)
 Social media and screen time 179 (55.1%) 146 (44.9%)
 Cannabis use (including cannabis vaping) 240 (73.8%) 85 (26.2%)
 Nicotine/ tobacco use (including vaping) 164 (50.5%) 161 (49.5%)
 Alcohol and other drug use 273 (84.0%) 52 (16.0%)
 Physical activity 278 (85.5) 47 (14.5%)
 Healthy eating 305 (93.8%) 20 (6.2%)
 Sexual health 297 (91.4%) 28 (8.6%)
 Obesity/ overweight/ healthy weight 312 (96.0%) 13 (4.0%)
Perceptions about the important components for effective tobacco prevention programs a
 Tobacco-free policies 81 (24.9%) 244 (75.1%)
 At-risk youth development 157 (48.3%) 168 (51.7%)
 Parent education 96 (29.5%) 229 (70.5%)
 Research-based curriculum 206 (63.4%) 119 (36.6%)
 School/ district cessation services 216 (66.5%) 109 (33.5%)
 Up-to-date teacher training 151 (46.5%) 174 (53.5%)
 Prevention integrated in academics 224 (68.9%) 101 (31.1%)
 School tobacco specialists 245 (75.4%) 80 (24.6%)
School Tobacco Prevention Reality
No
n (%)
Yes
n (%)
- - -
Tobacco use prevention included in school curriculum 57 (33.9%) 111 (66.1%)
During the last 12 months, did your school offer any of these tobacco prevention activities?
 Red Ribbon Week 89 (27.4%) 236 (72.6%)
 Student-led or initiated events targeting tobacco use 289 (88.9%) 36 (11.1%)
 Alternative to suspension programs (e.g., YVAPE) 307 (94.5%) 18 (5.5%)
 Guest presentations on tobacco use 234 (72.0%) 91 (28.0%)
 Parental education on tobacco use 311 (95.7%) 14 (4.3%)
 Groups to help students quit smoking or vaping 318 (97.8%) 7 (2.2%)
 Health fairs 314 (96.6%) 11 (3.4%)
 Out-of-school clubs to prevent tobacco use 321 (98.8%) 4 (1.2%)
 Great American Smoke Out 320 (98.5%) 5 (1.5%)
 Referral to Arkansas Quit Line 321 (98.8%) 4 (1.2%)
 Kick Butts Day 323 (99.4%) 2 (0.6%)
Poor Fair Well Very well Excellent
How well does your school do the following?
 Keep teachers updated on vape products 142 (45.5%) 80 (25.6%) 53 (17.0%) 25 (8.0%) 12 (3.8%)
 Keep teachers updated on other tobacco products 146 (46.8%) 84 (26.9%) 55 (17.6%) 15 (4.8%) 12 (3.8%)
 Provide peer-to-peer tobacco prevention education 180 (57.9%) 82 (26.4%) 35 (11.3%) 8 (2.6%) 6 (1.9%)
 Equip students with techniques to refuse tobacco 142 (45.7%) 111 (35.7%) 39 (12.5%) 11 (3.5%) 8 (2.6%)
 Include parents in tobacco prevention activities 180 (57.9%) 77 (24.8%) 36 (11.6%) 11 (3.5%) 7 (2.3%)
How would you rate your school’s integration of effective tobacco prevention program components?
 Tobacco-free policies 39 (13.0%) 60 (20.1%) 69 (23.1%) 70 (23.4%) 61 (20.4%)
 At-risk youth development 93 (31.7%) 103 (35.2%) 72 (24.6%) 15 (5.1%) 10 (3.4%)
 Parent education 136 (46.1%) 97 (32.9%) 43 (14.6%) 12 (4.1%) 7 (2.4%)
 Research-based curriculum 124 (42.3%) 83 (28.3%) 55 (18.8%) 20 (6.8%) 11 (3.8%)
 School/ district cessation services 148 (50.5%) 78 (26.6%) 42 (14.3%) 19 (6.5%) 6 (2.0%)
 Up-to-date teacher training 146 (49.2%) 78 (26.3%) 52 (17.5%) 13 (4.4%) 8 (2.7%)
 Prevention integrated in academics 144 (49.1%) 88 (30.0%) 42 (14.3%) 12 (4.1%) 7 (2.4%)
 School tobacco specialists 192 (66.0%) 54 (18.6%) 31 (10.7%) 7 (2.4%) 7 (2.4%)

Notes: Valid percents reported.

a

Participants were asked to select (all that applied).