Republic of the Philippines

Department of Education
Region III – CENTRAL LUZON
DIVISION OF GAPAN CITY

JUAN R. LIWAG MEMORIAL HIGH SCHOOL – SENIOR HIGH SCHOOL

BAYANIHAN, GAPAN CITY, NUEVA ECIJA
SCIENCE, TECHNOLOGY, ENGINEERING, AND MATHEMATICS

Health Awareness of Nicotine Consumption Among the

Senior High School Students’ Health in Juan R. Liwag

Memorial High School - Senior High School 2024-2025

Researchers:

Abaygar, Obren Rafael

Almogeno, Micaella Joi

Barrameda, Athaliah Carmel

Gonzales, Angelica

Nagaño, Fredmel

Reyes, Veronica Dixie

Roldan, Mark Jarrel

Yanga, Charles

Research Adviser:

Marilou Policarpio
CHAPTER I

INTRODUCTION

Background of the Study

According to Alqahtani et.al., (2023), worldwide, smoking has

been linked to subpar academic achievement among adult learners.

It is yet unknown, nevertheless, how nicotine addiction negatively

affects a number of students' academic attainment metrics. The

purpose of this study is to evaluate how smoking status and nicotine

dependency affect undergraduate health sciences students' grade

point average (GPA), absence rate, and academic warnings.

It is estimated that in 2019, tobacco was responsible for

64.2% of deaths from cancer of the trachea, bronchi and lung;

48.5% of deaths from chronic obstructive pulmonary disease; 40.8%

of deaths from esophageal cancer; 32.6% of deaths from

cerebrovascular diseases; 13.1% of deaths from Alzheimer’s and

other dementias; and 7.8% of deaths from diabetes (IHME 2019).

Worldwide, tobacco use causes more than 7 million deaths

per year. If the pattern of smoking worldwide does not change, more

than 8 million people a year will die from tobacco-related diseases

by 2030, including an estimated 1.2 million deaths from exposure to

second-hand smoke (WHO 2017).

According to Reitsama et.al., (2019), it is worth noting that

globally, in 2019, it was estimated that 155 million individuals aged

between 15 and 24 were smokers, with a prevalence of 20.1%

among men and 4.95% among women. The data show that 82.6% of

current smokers started smoking between 14 and 25 years old and

that 18.5% of smokers started smoking regularly at 15 years old.

Globally, the use of cigarettes and e-cigarettes is on the rise,

and young adults may be following suit. The most popular nicotine

product among young adults since 2014 has been e-cigarettes.

However, little is known about young smokers, e-cigarette users,

and trends in cigarette and e-cigarette use among college students,

despite the fact that e-cigarette usage is on the rise and cigarette

and other tobacco product use is declining. Therefore, our goal was

to find out how many students were using cigarettes, e-cigarettes,

and smoking (Song et.al., 2023).

According to Yazidjoglou (2023), electronic cigarettes, also

known as e-cigarettes, are non-combustible tobacco products that

are primarily made up of a filter nozzle, power supply, heating

system, and e-liquid. They produce an inhalable aerosol that

contains vegetable glycerin, propylene glycol, flavoring, and

nicotine. After use, the effects of heating and atomization will be

comparable to those of cigarette smoking (Gotts et.al., 2019).

Inhaling steam produced by electronic cigarettes or other similar

devices is referred to as vaping. It is slowly making its way into the

lives of young students and is frequently marketed as a "less

harmful" alternative to regular smoking (Leventhal et.al., 2015). E-

cigarettes have emerged as the most popular nicotine product

among young adults since 2014 (Mendez 2021).

In 2003, the gadget was first made available on the Chinese

domestic market as a smoking cessation aid and a substitute for

traditional cigarettes. According to the International Tobacco Control

(ITC) China survey, between 2009 and 2014, the proportion of

smokers who had heard of e-cigarettes rose from 29.0% to 60.0%,

and those who had used them rose from 2.0% to 11.0%. 52.3% of

people between the ages of 15 and 24 knew about e-cigarettes, and

4.1% had tried them, according to the 2015 China Adult Tobacco

Survey. These percentages were greater than those of other age

groups (Wang et.al., 2020).

Conceptual Framework

Control Variable
Independent Variable
Nicotine
Nicotine Consumption

Dependent Variable
Health
 Figure 1: Conceptual Framework

Figure 1 The conceptual framework includes three variables:

nicotine consumption (independent variable), health status

(dependent variables), and nicotine presence (control variable).

Nicotine presence is controlled to assess its potential impact on

students. The study aims to explore how nicotine consumption

affects students' physical health, well-being, measured through

indicators like grades, test scores, and study habits.

Statement of the Problem

The study aims to address the consumption of nicotine

products by students, which can lead to serious health problems

affecting their physical and mental well-being—issues many

students are not fully aware of. It seeks to explore the

misconception that electronic cigarettes are less harmful than

traditional cigarettes. While e-cigarettes may seem like a safer

alternative, they still pose significant health risks. Despite this

belief, a considerable number of students continue to use traditional

cigarettes, underscoring the need for comprehensive education and

awareness campaigns about the dangers of all nicotine products.

Particularly, it tried to answer following questions:

1. What is the respondent profile in terms of:

1.1 Name (Optional);

1.2 Age;

1.3 Sex;

1.4 Strand?

2. Health awareness of using nicotine products;

2.1 Physical health;

2.2 Mental health?

3. Students’ awareness on different kind of nicotine products;

3.1 Electric vape;

3.2 Cigarettes?

Scope and Delimitation

This study aims to examine the impact of nicotine

consumption on the health of senior high school students at Juan R.

Liwag Memorial High School during the academic year 2024-2025.

The scope of this research focuses on assessing the health

implications faced by students who consume nicotine, as well as

exploring the factors contributing to their usage. The study is

delimited to senior high school students enrolled in the institution

for the specified academic year. Data collection will include surveys,
interviews, and secondary sources such as school performance

records, with emphasis placed on identifying correlations between

nicotine consumption.

This research excludes junior high school students, other

forms of substance abuse, and external factors unrelated to nicotine

consumption that may also affect health. Additionally, the study

does not aim to provide a comprehensive medical diagnosis or

intervention but rather focuses on identifying trends and patterns

within the specified population.

Significance of the Study

The study of the Impact of a Nicotine Consumption Among

Senior High School Students Health is important for several reasons:

For the students, this study can make better lifestyle

selections if they are aware of how nicotine negatively affects

memory, cognitive function, and general physical health. The study

also emphasizes how crucial it is to keep one’s body and mind in

good condition in order to succeed academically, which promotes

better study habits.

For the school administrators, the results of the study can

be used to guide school-wide programs and policies that support

students' academic and health. Administrators can implement

focused programs to reduce nicotine intake, such as awareness

campaigns, counseling services, and stronger regulations on

tobacco products in school environments, by knowing the

connection between nicotine use and academic degradation. In

order to address the health and academic issues that nicotine use

presents, the research helps in determining the need for more

student support services.

For the future researchers, this research can help them by

promoting the creation of prevention campaigns, investigating long-

term wellness impacts, analyzing nicotine's effects on cognition,

comparing it with other substances, and understanding its impact

on adolescent social behavior and peer relationships.

Hypotheses

1.

H₀: There is no significant relationship between nicotine

consumption among senior high school students in Juan R. Liwag

Memorial Highschool - Senior Highschool 2024 - 2025.

Ha: Nicotine consumption has a negative relationship with academic

performance among senior high school students in Juan R. Liwag

Memorial Highschool - Senior Highschool 2024 - 2025.

2.

H₀: There is no relationship between nicotine consumption and

mental health issues like anxiety or depression among senior high

school students in Juan R. Liwag Highschool - Senior Highschool

2024 - 2025.

Ha: There is an association between smoking and psychological

problems, such as anxiety or depression, in senior high school

students in Juan R. Liwag Highschool - Senior Highschool 2024 -

2025.

3.

H₀: The prevalence of nicotine addiction among male and female

senior high school students is not significantly different in Juan R.

Liwag Highschool - Senior Highschool.

Ha: There is a significant difference in the prevalence of nicotine

addiction between male and female senior high school students in

Juan R. Liwag Highschool - Senior Highschool.

4.

H₀: Having been exposed to programs relating to education on the

risks of nicotine does not reduce its consumption among senior high

school Students in Juan R. Liwag Highschool - Senior Highschool

2024 - 2025.

Ha: Exposure to the Education Programs on the Risks of Nicotine

Reduces Its Use Among High School Senior Level Students in Juan R.

Liwag Highschool - Senior Highschool 2024 - 2025.

5.
H₀: Nicotine consumption has no significant impact on the health of

senior high school students at Juan R. Liwag Highschool - Senior

Highschool 2024 - 2025.

Ha: Nicotine consumption has a significant negative impact on senior

high school students in Juan R. Liwag Highschool - Senior Highschool

2024 - 2025.

Definition of Terms

Absence Rate - is the percentage of missed attendance over a

specific period.

Academic Warnings - notify students of poor performance, urging

improvement to avoid further consequences.

Addiction - is the compulsive need for a substance or behavior

despite harmful consequences.

Brain Development - is the process of growth and maturation of

the brain's structure and functions over time.

Cognition - is the mental process of acquiring knowledge and

understanding through thought, experience, and the senses.

Complications - are unexpected problems or difficulties that arise,

often worsening a situation or condition.

Comprehensive - means including all or nearly all elements or

aspects, covering a broad range of information or details.

Correlations - refer to the statistical relationship or connection

between two or more variables, where changes in one are

associated with changes in the other.

Declining - refers to a gradual decrease or deterioration in quality,

quantity, or status.

E-Cigarettes - are battery-powered devices that vaporize a liquid

containing nicotine, flavorings, and other chemicals, used as an

alternative to smoking traditional cigarettes.

Evaluate - means to assess or judge the quality, value, or

effectiveness of something based on specific criteria or standards.

Grade Point Average (GPA) - is a numerical measure of a

student's academic performance, typically calculated on a scale of 0

to 4.0.

Globally - refers to something that pertains to or affects the entire

world or all parts of the globe.

Institution - is an established organization or structure, typically

focused on a specific purpose, such as education, government, or

social services.

Metrics - are standards or measurements used to assess, compare,

and track performance or progress in various areas.

Nicotine - is a highly addictive chemical found in tobacco,

responsible for the stimulating effects of smoking and other tobacco

products.
Permanently Impacted - refers to a lasting or irreversible effect

that significantly alters a person, situation, or condition over time.

Subpar - refers to something that is below the expected or desired

standard.

Trends - are general directions or patterns of change, behavior, or

development over time in a particular area or field.

Usage - refers to the way something is used or the frequency and

manner in which it is employed.

World Health Organization (WHO) - is a specialized agency of

the United Nations responsible for promoting global health, setting

health standards, and coordinating international health efforts.

 CHAPTER II

METHODOLOGY

Introduction

This chapter provides a detailed explanation of the research

study methodology, including the research design employed. It also

outlines the target population and the geographical area of focus for

the study. Additionally, the chapter clarifies the research

instruments and methods used for data collection and analysis,

offering a clearer understanding of the research process. The

primary goal of this chapter is to describe the processes and

techniques applied in the study.

The study aims to evaluate the effects of Nicotine

consumption and the health awareness of students using nicotine

products.

Research Design
 The study will use a descriptive correlational type of research

design to examine the relationship between nicotine consumption

and its impact on the health of senior high school students at Juan

R. Liwag Memorial High School for the academic year 2024-2025. A

descriptive correlational design is appropriate for this study because

it allows the researchers to systematically describe and measure the

patterns of nicotine consumption among the students, as well as

assess its potential effects it may have on their health. Furthermore,

it provides a foundation for identifying relationships between

variables, which is essential for understanding the degree to which

the use of nicotine is associated with specific outcomes.

Research Locale

The study will be centered on Juan R. Liwag Memorial High

School, as it is the locale of the study. The school is located on

Maharlika Highway, Bayanihan, Gapan City, Nueva Ecija. The locale

helped the researchers to understand the study with the support of

the respondents in it, the respondents are all Senior High School

students in ALL strand.

 Figure 2. Map of Juan R. Liwag Memorial High School

The Population of the Study

The senior high school students at Juan R. Liwag Memorial

High School – Senior High School were the study’s chosen

responders. The study needed to concentrate on senior high school

students in grades 11 and 12 to get comprehensive data. With the

respondents chosen, the researchers are expecting concise data

given by the respondents to help the study and research it further.

Sampling Technique

The sampling method that will be used in the study is the

Snowball method. It required senior high school students of Juan R.

Liwag Memorial High School-Senior High School that uses nicotine

product. Researchers will find nicotine user and after they answer

the data are needed in the study.

Research Instruments

The research instrument that the researchers will use in the

study to gather the needed data are survey forms. The instrument

will consist of 10 items, divided into two main sections: Part I of the

research instrument will consist of items that gather respondents’

profiles, such as their school’s strand, gender, and age. While Part II

of the research instrument will consist of items that will gather

respondent information about The Impact of Nicotine Consumption

in the Respondents’ Health in Juan R. Liwag Memorial High School –

Senior High School 2024-2025. All questions that will be included in

the survey form are aimed to provide more information and support

for this research study.

Data Gathering Procedure

The researchers will provide a Google Forms-made

questionnaire to the Senior High School students at Juan R. Liwag

Memorial High School who have experience using nicotine products.

The respondents will be chosen using snowball sampling. The

answering, distribution, and collection will be facilitated by the

researchers.

Ethical Concerns

In resolving initial and ongoing conflicts between the rights of

selected participants and study expectations, researchers will be

guided by the ethical principles of autonomy and equality (Orb et

al., 2004). The study is going to adhere to three primary ethical

rules are authorized voluntary participation, safeguarding of

confidential information, and objectified observation (Trochim et al.,

2006).

Selected respondents will be given consent forms by the

researchers, who will additionally provide them an explanation of

the purpose and objectives of the study as well as their right to

withdraw their participation or say "no" if they felt unsafe or

uncomfortable while the study is being conducted. The Data Privacy

Act of 2012, also known as Republic Act 10173, will be adhered to

and scrupulously enforced by the researchers. All information

gathered via the survey questionnaire will be used only for study

and will all be kept confidential under strict protection upon the

signed agreement.

Data Analysis

This study will employ descriptive statistics (frequency, percentage,

weighted mean, and standard deviation) to analyze and interpret

questionnaire data. Responses will undergo rigorous documentation,

examination, and interpretation to yield meaningful insights.

Statistical analysis will be utilized to examine the relationship

between nicotine consumption and associated factors among senior

high school students in STEM.

1. Frequency (f) will be use to tabulate the results of the

respondents’ profile variable.

 2. Percentage (%) will be use to describe the proportional size of

results relative to total.

% = f N x 100

3. Weighted Mean (WM) will be applied to determine typical

respondent characteristics regarding nicotine consumption.

Computation of Weighted Mean

Formula:

WM = TWFN

Where:

WM = Weighted Mean

TWF = The total of the products of weights multiplied by their

respective frequencies.

N = The number of respondents

Table 1. The assigned points and interpretations of the Likert Scale

Points/Weighted Scale Description/

Mean Interpretation

4.50-5.00 5 Highly Agree

3.50-4.49 4 Agree
 2.50-3.49 3 Neutral

1.50-2.49 2 Disagree

1.00-1.49 1 Highly Disagree

4. Standard Deviation will quantify response variability and

dispersion.

Appendix

A. Letter for the respondents

To the respondents

The researchers from STEM 12 Goodall are conducting a study

title The Impact of Nicotine Consumption among the Senior High

School Students’ Health in Juan R. Liwag Memorial High School –

Senior High School 2024-2025. This study aims to understand the

effects of nicotine consumption on health of Senior High Students.

By understanding the effects of nicotine consumption on students’

health, future researchers can help identify solutions or strategies to

create a more supportive and inclusive learning environment for

Senior High Students.

Additionally, the researchers kindly request you to answer the

questionnaires HONESTLY. Your answers will be confidential and will

not reveal your identity, thank you for your cooperation.

By reading the guidelines, you are giving your full consent for the

data that will be collected in this survey to be used solely for

academic purpose.

[ ] Yes, I would like to participate and proceed to answering the

survey.

[ ] No, I would not like to participate.

B. Respondents Information

I. Please fill the following information:

Name (Optional): __________

Grade: __________

Strand: __________

Age: ____________

Sex: [ ] Male [ ] Female

C. Questionnaires
II. A. Health Awareness of Nicotine Consumption on Physical

Health

5 – Highly Agree 4 – Agree 3 – Neutral 2 – Disagree

1 – Highly Disagree

Questions 5 4 3 2 1

1. Nicotine consumption negatively

impacts my physical health.

2. I am aware that smoking can

increase the risk of cardiovascular

diseases such as heart attacks and

high blood pressure.

3. I understand that nicotine can

reduce blood circulation, leading to

numbness or coldness in hands

and feet.

4. I experience headaches and

dizziness.

5. I am aware that smoking can cause

long-term digestive issues,

including acid reflux and stomach

ulcers.

6. I am aware that nicotine addiction

can contribute to increased stress

on the body, leading to premature

 aging and skin damage.

7. I experience skin irritation while

smoking.

8. Smoking stains my teeth.

9. I often experience muscle aches.

10. I have noticed delayed

wound healing.

B. Health Awareness of Nicotine Consumption on Mental

Health

5 – Highly Agree 4 – Agree 3 – Neutral 2 – Disagree

1 – Highly Disagree

Questions 5 4 3 2 1

1. I feel that smoking increases my

anxiety and tension.

2. I believe that long-term smoking

can cause Alzheimer’s disease.

3. Do you believe that students use

nicotine to cope with

depression?

4. If I quit using cigarettes, my

addiction will stop.

5. I experienced post-traumatic

disorder (PTSD).
 6. I experience increased

irritability, difficulty

concentrating, and cravings after

not smoking for a while.

7. I often use nicotine as ‘self-

medication’ to ease feelings of

stress.

8. I have asthma.

9. I thought of taking my own life

because of nicotine.

10. My mood changes rapidly.

III. A. Awareness about Electric Vape

5 – Fully Aware 4 – Aware 3 – Neither Aware 2 – Unaware

1 – Fully Unaware

Questions 5 4 3 2 1

1. I am certain that using an

electric vape can have a huge

impact on my health.

2. I am aware of the health risks

associated with smoking electric

vapes.

3. I know that electric vape can

explode.
 4. I am aware that electric vape

can damage my organs.

5. I am aware that vaping is not a

safe alternative to smoking.

6. I know that electric vape has a

chemical.

7. I know that e-liquids can be

contaminated with viruses.

8. I experienced shortness of

breath while smoking.

9. I am aware that there is age

restriction related to purchasing

and using electric vape.

10. I have used many types of

electric vapes.

B. Awareness about Cigarettes

5 – Highly Agree 4 – Agree 3 – Neutral 2 – Disagree

1 – Highly Disagree

Questions 5 4 3 2 1

1. I am aware that smoking

traditional cigarettes is the

leading cause of preventable

death worldwide.
2. I gained wrinkles, tooth

discoloration, and premature

aging because of smoking.

3. I lose weight because of

cigarettes.

4. I am aware of risk of secondhand

smoke exposure, which can

cause serious health problems in

a non-smoker.

5. I know that tobacco smoke

contains over 7,000 chemicals,

many of which are toxic and

cancer-causing.

6. I tried seeking medication and

support groups.

7. My hearing is weakening.

8. I am aware that it can harm

unborn babies when smoke

during pregnancy.

9. I believe that social

environments play a significant

role in influencing smoking

behaviors.

10. I agree that smoking can

shortened your life?

 CHAPTER III

RESULTS AND DISCUSSION

This chapter discusses the results and finding of the study

that has come up with from the data gathered out of the responses

of the students on the survey questionnaire.

I. DEMOGRAPHIC PROFILE OF THE RESPONDENTS

Figure

3.1: total number of the respondent’s gender

The figure above illustrates the respondent’s profile based on

their gender. The majority of the respondents are Male

corresponding to 30 (60%) of the respondents, followed by Females,

corresponding to 20 (40%) of the respondents, in overall 55

respondents involved in the study. This shows that most of the

respondents that are much more engaged in using nicotine are

Male.
FIGURE 3.2: Age

of the respondents

Figure 3.2 shows the respondent’s profile based on their age.

The demographic information on the respondents’ age reveals that

42% is 17 years old, 32% is 18 years old, 20% is 16 years old, and

6% is 19 years old and above. It can be gleaned that most of the

students are 17 years old.

FIGURE 3.3:

Grade level of the respondents

Figure 3.3 shows the respondent’s profiles based on their

level. On the year level, the results indicate that the majority of the

respondents 37 (74%) were found in year – 12 students. Moreover,

the remaining respondents 13 (26%) came from students in the year

– 11.

FIGURE

Figure 3.4 shows the respondent’s profile based on their

strand. The majority of the respondents 26 (52%) came from the

STEM strand. Next is the HUMSS strand with 13 (26%) respondents.

Followed by the ABM strand with 9 (18%) respondents. And the least

respondents are from TVL strand with 2 (4%).

Table 1

I. A. Health Awareness of Nicotine Consumption on Physical

Health

5 – Highly Agree 4 – Agree 3 – Neutral 2 – Disagree

1 – Highly Disagree

Statements WM VD
1. I am aware that nicotine 4.16 Agree

consumption negatively impacts

my physical health.
2. I am aware that smoking can 4.68 Highly

increase the risk of cardiovascular Agree

diseases such as heart attacks and

high blood pressure.

3. I understand that nicotine can 4.08 Agree

reduce blood circulation, leading to

numbness or coldness in hands

and feet.

4. I am aware that smoking can 3.64 Agree

contribute to headaches and

dizziness.

5. I am aware that smoking can cause 3.96 Agree

long-term digestive issues,

including acid reflux and stomach

ulcers.

6. I am aware that nicotine addiction 3.84 Agree

can contribute to increased stress

on the body, leading to premature

aging and skin damage.

7. I am aware that smoking can cause 2.48 Disagree

skin irritation.

8. I recognize that smoking stains my 3.00 Neutral

teeth.

9. I am aware that smoking can 2.96 Neutral

contribute to muscle aches.

 10. I have noticed delayed 3.54 Agree

wound healing.

AVERAGE 3.63 Agree

Table 2

B. Health Awareness of Nicotine Consumption on Mental

Health

5 – Highly Agree 4 – Agree 3 – Neutral 2 – Disagree

1 – Highly Disagree

Statements WM VD

1. Smoking can increase anxiety and 3.16 Neutral

tension.

2. I believe that long-term smoking 3.50 Agree

can cause Alzheimer’s disease.

3. I believe that students use nicotine 3.54 Agree

to cope with depression.

4. Quitting cigarettes can help break 3.40 Neutral

the cycle of addiction.

5. I experienced post-traumatic 3.10 Neutral

disorder (PTSD).

6. Withdrawal from smoking can lead 3.62 Agree

to increased irritability, difficulty

concentrating, and cravings.

 7. I often use nicotine as ‘self- 3.76 Agree

medication’ to ease feelings of

stress.

8. Asthma can be worsened by 3.04 Neutral

smoking and exposure to nicotine.

9. I thought of taking my own life 2.76 Neutral

because of nicotine.

10. My mood changes rapidly. 3.64 Agree

AVERAGE 3.35 Neutral

Table 3

II. A. Awareness about Electric Vape

5 – Highly Agree 4 – Agree 3 – Neutral 2 – Disagree

1 – Highly Disagree

Statements WM VD

1. I am certain that using an electric 4.14 Agree

vape can have a huge impact on

my health.

2. I am aware of the health risks 4.18 Agree

associated with smoking electric

vapes.

3. I know that electric vape can 4.26 Agree

explode.
 4. I am aware that electric vape can 3.92 Agree

damage my organs.

5. I am aware that vaping is not a 4.12 Agree

safe alternative to smoking.

6. I know that electric vape has a 4.26 Agree

chemical.

7. I know that e-liquids can be 3.84 Agree

contaminated with viruses.

8. I experienced shortness of breath 3.72 Agree

while smoking.

9. I am aware that there is age 4.10 Agree

restriction related to purchasing

and using electric vape.

10. I have used many types of 3.62 Agree

electric vapes.

AVERAGE 4.0 Agree

Table 4

B. Awareness about Cigarettes

5 – Highly Agree 4 – Agree 3 – Neutral 2 – Disagree

1 – Highly Disagree

Statements WM VD

1. I am aware that smoking 4.10 Agree

traditional cigarettes is the leading

 cause of preventable death

worldwide.

2. I gained wrinkles, tooth 3.74 Agree

discoloration, and premature aging

because of smoking.

3. I lose weight because of cigarettes. 3.46 Neutral

4. I am aware of risk of secondhand 4.00 Agree

smoke exposure, which can cause

serious health problems in a non-

smoker.

5. I am aware that tobacco smoke 3.76 Agree

contains over 7,000 chemicals,

many of which are toxic and

cancer-causing.

6. I know that I can seek medication 3.94 Agree

and support groups.

7. I am aware that my hearing is 3.26 Neutral

weakening.

8. I am aware that raising awareness 4.02 Agree

about the harmful effects of

smoking can help reduce cigarette

use among students.

9. I believe that social environments 3.88 Agree

play a significant role in influencing

smoking behaviors.
 10. I agree that smoking can 4.20 Agree

shortened my life.

AVERAGE 3.83 Agree

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