Introduction Approximately one in three high school and one in ten middle school students are current tobacco users per national data in 2019. E-cigarettes are the most commonly used tobacco product by adolescents, with known health harms on the lungs, heart, blood vessels, brain and long-term effects from addiction. While educational school based curriculum are increasingly utilized with the goal of decreasing youth use of e-cigarettes, there have been limited studies on the impact of school-based educational curriculum on student perceptions and intent to try e-cigarettes. The purpose of this study is to assess the effectiveness of a five-session educational curriculum on middle and high school students’ perceptions about tobacco products and their intent to try tobacco products. Method A 5-session educational curriculum based on the Stanford Tobacco Prevention Toolkit (Toolkit) was delivered to school students in Alabama. Sessions focused on: 1) Health harms of tobacco products with emphasis on...

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