en آموزش بهداشت Health Education پژوهشي Original Article <strong>Background and Purpose</strong>: This study explores the rising popularity of e-cigarettes, often perceived as a safer alternative to traditional smoking, and examines its associated health risks, including lung and cardiovascular injuries. The primary objective was to evaluate college students&rsquo; awareness of the long-term health implications of e-cigarette use and the factors influencing their awareness.<br> <strong>Materials and Methods</strong>: This descriptive correlational study was conducted in Cagayan de Oro City, Philippines, during the 2023-2024 academic year. Using a stratified random sampling method, 204 college students aged 18-22 were selected from different year levels. Data were collected using a validated researcher-made 19-item questionnaire, which assessed the awareness of the long-term health implications of e-cigarette use. The questionnaire included demographic information and awareness-related questions measured on a 4-point Likert scale. Statistical analyses, including analysis of variance (ANOVA) and t-test, were performed to examine differences in awareness based on variables such as sex, peer influence, media information, and smoking status.<br> <strong>Results</strong>: The study found no significant differences in awareness levels based on sex, peer influence, media information, or smoking status. The t-test results indicated no notable disparity in awareness between male and female students (P=0.889). ANOVA results showed that peer influence (P=0.176) and media information sources (P=0.381) did not significantly affect awareness. Additionally, prior tobacco smoking (P=0.495) and current e-cigarette use (P=0.516, ns) did not impact awareness levels.<br> <strong>Conclusion</strong>: College students generally demonstrated a high level of awareness regarding the long-term negative health effects of e-cigarette use, irrespective of sex, peer influence, media information, or smoking status. The study underscores the importance of ongoing educational initiatives to sustain and further enhance awareness within this demographic.<br> &nbsp; E-cigarettes, Health awareness, College students, Long-term health effects, Descriptive correlational study 97 106 http://jhs.mazums.ac.ir/browse.php?a_code=A-10-1111-2&slc_lang=en&sid=1 Czarina Julliane A. Mortejo 20150009749@my.xu.edu.ph 100319475328460013447 100319475328460013447 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines Alexxis S. Nacalaban 200731170@my.xu.edu.ph 100319475328460013448 100319475328460013448 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines Nikkie Marie M. Parrel 200620211@my.xu.edu.ph 100319475328460013449 100319475328460013449 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines Angel Krishna A. Ramos 20210023703@my.xu.edu.ph 100319475328460013450 100319475328460013450 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines Wendybelle M. Rubin 200831792@my.xu.edu.ph 100319475328460013451 100319475328460013451 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines Celine Sophia B. Saavedra 20190016428@my.xu.edu.ph 100319475328460013452 100319475328460013452 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines Joshi Salve L. Salvani p.araune04@gmail.com 100319475328460013453 100319475328460013453 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines Johanna Rose M. Sumalpong 20210022287@my.xu.edu.ph 100319475328460013454 100319475328460013454 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines Arfred Miguel M. Tugasan 200620140@my.xu.edu.ph 100319475328460013455 100319475328460013455 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines Allyn Izabela D. Valdez 20210022133@my.xu.edu.ph 100319475328460013456 100319475328460013456 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines Paolo B. Araune paraune@xu.edu.ph 100319475328460013457 0009-0009-4803-5142 Yes Department of Mathematics, Xavier University-Ateneo de Cagayan, Philippines Roviech John M. Echeveria recheveria@xu.edu.ph 100319475328460013458 100319475328460013458 No College of Nursing, Xavier University-Ateneo de Cagayan, Philippines