Association between socioecological factors and electronic cigarette use among Thai youth: an institution-based cross-sectional study

Seeherunwong, Acharaporn; Tipayamongkholgul, Mathuros; Angsukiattitavorn, Suleemas; Muangsakul, Wipanun; Singkhon, Onnalin; Junda, Sangdao; Sittichai, Ruthaychonnee; Ondee, Pasitta; Aekplakorn, Wichai

doi:10.1136/bmjopen-2022-069083

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…E-cigarette use showed significant correlations with having a smoking friend, and also with having a smoking mother. These findings are in line with a study conducted among young adults in Thailand, revealing that having a partner using e-cigarettes increased the likelihood of e-cigarette use by 3.239 times [ 48 ]. Similarly, a study involving university students in Qatar reported consistent results regarding factors associated with using e-cigarettes and water pipes [ 9 , 49 ].…”

Section: Discussionsupporting

confidence: 91%

E-cigarette use among university students in Palestine: Prevalence, knowledge, and determinant factors

Ghanim,

Rabayaa,

Abuawad

et al. 2024

PLoS ONE

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Background Recent reports indicated accelerated rates of e-cigarette use, especially among youth in various Middle Eastern countries, including Palestine. Nevertheless, little is known about knowledge, attitudes, and perceptions regarding this topic in Palestine. This study aimed to assess the prevalence of e-cigarette use among Palestinian university students, along with their knowledge, attitudes, and perceptions about e-cigarette use. Methods An observational cross-sectional study, utilizing an online self-administered questionnaire, was conducted on Palestinian students from five universities between 17/04/2023 and 04/11/2023. Results A total of 1002 Palestinian university students completed the questionnaire. The prevalence of e-cigarette use among students was 18.1%. The mean knowledge score about e-cigarettes was significantly lower among the users of e-cigarettes compared to non-users. E-cigarette use was significantly associated with the participants’ smoking status. Among e-cigarette users, 43.6% were also current traditional cigarette users, and 66.9% were current waterpipe users. E-cigarette use was significantly associated with having a friend who is a smoker and/ or a smoking mother. Binary logistic regression revealed a significant positive effect between the participant’s smoking status, the mother’s smoking status, knowledge about e-cigarettes, and the use of e-cigarettes (p-value < 0.05). Among e-cigarette users, 18.8% used them in indoor places at the university, and 25% reported using them daily in the past month. Affordability of e-cigarettes was the most reported reason for their use (47.5%). Conclusion This study concluded that e-cigarette use is prevalent and rapidly rising among university students in Palestine. This is worrisome as it is significantly associated with insufficient knowledge about the adverse health effects of E-cigarette use, and its addictive nature. These findings focus on the importance of improving the students’ knowledge about e-cigarette use by implementing educational campaigns and considering age regulations on e-cigarette availability and use.

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Section: Discussionsupporting

confidence: 91%

E-cigarette use among university students in Palestine: Prevalence, knowledge, and determinant factors

Ghanim,

Rabayaa,

Abuawad

et al. 2024

PLoS ONE

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Influential Factors on Smoking and Drinking Behavior: Health Literacy among Adolescents from the Hill Tribe Communities, Thailand

Sopajaree,

Mitkitti,

Tonkuriman

et al. 2024

Nursing Forum

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Purpose. This study examines smoking and alcohol use among disadvantaged Hill tribe adolescents (12–19 years old) in northern Thailand. We use Leininger’s theory to better understand how cultural norms, health literacy, and perceived impacts influence these behaviors. Methods. The study utilized a cross‐sectional approach and involved 324 participants. Data were collected using standardized questionnaires (Thai‐AUDIT, FTND) to assess substance use and health literacy. Focus group discussions provided further insights into cultural norms and the impacts of such behaviors. Results. Over half (51.2%) of participants reported ever consuming alcohol, and 20.10% currently smoke cigarettes. Health literacy levels were adequate across all subgroups. Multiple regression analyses with a hierarchical approach identified the cultural and social factors including age at first drinking (β = −0.34, t = −2.68, p = 0.01) and factors related to the impact of past usage (impact on one’s health: β = −0.33, t = −2.48, p = 0.01, and impact on deep feelings: β = −0.33, t = −2.33, p = 0.02), which accounted for 18.2% of the variance in current alcohol consumption frequency (adjusted R2 = 0.182, F = 3.04, p = 0.01). The analysis revealed that there was no statistically significant relationship between age at first smoking and the current amount of cigarettes (β = −0.01, p = 0.15). As expected, health literacy was shown as the only predictor that significantly predicted the current amount of cigarettes (β = −0.40, p = 0.003), accounting for 14.1% of the current amount of cigarettes (adjusted R2 = 0.141, F = 4.08, p = 0.05). Conclusion. The results provide further evidence that the standard intervention is not appropriate for utilization with this specific group. Therefore, we propose a multifaceted culturally appropriate approach that integrates the insights derived from the focus group discussion while currently targeting health literacy, alcohol attitudes, and early substance use prevention through family and community awareness initiatives.

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Use of Electronic Cigarettes and Associated Factors among Thai Vocational Students: An Institution-based Cross-Sectional Study

Rattanachompoo,

Phetphum,

Noosorn

2024

Asian Journal of Social Health and Behavior

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Introduction: The use of young electronic cigarettes (e-cigarettes) is increasing worldwide, including in Thailand, where there are strict regulations governing the availability of e-cigarettes. This study explored e-cigarette use among vocational students and associated factors in Thailand. Methods: We enrolled 1150 students from six vocational institutions in the upper northern region of Thailand using a multistage design and gathered the data through a self-administered questionnaire. Multivariate logistic regression models were used to examine the variables and their association with e-cigarette use. Results: Most of the participants (66.5%) were male, and the average age was 17 ± 1.7 years. The prevalence of e-cigarette use in the past 30 days was 18.4%. We found that the perceived price of e-cigarettes being affordable (adjusted odds ratio [AOR] = 1.7, 95% confidence interval [CI]: 1.0–2.8), traditional cigarette smoking in the past year (AOR = 3.5, 95% CI: 2.4–5.1), a high positive attitude toward e-cigarettes (AOR = 2.6, 95% CI: 1.7–3.9), alcohol consumption in the past year (AOR = 1.8, 95% CI: 1.1–2.8), having close friends who used e-cigarettes (AOR = 4.4, 95% CI: 3.1–6.3), and having low self-esteem (AOR = 1.6, 95% CI: 1.1–2.3) were significantly associated with e-cigarette use in the past 30 days. Conclusion: The use of e-cigarettes is prevalent among Thai vocational students, suggesting that continued maintenance of the enforcement policy on banning the importation of e-cigarettes into the country is thus needed. Furthermore, the government should improve law enforcement, especially against online marketing, and strengthen school-based anti-smoking programs.

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Association between socioecological factors and electronic cigarette use among Thai youth: an institution-based cross-sectional study

Cited by 3 publications

References 26 publications

E-cigarette use among university students in Palestine: Prevalence, knowledge, and determinant factors

E-cigarette use among university students in Palestine: Prevalence, knowledge, and determinant factors

Influential Factors on Smoking and Drinking Behavior: Health Literacy among Adolescents from the Hill Tribe Communities, Thailand

Use of Electronic Cigarettes and Associated Factors among Thai Vocational Students: An Institution-based Cross-Sectional Study

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