E-Cigarette Use among University Students from One University in Hanoi, Vietnam, and Associated Factors

Le, Hanh N. D.; Tran, Anh Thi Van; Nguyen, Anh Quynh; Tran, Thuy Thi Thu

doi:10.31557/apjcp.2022.23.11.3649

Cited by 6 publications

(9 citation statements)

References 22 publications

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“…Moreover, the majority of the university students reported living with other smokers, exposing them to the potential dangers of secondhand smoking. Recent evidence suggests that students surrounded by smoky environments are more likely to accept smoking or become smokers, including e-cigarettes 32…”

Section: Discussionmentioning

confidence: 99%

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Exploring the prevalence, knowledge, attitudes and influencing factors of e-cigarette use among university students in Palestine: a cross-sectional study

Nazzal,

Maraqa,

Azizeh

et al. 2024

BMJ Open

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ObjectivesE-cigarettes have gained popularity, especially among young adults. This study aims to determine the prevalence of e-cigarette smoking, assess knowledge and attitudes and identify associated factors among Palestinian university students.DesignA cross-sectional study.Setting and participantsThe study was conducted among Palestinian university students in early 2023.A self-administered questionnaire was used to survey 1792 students from six Palestine universities in the West Bank. The questionnaire covered various aspects, including sociodemographic information, daily habits, exposure to smoking, attitudes and knowledge about e-cigarettes. Data were analysed using descriptive statistics, χ2tests and multivariate regression analysis.ResultsThe study revealed a high prevalence of tobacco use (41.2%), with e-cigarette use prevalent among 19.7% of participants. Knowledge about e-cigarettes was suboptimal, with misconceptions regarding their safety and health effects. Negative attitudes towards e-cigarettes were common, and students with negative attitudes were more likely to use e-cigarettes (aOR=2.6, 95% CI: 1.9 to 3.6). Gender (aOR=2.1, 95% CI: 1.4 to 3.0), waterpipe smoking (aOR=4.5, 95% CI: 3.2 to 6.3), physical inactivity (aOR=1.4, 95% CI: 1.1 to 1.9), high coffee consumption (aOR=1.6, 95% CI: 1.1 to 2.3), spending time with friends (aOR=2.4, 95% CI: 1.5 to 3.7), having a mother who is a smoker (aOR=1.5, 95% CI: 1.1 to 2.2) and having a friend who uses e-cigarettes (aOR=1.5, 95% CI: 1.1 to 2.1) were significantly associated with e-cigarettes use.ConclusionsE-cigarette use is a growing concern among Palestinian university students. Combating this trend should include educational initiatives, social interventions and policy measures to promote informed decision-making and discourage e-cigarette use. Comprehensive tobacco control programs considering various tobacco and nicotine products and involving multiple stakeholders are warranted.

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Section: Discussionmentioning

confidence: 99%

“…Recent evidence suggests that students surrounded by smoky environments are more likely to accept smoking or become smokers, including e-cigarettes. 32 …”

Section: Discussionmentioning

confidence: 99%

Exploring the prevalence, knowledge, attitudes and influencing factors of e-cigarette use among university students in Palestine: a cross-sectional study

Nazzal,

Maraqa,

Azizeh

et al. 2024

BMJ Open

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“…While other studies mainly grouped e-cigarette advertising into 4 sources, including internet, newspaper/magazines, retail stores, and TV 2 , 14 , 16 , 17 ; our study divided into more various advertising sources including from restaurant/hotel/café/bar; sports/music/community events; outdoor posters/billboards; watching movies/music videos or from invitation of referral marketer, which was relevant to other studies conducted in Vietnam on tobacco advertising exposure among various age groups. 21 , 25 The absence of the advertising ban of new tobacco products including e-cigarettes, as well as the hesitation in banning new tobacco products in Vietnam could be explained for the challenges in controlling the advertisement of e-cigarettes in Vietnam. Therefore, by identifying these specific advertising sources, interventions can find the most appropriate way to interact with the young people to reduce their exposure to e-cigarette advertising, and therefore contributing to reduce access to and use of e-cigarettes.…”

Section: Discussionmentioning

confidence: 99%

“…The anticipated population proportion (p) was .196 based on the proportion of adolescents and youth currently using e-cigarettes in 2022. 25 We calculated the needed sample size for both cities was 1123. With an added 5% of refusals, the final sample was 1200.…”

Section: Methodsmentioning

confidence: 99%

Exposure to E-Cigarette Advertising and Its Association With E-Cigarette Use Among Youth and Adolescents in Two Largest Cities in Vietnam 2020

Hoang

Le³

et al. 2023

Tob Use Insights

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BACKGROUND E-cigarette products have become more popular due to the marketing campaigns on various sources but caused adverse health impacts to users, especially adolescents and youths. This paper aims to describe the situation of exposure to e-cigarette advertisements of youth and adolescents living in two cities of Hanoi and Ho Chi Minh in 2020 and identify the associated factors of e-cigarette marketing with e-cigarettes use in these groups. METHODOLOGY This was a cross-sectional study. The study participants were 1211 youth and adolescents aged 15-24 living in Hanoi and Ho Chi Minh City during the time of data collection (from January 2020 to September 2020). Two primary outcome variables included the ever e-cigarettes use and the intention to use e-cigarettes. Multivariate logistic regression models were used to assess the association between the outcome variables and e-cigarette marketing exposure. RESULTS The proportion of participants who ever use e-cigarettes was 7.4% and a proportion of 4.8% have intention to use e-cigarettes. The most popular source of exposure to e-cigarettes advertisements was social network (Facebook, Twitter, Instagram, Youtube, etc.) and this source had positive association with the odds of e-cigarette smoking among youth and adolescents (OR = 3.38, 95% CI: 1.59-7.14). In addition, referral marketers also contributed to making the participants more likely to smoke e-cigarettes (OR = 2.68, 95% CI: 1.03-6.95). Attractive color and free sample of e-cigarettes were also found to be the motivated factors associated with smoking behaviour among youth and adolescents. CONCLUSIONS New policies should be considered to oppose the impact of youth-oriented e-cigarette advertisements which include regulating and restricting e-cigarette advertisements on social media, as well as through referral marketers.

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“…However, evidence suggests that multinational NVP companies have penetrated the markets in the ASEAN’s eight low-income and middle-income countries (LMICs): Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Thailand and Vietnam 43 44. Research also shows that young people have started to experiment with and use these devices in various countries in the region,42 45 including among university students in Vietnam46 and school children in Malaysia,47 Indonesia48 and the Philippines 49. Websites and social media have been used to promote and directly sell NVPs and nicotine e-liquids to young people in ASEAN LMICs, particularly in Indonesia,50 51 where these online platforms advertise vape stores where youth can try and buy these products 43.…”

Section: Introductionmentioning

confidence: 99%

Implications of nicotine vaping products for tobacco control in ASEAN low-income and middle-income countries: in-depth interviews with experts from the region

Stubbs,

White,

Yong

et al. 2023

BMJ Open

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ObjectivesThe use of nicotine vaping products (NVPs) has increased in low-income and middle-income countries (LMICs) in the Association of Southeast Asian Nations (ASEAN) region; however, it is uncertain what implications the presence and use of NVPs have for tobacco control.DesignIn-depth interviews were conducted to explore ASEAN tobacco control experts’ (n=11) views on the rise of NVP use in ASEAN LMICs, current NVP policies, the potential harm reduction and smoking cessation utilities of these devices, and what implications they may have for tobacco control. Data were analysed using inductive, reflexive thematic analysis.ResultsFive themes emerged: (1) NVPs threaten tobacco control in ASEAN LMICs; (2) commercial factors influence youth appeal and access: product attributes, marketing, supply chains; (3) opposition to the smoking cessation and harm reduction utilities of NVPs; (4) policies are inconsistent and fragmented in the region; and (5) tobacco industry power and tactics have been used to capture NVP markets.ConclusionsASEAN tobacco control experts believe that NVPs pose a threat to youth and non-smokers in LMICs in the region, largely because of tobacco industry NVP marketing activities. They do not support the use of NVPs for smoking cessation or harm reduction and call for more restrictions and consistent policy enforcement across the region to protect young people, while also cautiously recognising that use of NVPs may have some benefits for smokers.

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E-Cigarette Use among University Students from One University in Hanoi, Vietnam, and Associated Factors

Cited by 6 publications

References 22 publications

Exploring the prevalence, knowledge, attitudes and influencing factors of e-cigarette use among university students in Palestine: a cross-sectional study

Exploring the prevalence, knowledge, attitudes and influencing factors of e-cigarette use among university students in Palestine: a cross-sectional study

Exposure to E-Cigarette Advertising and Its Association With E-Cigarette Use Among Youth and Adolescents in Two Largest Cities in Vietnam 2020

Implications of nicotine vaping products for tobacco control in ASEAN low-income and middle-income countries: in-depth interviews with experts from the region

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