FACTORS ASSOCIATED WITH KNOWLEDGE AND ATTITUDES TOWARD ELECTRONIC CIGARETTES AMONG UNDERGRADUATE STUDENTS AT A UNIVERSITY FOR LOCAL DEVELOPMENT: A CROSS-SECTIONAL STUDY
DOI:
https://doi.org/10.64962/rdhsj.v18i3.2025.276558Keywords:
Knowledge, Attitude, E-cigarette, Undergraduate students, ThailandAbstract
This cross-sectional study aimed to investigate factors associated with knowledge and attitudes towards e-cigarettes among undergraduate students at a university for local development. Among 384 undergraduate students from a university for local development. Participants were selected through stratified random sampling and simple random sampling. Data was collected from December 2023 to March 2024 using a structured questionnaire. Descriptive statistics were used to report percentages and frequencies, and binary logistic regression.
The findings of this study revealed several factors significantly associated with knowledge toward electronic cigarettes were gender (AOR = 2.22; 95%CI: 1.29-3.82), a history of receiving knowledge about e-cigarettes (AOR = 1.92; 95%CI: 1.00-3.62). Attitudes were having divorced or separated parents (AOR = 3.92; 95% CI: 1.91-8.04) was associated with more positive attitudes toward e-cigarettes, whereas undergraduate students living in private accommodation (AOR = 0.36; 95% CI: 0.19-0.69), live at house (AOR = 0.13; 95% CI: 0.04-0.47), and having history of current smokers of e-cigarettes (AOR = 0.21; 95% CI: 0.09-0.48) had negative attitudes about e-cigarettes.
Health education programs should be actively promoted, and peer-based interventions may serve as an effective strategy to reduce e-cigarette use among university students in Thailand.
Downloads
References
Alduraywish AS, et al. Knowledge and attitude toward E-Cigarettes among first year university students in Riyadh, Saudi Arabia. Healthcare (Basel). 2023; 11(4): 502. doi:10.3390/healthcare11040502.
Jerzynski T, Stimson GV, Shapiro H, Król G. Estimation of the global number of e-cigarette users in 2020. Harm Reduct J 2021; 18(1): 109.
Alzahrani T, et al. The prevalence of electronic cigarette use among college students of Taibah University and symptoms of cardiovascular disease. J Saudi Heart Assoc 2023; 35(2): 163-8. doi: 10.37616/2212-5043.1338.
Wamamili B, Wallace-Bell M, Richardson A, Grace CR, Coope P. Electronic cigarette use among university students aged 18-24 years in New Zealand: results of a 2018 national cross-sectional survey. BMJ Open 2020; 10: e035093. doi: 10.1136/bmjopen-2019-035093.
Song H, et al. Cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021. BMC Public Health 2023; 23: 438. doi: 10.1186/s12889-023-15350-2.
Thongsutt T, et al. Factors associated with knowledge and attitude towards e-cigarettes among undergraduate students in Thailand: a cross-sectional study. Asian Pac J Cancer Prev 2023; 24(1): 559-67. doi: 10.31557/APJCP.2023.24.1.353. (in Thai).
Lyu JC, Huang P, Jiang N, Ling PM. A Systematic Review of E-Cigarette Marketing Communication: Messages, Communication Channels, and Strategies. Int. J. Environ. Res. Public Health 2022; 19: 9263. doi.org/10.3390/ijerph19159263
Sun C, Wang F, Jiang M. How can e-cigarette fear appeals improve the perceived threat, fear, anger, and protection motivation of young people. Front Psychol 2021; 12: 676363. doi: 10.3389/fpsyg.2021.676363.
Shehata SA, et al. Vaping, environmental toxicants exposure, and lung cancer risk. Cancers 2023; 15: 4525. doi: 10.3390/cancers15184525.
World Health Organization. Electronic cigarettes (E-cigarettes) [Internet]. Geneva: WHO; 2024 [cited 2025 Jan 30]. Available from: https://www.who.int/publications/i/item/WPR-2024-DHP-001
World Health Organization. E-cigarettes contain hazardous substances, addictive and harmful [Internet]. Geneva: WHO; 2023 [cited 2024 May 15]. Available from: https://www.who.int/thailand/news/feature-stories/detail/e-cigarettes-contain-hazardous-substances-addictive-and-harmful
Serdar CC, Cihan M, Yücel D, Serdar MA. Sample size, power and effect size revisited: simplified and practical approaches in pre-clinical, clinical and laboratory studies. Biochem Med (Zagreb) 2021; 31(1): 27-53.
Jumpajan J, et al. Factors related to knowledge and attitude on electronic cigarettes of students in Sakon Nakhon Rajabhat University. Reg Health Promot Center 9 J. 2023; 17(2): 631-44.
AlSayyad AS, et al. Gender differences in e-cigarette knowledge, attitudes, and practice among adults in Bahrain: a cross-sectional study. Discov Public Health 2024; 21: 116. doi: 10.1186/s12982-024-00237-3.
Nazzal Z, et al. Exploring the prevalence, knowledge, attitudes and influencing factors of e-cigarette use among university students in Palestine: a cross-sectional study. BMJ Open 2024; 14(2): e080881. doi: 10.1136/bmjopen-2023-080881.
Jaafar H, et al. Knowledge, attitude and practice on electronic cigarette and their associated factors among undergraduate students in a public university. IIUM Med J Malaysia 2021; 20(2). doi: 10.31436/imjm.v20i2.506.
Seeherunwong A, Muangsakul W, Angsukiattitavorn S, Tipayamongkholgul M, Ondee P. Association between personal factors, beliefs, and attitudes towards e-cigarettes and cigarette use among Thai youths in Central Region, Bangkok and its perimeter. Royal Thai Navy Med J 2023; 50(3): 579-94.
Phetphum C, Prajongjeep A, Thawatchaijareonying K, Wongwuttiyan T, Wongjamnong M, Yossuwan S, Surapon D. Personal and perceptual factors associated with the use of electronic cigarettes among university students in northern Thailand. Tob Induc Dis 2021; 19: 31. doi: 10.18332/tid/133640.
Watkins NK, Ohannessian CM. Timing of vape use among adolescents: Differences by family structure. Drug Alcohol Depend 2020; 209: 107953. doi:10.1016/j.drugalcdep.2020.107953. PMID:32172131.
Vichayanrat T, et al. E-cigarette use, perceived risks, attitudes, opinions of e-cigarette policies, and associated factors among Thai university students. Tob Induc Dis 2024; 22(May): 74. doi:10.18332/tid/186536.
Phanniphong K, Na-Nan K. Development and validation of a factor analysis-validated comprehensive scale for measuring innovative work behavior. Sustainable Futures 2025; 9: 100704. doi: 10.1016/j.sftr.2025.100704.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Kalasin Provincial Public Health Office
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวารสารศูนย์ดัชนีการอ้างอิงวารสารไทย ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆบทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวารสารศูนย์ดัชนีการอ้างอิงวารสารไทย ถือเป็นลิขสิทธิ์ของวารสารศูนย์ดัชนีการอ้างอิงวารสารไทย หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารศูนย์ดัชนีการอ้างอิงวารสารไทยก่อนเท่านั้น
