Factors Associated with E-Cigarette Smoking among University Students, Surat Thani Province

Authors

  • ศิริกาญจน์ ตะโกทอง
  • อรนุช แก้วพ่วง
  • อาฟีฟาร์ มามะ
  • ตอยยีบะห์ อีนะแร
  • นิภาพร นบนอบ สาขาวิชาสาธารณสุขชุมชน คณะวิทยาศาสตร์และเทคโนโลยี มหาวิทยาลัยราชภัฏสุราษฎร์ธานี

Keywords:

Factors, E-cigarette smoking, Students

Abstract

The prevalence of e-cigarette use among adolescents has been on the rise globally and is now considered a significant public health concern. This cross-sectional study aimed to examine the prevalence and associated factors of e-cigarette use among university students in Surat Thani Province, Thailand. A total of 321 university students were selected using a multi-stage random sampling method. Research instruments included a knowledge test on e-cigarettes, a perception questionnaire, and an attitude questionnaire toward e-cigarettes. The content validity index ranged from 0.67 to 1.00, and the reliability coefficients (Cronbach’s alpha) were 0.77, 0.81, and 0.71. Data were analyzed using descriptive statistics and multivariate logistic regression.

The findings revealed that 36.14% of the participants reported using e-cigarettes. Significant factors associated with e-cigarette use included gender (AOR = 2.95, 95% CI = 1.80–4.86), family size (AOR = 1.87, 95% CI = 1.05–3.33), underlying diseases (AOR = 2.35, 95% CI = 1.07–5.12), income from part-time work (AOR = 2.04, 95% CI = 1.17–3.57), and financial status (AOR = 2.95, 95% CI = 1.21–7.21). These findings can serve as baseline information for the development of prevention strategies targeting e-cigarette use among university students. Health authorities and related agencies should prioritize addressing individual-level factors to reduce e-cigarette use among this population effectively.

References

World Health Organization. WHO report on the global tobacco epidemic, 2023: Protect people from tobacco smoke. Geneva: World Health Organization; 2023.

กระทรวงสาธารณสุข. รายงานสถานการณ์การบริโภคยาสูบในเด็กและเยาวชนไทย พ.ศ. 2564. กรุงเทพฯ: กรมควบคุมโรค; 2564.

สำนักงานสถิติแห่งชาติ. รายงานการสำรวจพฤติกรรมการสูบบุหรี่และดื่มสุราของประชากร พ.ศ. 2564. กรุงเทพฯ: สำนักงานสถิติแห่งชาติ; 2565.

Roengrudee P, Wichai A, Wattanawilai A, et al. Prevalence and associated factors of e-cigarette use among university students in Southern Thailand. J Health Res. 2022;36(5):859–70.

National Academies of Sciences, Engineering, and Medicine. Public health consequences of e-cigarettes. Washington, DC: The National Academies Press; 2018.

Bhatta DN, Glantz SA. Electronic cigarette use and myocardial infarction among adults in the US population assessment of tobacco and health. J Am Heart Assoc. 2019;8(12):e012317.

Berry KM, Fetterman JL, Benjamin EJ, Bhatnagar A, Barrington-Trimis JL, Leventhal AM, et al. Association of electronic cigarette use with subsequent initiation of tobacco cigarettes in US youths. JAMA Netw Open. 2019;2(2):e187794.

Soneji S, Barrington-Trimis JL, Wills TA, Leventhal AM, Unger JB, Gibson LA, et al. Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: A systematic review and meta-analysis. JAMA Pediatr. 2017;171(8):788–97.

Kong G, Morean ME, Cavallo DA, Camenga DR, Krishnan-Sarin S. Reasons for electronic cigarette experimentation and discontinuation among adolescents and young adults. Nicotine Tob Res. 2015;17(7):847–54.

Thrasher JF, Swayampakala K, Borland R, Nagelhout GE, Yong HH, Hammond D, et al. Influences of tobacco policy environment on social norms about smoking in Mexico and Uruguay: Results from the International Tobacco Control Project. Nicotine Tob Res. 2013;15(3):597–606.

Majeed BA, Sterling KL, Weaver SR, Pechacek TF, Eriksen MP. Prevalence and harm perceptions of hookah smoking among US adults, 2012–2013. Nicotine Tob Res. 2017;19(2):123–30.

Wills TA, Knight R, Williams RJ, Pagano I, Sargent JD. Risk factors for exclusive e-cigarette use and dual e-cigarette use and tobacco use in adolescents. Pediatrics. 2015;135(1):e43–51.

อรุณ จิรวัฒน์กุล. สถิติทางวิทยาศาสตร์สุขภาพเพื่อการวิจัย. พิมพ์ครั้งที่ 4. กรุงเทพฯ: วิทยพัฒน์; 2558.

พงษ์ศักดิ์ อ้นมอย, อาทิตยา บัวเรือง, ชนุตา พาโพนงาม, ธิรดา จันทร์รุ่งเรือง, นฤมล ลาวน้อย, และอัมพวัน บุญรอด. ปัจจัยที่มีความสัมพันธ์กับพฤติกรรมการสูบบุหรี่ไฟฟ้าของเยาวชนจังหวัดอุตรดิตถ์. วารสารวิชาการสาธารณสุข. 2565;31(2):197-205.

Daniel WW. Biostatistics: A foundation for analysis in the health sciences. 7th ed. New York: John Wiley & Sons; 1999.

Bloom BS, Hastings JT, Madaus GF. Handbook on formative and summative evaluation of student learning. New York: McGraw-Hill; 1971.

Best JW. Research in education. 3rd ed. Englewood Cliffs, NJ: Prentice-Hall; 1977.

Somdet S, Ratanasiri A, Khampolsiri T. Prevalence and factors associated with e-cigarette use among students at Chiang Mai Rajabhat University. J Public Health Dev. 2023;21(1):45–57.

Sawangwong P, Sookaneknun P, Kitisomprayoonkul W. Knowledge, perception, and attitudes toward electronic cigarettes among Thai adolescents. J Health Res. 2020;34(5):427–37.

Wattanawilai A, Kaewkungwal J, Ponlap N, et al. E-cigarette use and associated factors among university students in southern Thailand. J Health Sci Med Res. 2022;40(3):253–62.

Chankaew T, Baiya P, Chinwong D, Yoodee V, Chinwong S. Electronic cigarettes in Thailand: behaviour, rationale, satisfaction, and sex differences. Int J Environ Res Public Health. 2022;19(14):8229.

Shek DTL, Zhu XQ, Dou D, Chai W. Influence of family factors on substance use in early adolescents: a longitudinal study in Hong Kong. J Psychoactive Drugs. 2020;52(1):66-76.

Van Ryzin MJ, Fosco GM, Dishion TJ. Family and peer predictors of substance use from early adolescence to early adulthood: an 11-year prospective analysis. Addict Behav. 2012;37(12):1314-1324.

Lau K, Ho ML, Louie OT, Lam TH, Parag V. Perceived family relationship quality and use of poly-tobacco products during early and late adolescence. Prev Med Rep. 2019;15:100948.

Sutfin EL, Reboussin BA, Debinski B, Wagoner KG, Spangler J, Wolfson M. The impact of trying electronic cigarettes on cigarette smoking by college students: a prospective analysis. Am J Public Health. 2015;105(8):e83–9.

Grana R, Benowitz N, Glantz SA. E-cigarettes: a scientific review. Circulation. 2014;129(19):1972–86.

Palipudi KM, Mbulo L, Morton J, Bunnell R, Blutcher-Nelson G, Kosen S, et al. Awareness and current use of electronic cigarettes in 14 countries: cross-country comparison from the Global Adult Tobacco Survey (GATS). Tob Control. 2016;25(5):522–7.

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Published

2026-02-16