Factors Related to the Early Electric Smoking Stage Among Secondary School Students in Chachoengsao Province
Keywords:
Factors, Early electric cigarette smoking stage, Secondary school students, AdolescentsAbstract
Electronic cigarette smoking among adolescents is increasing continuously. This research aimed to study the prevalence of early-stage electronic cigarette smoking and to examine the factors related to early electronic cigarette smoking. Ecological system theory was used as the conceptual framework for this study. The sample was 321 upper secondary school students in Chachoengsao province. Data were collected using self-administered questionnaires which included information about demographic data, smoking, attitudes towards e-cigarette smoking, smoking law perceptions, school relationships, and media accessibility. Frequency, percentage, mean, standard deviation, and binary logistic regression were used for data analysis.
The research results demonstrated that the prevalence of early-stage e-cigarette smoking among upper secondary school students was 16.2% while the mean age of e-cigarette smoking initiation was 16.4 years (SD = 1.06). The factors significantly associated with e-cigarette smoking at the early stage were attitude towards e-cigarette smoking (OR = 3.06, 95%CI = 1.605-5.845), cigarette smoking experience (OR = 3.83, 95%CI = 1.886-7.758), peer cigarette smoking (OR = 2.64, 95%CI = 1.430-4.861), peer e-cigarette smoking (OR = 3.85, 95%CI = 1.853-6.917), peer-persuasion to e-cigarette smoking (OR = 6.49, 95%C I= 3.426-12.287), and e-cigarette accessibility (OR = 2.41, 95%CI = 1.265-4.601).
The research results will be beneficial to health personnel, teachers, and other people involved for developing effective programs focusing on enhancing attitudes and self-efficacy in avoiding direct and indirect peer influence, so as to prevent Thai adolescents from e-cigarette smoking.
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