Perception and Attitude towards Electronic Cigarettes among Rural Thai Young Adults
DOI:
https://doi.org/10.33192/smj.v76i9.269105Keywords:
Perception, Attitude, Young adults, Electronic cigaretteAbstract
Objective: This study examined perceptions and attitudes toward electronic cigarettes (e-cigarettes) among young adults aged 15-20 years in Samut Songkhram Province, Thailand, and their relationship.
Materials and Methods: A descriptive cross-sectional study was conducted between July and October 2023. The study included 328 young adults aged 15-20 selected from an educational institution in Samut Songkhram Province using simple random sampling. Data were collected using a self-administered questionnaire and analyzed using descriptive statistics and Pearson’s correlation coefficient.
Results: The participants had a good level of knowledge about e-cigarettes. They exhibited a positive attitude towards electronic cigarettes regarding health aspects (M=3.05, SD=0.97) and a positive attitude towards the legal dimensions of e-cigarettes (M=3.12, SD=0.80). However, no statistically significant correlation was found between the perception of e-cigarettes and health-related attitudes toward them (r=0.013, p=0.820). On the other hand, there was a statistically significant positive correlation between the perception of e-cigarettes and legally oriented attitudes (r=0.192, p<0.001). Furthermore, a borderline positive correlation emerged between the perception of electronic cigarettes and the general attitudes toward them (r=0.102, p=0.065).
Conclusion: Young adults in rural Thailand have a good knowledge of e-cigarettes. However, they exhibit positive attitudes towards the health aspects and legal dimensions of e-cigarettes. Moreover, no significant relationship exists between perceptions and health-related attitudes. These insights emphasize the need for targeted strategies to address misperceptions and raise awareness about the health risks of e-cigarette use among rural youth.
References
Bunpean P, Mentharat P, Bunpean P. E-cigarette behavior and smoking cessation behavior of youth smoker in a higher education institute, Bangkok. Srinakharinwirot Res Dev J Humanit Soc Sci. 2020;11(22):110-27.
Kramarow EA, Elgaddal N. Current electronic cigarette use among adults aged 18 and over: United States, 2021. NCHS Data Brief, No. 475. Hyattsville, MD: National Center for Health Statistics. 2023.
Cullen KA, Ambrose BK, Gentzke AS, Apelberg BJ, Jamal A, King BA. Notes from the Field: Use of Electronic Cigarettes and Any Tobacco Product Among Middle and High School Students - United States, 2011-2018. MMWR Morb Mortal Wkly Rep. 2018;67(45):1276-7.
Onmoy P, Buarueang A, Paponngam C, Janrumgrueang T, Lao-noi N, Boonrawd. Factors Associated with Electronic Cigarette Smoking Behaviors of Adolescents in Uttaradit Province, Thailand. JHS. 2022;31(2):197-205.
Tobacco Control Research and Knowledge Management Center. Illegal e-cigarettes are really sick and deadly [Internet]. Bangkok: Faculty of Medicine Ramathibodi Hospital.; 2021 [cited 2023 Jan 20]. Available from: https://www.trc.or.th/th/#.
Ruanphet K. Factors related to electric smoking among male vocational students in Buriram Province [Dissertation]. Chonburi: Burapha University; 2021.
Konkaew P, Konkaew K. Perception, attitude, accessing the electronic cigarette and intention to use the electronic cigarette among youths in education system in the Northern Region, Thailand. Dis Control J. 2022;48(3):551-62.
Annual Report 2023 office of Tobacco Products Control Committee. Annual Report 2023 [Internet]. Nonthaburi: Department of disease control; 2023 [cited 2023 Dec 30]. Available from: https://ddc.moph.go.th/uploads/publish/1528320240129105408.pdf
HDC dashboard Samut Songkhram Provincial Health Office. Top 10 causes of illness among outpatients according to disease groups [Internet]. Samut Songkhram: Samut Songkhram Provincial Health Office; 2023 [cited 2023 Jan 22]. Available from: https://skm.hdc.moph.go.th/hdc/main/index.php.
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. Biochemia Medica. 2021;31(1):27-53.
Rungrotsitichai N. Perception attitude and behavior towards electronic cigarette [Dissertation]. Pathum Thani: Thammasat University; 2017.
Mungmai A. Relationship among information exposure, perceptions, attitudes, and trends in electronic cigarette smoking behaviors in secondary school students [Dissertation]. Bangkok: Chulalongkorn university; 2021.
Thoonen KAHJ, Jongenelis MI. Perceptions of e-cigarettes among Australian adolescents, young adults, and adults. Addict Behav. 2023;144:107741.
Wojtecka A, Kalinowska-Beszczyńska O, Tyrańska-Fobke A, Kaleta D, Wojnarowska M, Robakowska M, et al. Adolescents' Perceptions and Attitudes towards Traditional and Electronic Cigarettes-Results of Focus Group Interviews. Int J Environ Res Public Health. 2023;20(2):1438.
Kreslake JM, O’Connor KM, Liu M, Vallone DM, Hair E. A resurgence of e-cigarette use among adolescents and young adults late in the COVID-19 pandemic. PLoS One. 2023;18(3): e0282894.
Wojtecka A, Kalinowska-Beszczyńska O, Tyrańska-Fobke A, Kaleta D, Wojnarowska M, Robakowska M, et al. Adolescents’ perceptions and attitudes towards traditional and electronic cigarettes—results of focus group interviews. Int J Environ Res Public Health. 2023;20(2):1438.
Khirirat C, Teetharatkul T, Sangkool J. Life Assets and Substance Use of High School Students in Songkhla. Siriraj Med J. 2020;73(1):46-54.
Reinhold B, Fischbein R, Bhamidipalli SS, Bryant J, Kenne DR. Associations of attitudes towards electronic cigarettes with advertisement exposure and social determinants: a cross sectional study. Tob Induc Dis. 2017;15:13.
Alduraywish SA, Aldakheel FM, Alsuhaibani OS, Jabaan ADB, Alballa RS, Alrashed AW, et al. Knowledge and Attitude toward E-Cigarettes among First Year University Students in Riyadh, Saudi Arabia. Healthcare. 2023;11(4):502.
Martínez-Sánchez JM, Fu M, Martín-Sánchez JC, Ballbè M, Saltó E, Fernández E. Perception of electronic cigarettes in the general population: does their usefulness outweigh their risks? BMJ Open. 2015;5(11):e009218.
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