Observational studyJournal of primary care & community health
Attitude and Environmental Factors Associated With Successful E-Cigarette Quitting Among Secondary School Students: A Cross-Sectional Observational Study.
Observational study in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
11 authors.
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Abstract
introductionE-cigarette use has become increasingly prevalent among adolescents and young adults.
objectiveThis study aimed to identify determinants associated with successful e-cigarette cessation among secondary school students.
settingStudy was conducted at the secondary schools in northern Thailand.
methodsA cross-sectional study was conducted among 277 secondary school students in Thailand, aged 12 to 25 years. Participants completed a self-administered electronic questionnaire assessing sociodemographic characteristics, academic performance, age of initiation, exposure to e-cigarette use in the environment (defined as having 1 or more e-cigarette users among family, relatives, or friends), perceived risks, and attitudes toward e-cigarettes (the higher score indicates risky attitudes toward e-cigarettes). The outcome was successful cessation, defined as being a former e-cigarette user (no use in the past 12 months among ever-users). Multiple logistic regression analyses were used to explore the factors associated with successful e-cigarette quitting. The gender subgroup analysis was performed.
resultsOf 277 participants, 114 (41.2%) were former users and 163 (58.8%) were current users. The absence of e-cigarette users in the environment (aOR 0.38, 95% CI 0.22-0.67,
conclusionSuccessful cessation among secondary school students was strongly associated with less risky attitudes toward e-cigarettes and the absence of e-cigarette users in the peer and family environment. Interventions should target both individual attitude and environmental factors to improve quit rates. Therefore, interventions should focus on correcting attitudes regarding the social image, stress relief, and socialization aspects of e-cigarettes, while simultaneously engaging families and peers to create a vape-free environment.
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