ArticleTobacco induced diseases2026
E-cigarette use among female Chinese Indonesian college students in China: A qualitative interpretive phenomenological analysis from an acculturation perspective.
Article in Tobacco induced diseases, 2026. 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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Abstract
introductionInternational students navigate health behaviors across different cultural and regulatory environments, yet their e-cigarette use remains understudied. This qualitative study explores e-cigarette use among female Chinese Indonesian college students in China, examining how acculturation experiences and gendered social norms shape vaping behaviors.
methodsThis qualitative study was conducted at a university in Fujian Province, China, in October 2024, employing Interpretive Phenomenological Analysis (IPA). Three female Chinese Indonesian college students (aged 18-21 years) were purposively selected from a larger survey (n=45) based on Indonesian nationality with Chinese ancestry, female gender, current e-cigarette use, and willingness to participate. Semi-structured interviews were supplemented by questionnaire data assessing acculturation difficulties, psychological well-being (CES-D-10), and social support. Analysis followed Smith's IPA procedures with Berry's acculturation framework as an interpretive lens.
resultsFour main themes emerged: 1) Social initiation and peer-embedded use - initiated through peer influence in Indonesian high schools and maintained within co-national networks in China; 2) Acculturation stressors without stress-coping use - participants described e-cigarette use as unrelated to academic pressure, language barriers, and loneliness; 3) Navigating gendered social norms - China was perceived as more permissive, with use concealed from families; and 4) Habituated practice and flavor preferences - use was framed as habit, with fruit flavor preferences driving cross-border sourcing.
conclusionsE-cigarette use among these students appears to be shaped by peer socialization and habit formation rather than acculturative stress; future longitudinal, multi-site studies with larger samples are needed to examine these patterns among broader international student populations.
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