ArticleTobacco induced diseases2026
Sources of electronic cigarette acquisition among school-going adolescents: A cross-sectional analysis of the 2022 National Health and Morbidity Survey - Adolescent Health Survey, Malaysia.
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
introductionThe prevalence of youth e-cigarette use has risen markedly, while traditional cigarette smoking rates have declined in recent years. Restricting access to electronic cigarettes (ECs) is regarded as a potential strategy to reduce their use among adolescents. However, there is a paucity of data on the methods by which Malaysian adolescents acquire e-cigarettes. This study seeks to identify the sources through which secondary school students in Malaysia obtain EC.
methodsData from the 2022 National Health and Morbidity Survey - Adolescent Health Survey, Malaysia, were analyzed. The survey employed a cross-sectional design and multi-stage sampling to obtain a representative sample of secondary school-going adolescents in Malaysia. The analysis included 4609 students who reported e-cigarette use in the past 30 days. Factors related to access and acquisition locations were examined using multivariable logistic regression and chi-squared tests.
resultsAmong electronic cigarette (EC) users, 60.4% obtained ECs from commercial sources. Nearly 40% (39.6%) reported acquiring e-cigarettes from friends, while 36.8% purchased them from vape shops. Older age (16-17 years) (AOR=1.52; 95% CI: 1.08-2.14), male gender (AOR=1.72; 95% CI: 1.19-2.49), frequent smoking behavior (AOR=2.49; 95% CI: 1.76-3.52), and having parents who use e-cigarettes (AOR=1.71; 95% CI: 1.29-2.26) were associated with a higher likelihood of obtaining e-cigarettes from commercial sources.
conclusionsPeer-to-peer sharing was identified as the most prevalent method of e-cigarette acquisition, although a significant proportion of adolescents also purchased these products from commercial outlets. Continued research is necessary to monitor adolescent access to e-cigarettes. Interventions aimed at reducing adolescent e-cigarette use will be more effective if they address the specific sources from which these products are obtained.
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