Knowledge, attitude, and practice of e-cigarette use among undergraduate students: A comparative study between China and Indonesia

Introduction The health risks associated with e-cigarettes are currently the focus of tobacco control efforts and public health initiatives. Given that China and Indonesia have the highest rates of adult smoking worldwide, it is imperative to gain a comprehensive understanding of e-cigarette prevale...

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Main Authors: Ronald Hartono<sup>+<sup>, Chaofang Yan<sup>+<sup>, Ying Chen<sup>+<sup>, Boting Ma, Yaqi Deng, Yijia Sun, Pan Li, Yuye Dao, Rui Deng
Format: Article
Language:English
Published: European Publishing 2024-07-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:https://www.tobaccoinduceddiseases.org/Knowledge-attitude-and-practice-of-e-cigarette-use-among-undergraduate-students-A,190636,0,2.html
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author Ronald Hartono<sup>+<sup>
Chaofang Yan<sup>+<sup>
Ying Chen<sup>+<sup>
Boting Ma
Yaqi Deng
Yijia Sun
Pan Li
Yuye Dao
Rui Deng
author_facet Ronald Hartono<sup>+<sup>
Chaofang Yan<sup>+<sup>
Ying Chen<sup>+<sup>
Boting Ma
Yaqi Deng
Yijia Sun
Pan Li
Yuye Dao
Rui Deng
author_sort Ronald Hartono<sup>+<sup>
collection DOAJ
description Introduction The health risks associated with e-cigarettes are currently the focus of tobacco control efforts and public health initiatives. Given that China and Indonesia have the highest rates of adult smoking worldwide, it is imperative to gain a comprehensive understanding of e-cigarette prevalence among college students in these two nations. Methods From May to June 2023, a cross-sectional study was employed to conduct an online questionnaire survey among college students in three universities located in Kunming (China) and Jakarta (Indonesia), respectively. The chi-squared test was utilized to compare the rates/ratios, while binary logistic regression analysis was applied to examine the factors influencing e-cigarette knowledge, attitude, and practice. Results A total of 1327 individuals were included in the investigation. The proportion of Indonesian students (75.6%) with a high level of e-cigarette knowledge was lower than that observed among Chinese students (87.4%) (χ2=29.7, p<0.001). Additionally, the prevalence of e-cigarette use among Indonesian students (9.4%) was higher compared to their Chinese counterparts (3.0%) (χ2=22.32, p<0.001). Binary logistic regression analysis revealed that age, place of residence, studies, gender, and e-cigarette use by friends and family, significantly influenced knowledge levels and attitudes toward e-cigarettes in both countries (p<0.05). Conclusions Despite the positive knowledge, attitudes, and practices towards e-cigarettes among undergraduate students in both countries, a notable knowledge gap exists concerning the harmful effects of e-cigarettes. Chinese students had better e-cigarette knowledge and demonstrated lower usage rates, suggesting that heightened awareness plays a favorable role in preventing e-cigarette use. Furthermore, it becomes imperative for policymakers and health educators to focus on specific factors, such as the influence of close friends and family members, as well as the area of residence.
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institution Kabale University
issn 1617-9625
language English
publishDate 2024-07-01
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series Tobacco Induced Diseases
spelling doaj-art-5f4028029a744f32bc890dfcfc5360602025-01-24T15:27:00ZengEuropean PublishingTobacco Induced Diseases1617-96252024-07-0122July11210.18332/tid/190636190636Knowledge, attitude, and practice of e-cigarette use among undergraduate students: A comparative study between China and IndonesiaRonald Hartono<sup>+<sup>0https://orcid.org/0009-0009-1113-1798Chaofang Yan<sup>+<sup>1Ying Chen<sup>+<sup>2Boting Ma3Yaqi Deng4Yijia Sun5Pan Li6Yuye Dao7Rui Deng8Kunming Medical University, Kunming, ChinaKunming Medical University, Kunming, ChinaKunming Medical University, Kunming, ChinaKunming Medical University, Kunming, ChinaKunming Medical University, Kunming, ChinaKunming Medical University, Kunming, ChinaKunming Medical University, Kunming, ChinaKunming Medical University, Kunming, ChinaKunming Medical University, Kunming, ChinaIntroduction The health risks associated with e-cigarettes are currently the focus of tobacco control efforts and public health initiatives. Given that China and Indonesia have the highest rates of adult smoking worldwide, it is imperative to gain a comprehensive understanding of e-cigarette prevalence among college students in these two nations. Methods From May to June 2023, a cross-sectional study was employed to conduct an online questionnaire survey among college students in three universities located in Kunming (China) and Jakarta (Indonesia), respectively. The chi-squared test was utilized to compare the rates/ratios, while binary logistic regression analysis was applied to examine the factors influencing e-cigarette knowledge, attitude, and practice. Results A total of 1327 individuals were included in the investigation. The proportion of Indonesian students (75.6%) with a high level of e-cigarette knowledge was lower than that observed among Chinese students (87.4%) (χ2=29.7, p<0.001). Additionally, the prevalence of e-cigarette use among Indonesian students (9.4%) was higher compared to their Chinese counterparts (3.0%) (χ2=22.32, p<0.001). Binary logistic regression analysis revealed that age, place of residence, studies, gender, and e-cigarette use by friends and family, significantly influenced knowledge levels and attitudes toward e-cigarettes in both countries (p<0.05). Conclusions Despite the positive knowledge, attitudes, and practices towards e-cigarettes among undergraduate students in both countries, a notable knowledge gap exists concerning the harmful effects of e-cigarettes. Chinese students had better e-cigarette knowledge and demonstrated lower usage rates, suggesting that heightened awareness plays a favorable role in preventing e-cigarette use. Furthermore, it becomes imperative for policymakers and health educators to focus on specific factors, such as the influence of close friends and family members, as well as the area of residence.https://www.tobaccoinduceddiseases.org/Knowledge-attitude-and-practice-of-e-cigarette-use-among-undergraduate-students-A,190636,0,2.htmlknowledgeattitudepracticee-cigaretteschinaindonesia
spellingShingle Ronald Hartono<sup>+<sup>
Chaofang Yan<sup>+<sup>
Ying Chen<sup>+<sup>
Boting Ma
Yaqi Deng
Yijia Sun
Pan Li
Yuye Dao
Rui Deng
Knowledge, attitude, and practice of e-cigarette use among undergraduate students: A comparative study between China and Indonesia
Tobacco Induced Diseases
knowledge
attitude
practice
e-cigarettes
china
indonesia
title Knowledge, attitude, and practice of e-cigarette use among undergraduate students: A comparative study between China and Indonesia
title_full Knowledge, attitude, and practice of e-cigarette use among undergraduate students: A comparative study between China and Indonesia
title_fullStr Knowledge, attitude, and practice of e-cigarette use among undergraduate students: A comparative study between China and Indonesia
title_full_unstemmed Knowledge, attitude, and practice of e-cigarette use among undergraduate students: A comparative study between China and Indonesia
title_short Knowledge, attitude, and practice of e-cigarette use among undergraduate students: A comparative study between China and Indonesia
title_sort knowledge attitude and practice of e cigarette use among undergraduate students a comparative study between china and indonesia
topic knowledge
attitude
practice
e-cigarettes
china
indonesia
url https://www.tobaccoinduceddiseases.org/Knowledge-attitude-and-practice-of-e-cigarette-use-among-undergraduate-students-A,190636,0,2.html
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