The prevalence and predictors of vaping quit attempt among electronic cigarette users: findings from provincial version of Global Adult Tobacco Survey 2020 in Vietnam

Abstract Background Electronic cigarette (e-cigarette) quit attempts among users have been a topic of increasing focus in high-income countries, but limited research exists in low- and middle-income countries (LMICs). This study aimed to determine the prevalence of e-cigarette quit attempts and inve...

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Main Authors: Thi Phuong Thao Tran, Thi Thanh Nguyen, Thi Ngoc Phuong Nguyen, Thi Tuyet Hanh Tran, Van Can Phan, Ngoc Khue Luong, Thi Hai Phan, Tu Anh Duong, Van Minh Hoang, Scott R. Weaver
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-22642-2
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Summary:Abstract Background Electronic cigarette (e-cigarette) quit attempts among users have been a topic of increasing focus in high-income countries, but limited research exists in low- and middle-income countries (LMICs). This study aimed to determine the prevalence of e-cigarette quit attempts and investigate associated factors among e-cigarette users in a sample of 34 provinces in Vietnam. Methods A country-specific provincial version of the Global Adult Tobacco Survey was conducted in 34 provinces of Vietnam in 2020 (n = 80,166). Among 557 current e-cigarette users (288 exclusive users and 269 dual users of e-cigarettes and conventional cigarettes) aged 15 years and above, sociodemographic characteristics, smoking-related variables, reasons for e-cigarette use, and motivations to quit e-cigarettes were assessed. Logistic regression models were employed to analyze the relationships between these factors and e-cigarette quit attempts. Results Among e-cigarette users, 46.1% had made a quit attempt within the past 12 months, with 50.0% among exclusive users and 41.8% among dual users of e-cigarettes and combustible cigarettes. Perceiving e-cigarette use as more harmful than smoking cigarettes was associated with a higher likelihood of making an e-cigarette cessation attempt. Notably, smokers who had previously been unsuccessful in quitting cigarette smoking using e-cigarettes had a higher likelihood of quitting e-cigarettes. Conversely, using e-cigarettes as an alternative tobacco product when unable to smoke cigarettes was associated with a lower likelihood of attempting to quit e-cigarettes. The most common reasons for wanting to quit e-cigarettes included perceiving e-cigarettes as more harmful than combustible cigarettes, their cost, and friends’ or family members’ disapproval of e-cigarettes. Conclusion This study provides novel information on the prevalence and factors associated with e-cigarette quit attempts among e-cigarette users in Vietnam. The findings highlight the importance of harm perception, cost, and social influence in motivating individuals to quit e-cigarettes.
ISSN:1471-2458