Indian Journal of Respiratory Care

IJRC Email      Register      Login

VOLUME 12 , ISSUE 4 ( October-December, 2023 ) > List of Articles

Original Article

E-cigarette Perception and Intended Behavior among Medical Students, Egypt

Hala M Elsabagh, Amira AR Moawad, Salwa A Atlam

Keywords : Awareness, Education, Interpretation, Pollutants, Respiratory health

Citation Information : Elsabagh HM, Moawad AA, Atlam SA. E-cigarette Perception and Intended Behavior among Medical Students, Egypt. Indian J Respir Care 2023; 12 (4):330-338.

DOI: 10.5005/jp-journals-11010-1082

License: CC BY-NC-SA 4.0

Published Online: 18-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Objectives: Electronic cigarettes (E-cigarettes) are relatively new devices developed for decreasing tobacco craving and reducing harm when they replace regular cigarettes. They are cheaper than ordinary cigarettes and have an enhanced taste and smell, so many individuals try to use them instead of ordinary cigarettes. Population knowledge and attitudes toward its benefits and harms have become a subject of research interest. The aim of this study is to explore the medical students’ beliefs, attitudes, and intended behavior about E-cigarettes at Tanta University, Egypt. Methods: A cross-sectional questionnaire-based study among medical students at Tanta University, Egypt, during March 2022 included 814 students. Results: About 66.8% of participants were male, with mean age 21.88 ± 1.59. About 17.4% were smokers, 74% were nonsmokers, and 8.6% were ex-smokers. About 78.6% of participants had heard about E-cigarettes. Media was the main source of knowledge in 57.9%. Two-thirds of them were interested in learning more about E-cigarette. Only 29.9% of students had moderate to high knowledge about electronic smoking (E-smoking). About 64.8% agreed that E-cigarettes may lead to conventional smoking. About 63.0% of the students agreed that it needs regulation at work and public places. While 57.6% consider it safer than regular cigarette, it is significantly higher in males and younger age <25 years. As a smoking cessation tool, 53.7% recommend it, especially female and younger age group. Older students aged ≥25 years had significantly higher negative attitude toward E-smoking (p = 0.001). Female and older students ≥25 years reported that they were extremely likely to counsel patients or their family members about E-cigarettes. Conclusion: Student knowledge about E-cigarette is still poor, and media ads are the main source of knowledge. Older students had a significantly higher negative attitude. It is important to increase awareness levels about E-cigarette, especially among school students and adolescents.


HTML PDF Share
  1. Ramo DE, Young-Wolff KC, Prochaska JJ. Prevalence and correlates of electronic-cigarette use in young adults: findings from three studies over five years. Addict Behav 2015;41:142–147. DOI: 10.1016/j.addbeh.2014.10.019
  2. Mohd Yusoff MF, Guat Hiong HT, Singh S, et al. Report of the global adult tobacco survey (GATS). Institute for Public Health (IPH). 2011;204.
  3. Brown J, Beard E, Kotz D, et al. Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross-sectional population study. Addiction 2014;109(9):1531–1540. DOI: 10.1111/add.12623
  4. Benowitz NL. Nicotine addiction. N Engl J Med 2010;362(24):2295–2303. DOI: 10.1056/NEJMra0809890
  5. Ma BH, Yong HH, Borland R, et al. Factors associated with future intentions to use personal vaporisers among those with some experience of vaping. Drug Alcohol Rev 2018;37(2):216–225. DOI: 10.1111/dar.12574
  6. El Dib R, Suzumura EA, Akl EA, et al. Electronic nicotine delivery systems and/or electronic non-nicotine delivery systems for tobacco smoking cessation or reduction: a systematic review and meta-analysis. BMJ Open 2017;7(2):e012680. DOI: 10.1136/bmjopen-2016-012680
  7. CDC, Centers for Disease Control and Prevention. E-cigarettes: Basic information. Accessed July 25, 2022; Available at: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm.
  8. Ayers JW, Leas EC, Allem JP, et al. Why do people use electronic nicotine delivery systems (electronic cigarettes)? A content analysis of Twitter, 2012-2015. PloS One 2017;12(3):e0170702. DOI: 10.1371/journal.pone.0170702
  9. Kalkhoran S, Glantz SA. E-cigarettes and smoking cessation in real-world and clinical settings: a systematic review and meta-analysis. Lancet Respir Med 2016;4(2):116–128. DOI: 10.1016/S2213-2600(15)00521-4
  10. Staudt MR, Salit J, Kaner RJ, et al. Altered lung biology of healthy never smokers following acute inhalation of E-cigarettes. Respir Res 2018;19(1):78. DOI: 10.1186/s12931-018-0778-z
  11. Rohsenow DJ, Tidey JW, Martin RA, et al. Effects of six weeks of electronic cigarette use on smoking rate, CO, cigarette dependence, and motivation to quit smoking: a pilot study. Addict Behav 2018;80:65–70. DOI: 10.1016/j.addbeh.2018.01.012
  12. Abo-Elkheir OI, Sobh E. Knowledge about electronic cigarettes and its perception: a community survey, Egypt. Respir Res 2016;17(1):58. DOI: 10.1186/s12931-016-0365-0
  13. Kabbash IAF, Awad AE, Farghly AA, et al. The era of electronic smoking: perceptions and use of E-Cigarettes among university students, Egypt. Int J Health Promot Educ 2022;17:1–3. DOI: 10.1080/14635240.2022.2052146
  14. Karbouji MA, Abduldaem AM, Allogmani AM, et al. Awareness and attitude toward smoking e-cigarettes (Vape) among smokers in Saudi Arabia 2017. Egypt J Hosp Med 2018;70(8):1346–1351. DOI: 10.12816/0044646
  15. Aghar H, El-Khoury N, Reda M, et al. Knowledge and attitudes towards E-cigarette use in Lebanon and their associated factors. BMC Public Health 2020;20(1):278. DOI: 10.1186/s12889-020-8381-x
  16. Alzahrani SH, Alghamdi RA, Almutairi AM, et al. Knowledge and attitudes among medical students toward the clinical usage of e-cigarettes: a cross-sectional study in a university hospital in Saudi Arabia. Risk Manag Healthc Policy 2021;14:1969–1984. DOI: 10.2147/RMHP.S302309
  17. Shin DW, Kim YI, Kim SJ, et al. Lung cancer specialist physicians’ attitudes towards e-cigarettes: a nationwide survey. PLoS One 2017;12(2):e0172568. DOI: 10.1371/journal.pone.0172568
  18. Alzalabani AA, Eltaher SM. Perceptions and reasons of E-cigarette use among medical students: an internet-based survey. J Egypt Public Health Assoc 2020;95(1):21. DOI: 10.1186/s42506-020-00051-0
  19. Wang W, Lu M, Cai Y, et al. Awareness and use of e-cigarettes among university students in Shanghai, China. Tob Induc Dis 2020;18:76. DOI: 10.18332/tid/125748
  20. Katz SJ, Erkinnen M, Lindgren B, et al. Beliefs about e-cigarettes: a focus group study with college students. Am J Health Behav 2019;43(1):76–87. DOI: 10.5993/AJHB.43.1.7
  21. Puteh SEW, Manap RA, Hassan TM, et al. The use of e-cigarettes among university students in Malaysia. Tobacco induced diseases. 2018;16:57. DOI: 10.18332/tid/99539
  22. Carroll Chapman SL, Wu LT. E-cigarette prevalence and correlates of use among adolescents versus adults: a review and comparison. J Psychiatr Res 2014;54:43–54. DOI: 10.1016/j.jpsychires.2014.03.005
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.