Wipfli Heather, Bhuiyan Mahfuzur Rahman, Qin Xuezheng, Gainullina Yuliya, Palaganas Erlinda, Jimba Masamine, Saito Junko, Ernstrom Karin, Raman Rema, Withers Mellissa
University of Southern California, Keck School of Medicine, 2001 N Soto Street, Los Angeles, CA 90032, USA.
Organization for Human Development Initiatives through Research (OHDIR) Foundation, 403 East Kafrul, Dhaka Cantonment, Dhaka 1206, Bangladesh.
Addict Behav. 2020 Aug;107:106420. doi: 10.1016/j.addbeh.2020.106420. Epub 2020 Mar 28.
The Asia-Pacific is home to 30% of the world's smokers. Additional efforts are needed to reduce negative health impacts of tobacco, including e-cigarettes. The study objectives were to 1. Investigate Asian-Pacific students' knowledge, attitudes, and use of tobacco products; 2. Determine the level of student support for tobacco control policies; and 3. Examine differences in students' attitudes by the strength of national tobacco control policies based on implementation of WHO's MPOWER package, and e-cigarette regulation in their countries.
A total of 1953 students from members of the Association of Pacific Rim Universities in 13 countries completed the online survey. We compared the results by the Fisher-Freeman-Halton test.
While about 83% of students had heard of e-cigarettes; only 14.1% had tried them. Students in countries with e-cigarette bans were the least likely to report having experimented with e-cigarettes (8.1%). While the vast majority of students (87.9%) reported having seen health campaigns targeting combustible cigarettes, far fewer (42.5%) had seen any health campaigns targeting e-cigarettes. About 80% of students supported smoke-free campuses, with the most support coming from those in countries with the weakest adoption of MPOWER policies (88.7%) and no e-cigarette regulations (80.4%). Students in countries with the weakest MPOWER policies were also the most likely to support campus bans and government regulation of e-cigarettes.
The adoption of tobacco control polices by government may have an impact on e-cigarette smoking behavior among students, and student support for tobacco control, including noncombustible products, is high. Universities should take action by adopting comprehensive tobacco control measures that include e-cigarette regulations.
亚太地区拥有全球30%的吸烟者。需要做出更多努力来减少烟草（包括电子烟）对健康的负面影响。本研究的目标是：1. 调查亚太地区学生对烟草制品的知识、态度及使用情况；2. 确定学生对烟草控制政策的支持程度；3. 根据世界卫生组织的MPOWER控烟措施实施情况以及各国的电子烟监管情况，研究各国烟草控制政策力度不同时学生态度的差异。
来自13个国家环太平洋大学协会成员的1953名学生完成了在线调查。我们通过费舍尔 - 弗里曼 - 哈尔顿检验比较结果。
虽然约83%的学生听说过电子烟，但只有14.1%的学生尝试过。在有电子烟禁令的国家，学生报告尝试过电子烟的可能性最小（8.1%）。虽然绝大多数学生（87.9%）表示看过针对传统香烟的健康宣传活动，但看过针对电子烟的健康宣传活动的学生要少得多（42.5%）。约80%的学生支持无烟校园，支持率最高的是那些MPOWER政策实施力度最弱的国家的学生（88.7%）以及没有电子烟监管的国家的学生（80.4%）。MPOWER政策实施力度最弱的国家的学生也最有可能支持校园禁令和政府对电子烟的监管。
政府采取的烟草控制政策可能会对学生的电子烟吸烟行为产生影响，并且学生对包括非传统烟草制品在内的烟草控制的支持度很高。大学应采取行动，通过采取包括电子烟监管在内的全面烟草控制措施。
