Phetphum Chakkraphan, Prajongjeep Atchara, Thawatchaijareonying Kanyarat, Wongwuttiyan Thanchanok, Wongjamnong Mintra, Yossuwan Somreuthai, Surapon Dueanchai
Department of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand.
Tobacco Control Research Unit, Naresuan University, Phitsanulok, Thailand.
Tob Induc Dis. 2021 Apr 22;19:31. doi: 10.18332/tid/133640. eCollection 2021.
Although Thailand has banned the import of electronic cigarettes (e-cigarettes) into the kingdom, a range of evidence has revealed the widespread use of these illegal products, especially among university students. Too little is known about personal and perceptual factors for such behavior. This study aimed to investigate the prevalence and factors associated with the use of e-cigarettes among university students in Northern Thailand.
A cross-sectional study was conducted with 792 university students in Northern Thailand between June and July 2020. An anonymous, self-administered questionnaire was implemented to collect relevant information. Bivariate and multivariate logistic regression analyses were applied to identify factors associated with the use of e-cigarettes in the last 30 days.
The study revealed that 18.1% of the participants used e-cigarettes in the past 30 days. The personal factors associated with e-cigarette use among Thai university students included: studying in non-health related faculties (AOR=11.21; 95% CI: 4.88-25.71); having a friend using e-cigarettes (AOR=10.48; 95% CI: 5.96-18.41); having a lower GPA than the mean (AOR=1.93; 95% CI: 1.14- 3.28); and having a monthly income higher than the mean (AOR=1.74; 95% CI: 1.09-2.78). Regarding perceptual factors, there was a significant link between e-cigarette use and the perception that these modern cigarettes are less harmful than conventional cigarettes (AOR=2.47; 95% CI: 1.50-4.07), and perception that using e-cigarettes in public is not illegal (AOR=1.93; 95% CI: 1.19-3.15).
E-cigarette use is widespread among Thai university students. Maintaining the enforcement policy on banning the importation of e-cigarettes into the country is thus needed. Also, further communication and public relations on the risks and legal prohibitions of e-cigarette use are needed among university students in the Northern Thailand.
尽管泰国已禁止将电子烟进口到该国，但一系列证据显示这些非法产品仍广泛使用，尤其是在大学生中。对于此类行为的个人因素和认知因素，人们了解得太少。本研究旨在调查泰国北部大学生中电子烟的使用 prevalence 及其相关因素。
于2020年6月至7月对泰国北部的792名大学生进行了一项横断面研究。采用匿名的自填问卷收集相关信息。应用二元和多元逻辑回归分析来确定过去30天内与电子烟使用相关的因素。
研究显示，18.1%的参与者在过去30天内使用过电子烟。泰国大学生中与电子烟使用相关的个人因素包括：在非健康相关专业学习（比值比[AOR]=11.21；95%置信区间[CI]：4.88-25.71）；有朋友使用电子烟（AOR=10.48；95%CI：5.96-18.41）；平均绩点低于平均水平（AOR=1.93；95%CI：1.14-3.28）；月收入高于平均水平（AOR=1.74；95%CI：1.09-2.78）。关于认知因素，电子烟使用与认为这些现代香烟比传统香烟危害小的认知之间存在显著关联（AOR=2.47；95%CI：[1.50-4.07]），以及与认为在公共场所使用电子烟不违法的认知之间存在显著关联（AOR=1.93；95%CI：1.19-3.15）。
电子烟在泰国大学生中广泛使用。因此，需要维持禁止电子烟进口到该国的执法政策。此外，泰国北部的大学生需要进一步了解电子烟使用的风险和法律禁令方面的沟通和公共关系。 （注：“prevalence”在医学研究中常译为“患病率”“流行率”等，这里根据语境灵活处理为“情况”，使译文更通顺，但严格来说应根据具体医学概念确定准确译法）
