Tan Xiaoyu, Mai Jianrong, Lin Lina, Zhou Ling, Huang Tingfen
Guangzhou Xinhua University, Guangzhou, China.
Tob Induc Dis. 2024 May 29;22. doi: 10.18332/tid/187836. eCollection 2024.
In recent years, e-cigarettes as an emerging tobacco product have been favored by college students. Our study aims to explore the factors affecting the use of e-cigarettes among college students and to put forward feasible suggestions for effectively controlling the use of e-cigarettes among college students.
The participating students were from three undergraduate and three specialized colleges in Guangdong Province, surveyed from January to March 2022. The Fuzzy-set Qualitative Comparative Analysis (fsQCA) method was used to analyze the influence mechanism and path of five antecedents: self-efficacy, social environment, cognition, sales environment, and negative outcome expectation, on the use of e-cigarettes. The fsQCA used in this study is a novel research methodology that combines the strengths of qualitative and quantitative analyses, through which we can determine which conditions are essential to the outcomes that lead to e-cigarette use among college students, and which combinations of conditions are more important than others.
The interaction of self-efficacy, social environment, cognition, sales environment, and negative outcome expectation, affected college students' use of e-cigarettes. Through the fsQCA method, it was found that self-efficacy alone constitutes a necessary condition for college students not to use e-cigarettes. There are four possible pathways for college students not to use e-cigarettes, with higher self-efficacy, correct cognition, and a healthy social environment influencing the most important combination of conditions for college students to use e-cigarettes.
The use of e-cigarettes by students in Guangdong Province is the result of the synergistic effect of multiple factors. Tobacco control action suggestions focus on improving students' self-efficacy and paying attention to the combination of different factors to achieve more effective tobacco control.
近年来，电子烟作为一种新兴烟草制品受到大学生青睐。本研究旨在探究影响大学生使用电子烟的因素，并为有效控制大学生使用电子烟提出可行建议。
参与研究的学生来自广东省三所本科院校和三所专科院校，于2022年1月至3月进行调查。采用模糊集定性比较分析（fsQCA）方法分析自我效能感、社会环境、认知、销售环境和负面结果预期这五个前因对大学生使用电子烟的影响机制和路径。本研究中使用的fsQCA是一种新颖的研究方法，它结合了定性和定量分析的优势，通过该方法我们可以确定哪些条件对于导致大学生使用电子烟的结果至关重要，以及哪些条件组合比其他组合更重要。
自我效能感、社会环境、认知、销售环境和负面结果预期的相互作用影响了大学生对电子烟的使用。通过fsQCA方法发现，仅自我效能感构成大学生不使用电子烟的必要条件。大学生不使用电子烟有四种可能途径，较高的自我效能感、正确的认知和健康的社会环境对大学生使用电子烟的最重要条件组合有影响。
广东省学生使用电子烟是多种因素协同作用的结果。控烟行动建议侧重于提高学生的自我效能感，并关注不同因素的组合以实现更有效的控烟。
