Hartono Ronald, Yan Chaofang, Chen Ying, Ma Boting, Deng Yaqi, Sun Yijia, Li Pan, Dao Yuye, Deng Rui
Kunming Medical University, Kunming, China.
Tob Induc Dis. 2024 Jul 16;22. doi: 10.18332/tid/190636. eCollection 2024.
The health risks associated with e-cigarettes are currently the focus of tobacco control efforts and public health initiatives. Given that China and Indonesia have the highest rates of adult smoking worldwide, it is imperative to gain a comprehensive understanding of e-cigarette prevalence among college students in these two nations.
From May to June 2023, a cross-sectional study was employed to conduct an online questionnaire survey among college students in three universities located in Kunming (China) and Jakarta (Indonesia), respectively. The chi-squared test was utilized to compare the rates/ratios, while binary logistic regression analysis was applied to examine the factors influencing e-cigarette knowledge, attitude, and practice.
A total of 1327 individuals were included in the investigation. The proportion of Indonesian students (75.6%) with a high level of e-cigarette knowledge was lower than that observed among Chinese students (87.4%) (χ=29.7, p<0.001). Additionally, the prevalence of e-cigarette use among Indonesian students (9.4%) was higher compared to their Chinese counterparts (3.0%) (χ=22.32, p<0.001). Binary logistic regression analysis revealed that age, place of residence, studies, gender, and e-cigarette use by friends and family, significantly influenced knowledge levels and attitudes toward e-cigarettes in both countries (p<0.05).
Despite the positive knowledge, attitudes, and practices towards e-cigarettes among undergraduate students in both countries, a notable knowledge gap exists concerning the harmful effects of e-cigarettes. Chinese students had better e-cigarette knowledge and demonstrated lower usage rates, suggesting that heightened awareness plays a favorable role in preventing e-cigarette use. Furthermore, it becomes imperative for policymakers and health educators to focus on specific factors, such as the influence of close friends and family members, as well as the area of residence.
与电子烟相关的健康风险目前是烟草控制工作和公共卫生倡议的重点。鉴于中国和印度尼西亚是全球成年人吸烟率最高的两个国家，全面了解这两个国家大学生中的电子烟流行情况势在必行。
2023年5月至6月，采用横断面研究方法，分别对位于中国昆明和印度尼西亚雅加达的三所大学的大学生进行在线问卷调查。使用卡方检验比较率/比例，同时应用二元逻辑回归分析来检验影响电子烟知识、态度和行为的因素。
共有1327人纳入调查。印度尼西亚学生中电子烟知识水平较高的比例（75.6%）低于中国学生（87.4%）（χ=29.7，p<0.001）。此外，印度尼西亚学生中电子烟的使用率（9.4%）高于中国学生（3.0%）（χ=22.32，p<0.001）。二元逻辑回归分析显示，年龄、居住地、学业、性别以及朋友和家人使用电子烟的情况，在两个国家均显著影响对电子烟的知识水平和态度（p<0.05）。
尽管两国本科生对电子烟有积极的知识、态度和行为，但在电子烟的有害影响方面仍存在显著的知识差距。中国学生对电子烟的了解更好，使用率更低，这表明提高认识对预防电子烟使用起到了积极作用。此外，政策制定者和健康教育工作者必须关注特定因素，如亲密朋友和家庭成员的影响以及居住地区。
