Paramashanti Bunga A, Kurniasih Dea Anita Ariani, Nugraheni Wahyu Pudji, Faisal Debri Rizki, Puspita Tities, Rachmat Basuki
Research Center for Public Health and Nutrition, National Research and Innovation Agency (BRIN), Jakarta, Indonesia.
WHO South East Asia J Public Health. 2025 Jan 1;14(1):25-31. doi: 10.4103/WHO-SEAJPH.WHO-SEAJPH_34_25. Epub 2025 Jul 31.
Tobacco smoking remains a significant global public health issue, with electronic cigarette (e-cigarette) use surging in both high- and low-income countries.
This study aimed to examine the determinants of e-cigarette use among Indonesian adults.
We analyzed Indonesia's 2021 Global Adult Tobacco Survey (GATS). We included a total of 4392 adults aged > 15 years selected through a multistage clustered sampling design. To investigate the association between covariates (age, sex, education, occupation, household wealth, place of residence, smoking status, knowledge, and advertisement) and e-cigarette use, we used multiple logistic regression analysis adjusted for the complex survey.
The weighted prevalence of e-cigarette use was 5.4%. The use of e-cigarettes was associated with adults aged 25-44 years (adjusted odds ratio [AOR] = 0.41, 95% confidence interval (CI) = 0.26; 0.63) and 45 years or older (AOR = 0.12, 95% CI = 0.06; 0.23), being in the richest household (AOR = 2.57, 95% CI = 1.27; 5.10), history of quitting smoking (AOR = 7.01, 95% CI = 2.15; 22.8), current smoking status (AOR = 20.49, 95% CI = 5.99; 70.10), perception that e-cigarette causes serious illness (AOR = 0.60, 95% CI = 0.41; 0.88), and exposure to electronic cigarette advertisement from the Internet (AOR = 1.67, 95% CI = 1.09; 2.57).
Various factors influence the use of e-cigarettes. There is an urgent need for comprehensive tobacco control and prevention efforts, particularly among those at a higher risk of using e-cigarettes. Social behavior change communications and strict policies on e-cigarette marketing and advertising are the keys to reducing e-cigarette use.
吸烟仍然是一个重大的全球公共卫生问题，在高收入和低收入国家，电子烟的使用都在激增。
本研究旨在调查印度尼西亚成年人使用电子烟的决定因素。
我们分析了印度尼西亚2021年全球成人烟草调查（GATS）。我们通过多阶段整群抽样设计共纳入了4392名年龄大于15岁的成年人。为了调查协变量（年龄、性别、教育程度、职业、家庭财富、居住地点、吸烟状况、知识和广告）与电子烟使用之间的关联，我们使用了针对复杂调查进行调整的多重逻辑回归分析。
电子烟使用的加权患病率为5.4%。电子烟的使用与25至44岁的成年人（调整后的优势比[AOR]=0.41，95%置信区间[CI]=0.26；0.63）以及45岁及以上的成年人（AOR=0.12，95%CI=0.06；0.23）、最富有的家庭（AOR=2.57，95%CI=1.27；5.10）、戒烟史（AOR=7.01，95%CI=2.15；22.8）、当前吸烟状况（AOR=20.49，95%CI=5.99；70.10）、认为电子烟会导致严重疾病（AOR=0.60，95%CI=0.41；0.88）以及接触来自互联网的电子烟广告（AOR=1.67，95%CI=1.09；2.57）有关。
多种因素影响电子烟的使用。迫切需要开展全面的烟草控制和预防工作，特别是在那些使用电子烟风险较高的人群中。社会行为改变宣传以及对电子烟营销和广告的严格政策是减少电子烟使用的关键。
