Electronic Cigarette Smoking and Perception among Youth: Cigarette Smoking

ABSTRACT

Objective: To assess the electronic cigarettes smoking and perception among youth.

Methods: A cross sectional study was conducted among students of Punjab University, Lahore. Data was collected using internet survey from convenient sample of 290 students. Information was collected about demographic characteristics and student’s perception about E-cigarette smoking. SPSS 23.0 was used for data entry and analysis.

Results: In this study a total of 290 students from University of Punjab, participated in this study. The most of the sample comprised of male students (60%) aged between 18 to 22 years (61%), and belong to urban areas (70%). A large number of students (45%) were regular smokers and an overwhelming number of students (18%) were e-cigarette smokers. The main source of learning e-cigarette was friends (65%). Most students (71%) start e-cigarette smoking at the age of adolescence. Above half of the students (52.4%) think that people start e-cigarette smoking for fun. The study shows that e-cigarette smokers got average marks in examination (54%). The perception of respondents were that the majority (58.3%) used e-cigarette makes people cool. The (89.3%) people know the major risk factor is cancer due to smoking. The respondents (39%) were agreed that e-cigarette smoking is harmful than regular smoking. Extremely (93%) students does not want him life partner as a smoker.

Conclusions: A considerable students were regular cigarette smokers and e-cigarette smokers. The perception of respondents were that the majority used e-cigarette makes people cool and starts e-cigarette smoking for fun. Awareness program should be arranged on regular basis to raise awareness regarding health and social harm effects of e-cigarette smoking at university level.

References

Abrams, D.B. (2014). Promise and peril of e-cigarettes: can disruptive technology make cigarettes obsolete? JAMA; 311(2):135–136.. Available from http://dx.doi.org/10.1001/jama.2013.285347. [PubMed: 24399548]

Ahmed, R., Rashid, R., McDonald, P.W., Ahmed, S.W. (2008). Prevalence of cigarette smoking among young adults in Pakistan. (JPMA 58:597).

Alawsi, F., Nour, R., Prabhu, S. (2015). Are e-cigarettes a gateway to smoking or a pathway to quitting? Br Dent J.; 219(3):111–115. Available form http://dx.doi.org/10.1038/sj.bdj.2015.591. [PubMed: 26271862]

Alberg, A.J., Samet, J.M. Epidemiology of Lung Cancer (2003). Chest. ; 123:21S-49S. doi:10.1378/chest.123.1_suppl.21S.

Centers for Disease Control and Prevention. National Center for Health Statistics (2017). CDC WONDER On-Line Database, Compiled from Compressed Mortality File 1999-2016 Series 20 No. 2V.

Electronic cigarette aerosol and liquid from Wikipedia. Available from https://en.wikipedia.org/wiki/Electronic_cigarette_aerosol_and_liquid

Fagerstrom, K., Eissenberg, T. (2012). Dependence on tobacco and nicotine products: a case for productspecific assessment. Nicotine Tob Res.; 14(11):1382–1390. Available from http://dx.doi.org/10.1093/ntr/ nts007. [PubMed: 22459798]

Information about tobacco. Available from https://en.wikipedia.org/wiki/Chewing_tobacco

Iqbal, Khan, Z.A, Anwar, H., Irfan, O., Irfan, B., Mushtaq, A., Bibi, M., Siddiqui, F., Khan, J.A. (2018), studied the Electronic cigarettes use and perception amongst medical students: a cross sectional survey from Sindh, Pakistan. . BMC Res Notes. Available form: https://doi.org/10.1186/s13104-018-3303-z

Brown , J., West, R., Beard, E., Michie, S,. Shahab, L., Ann McNeill, A. (2014) Prevalence and characteristics of e-cigarette users in Great Britain: Findings from a general population survey of smokers. : Addictive Behaviors Volume 39, Issue 6. Available from: https://doi.org/10.1016/j.addbeh.2014.03.009

Jewell, J. (2017). Factors That Influence People to Smoke. Available from https:// livestrong.com

Hughes, K., Bellis, M.A., Hardcastle, K.A, Philip McHale, Bennett, A., Ireland, R. and Pike, K. (2015). Associations between e-cigarette access and smoking and drinking behaviors in teenagers. BMC Public Health 15:244. Available from: https://doi.org/10.1186/s12889-015-1618-4

Levy, D.T., Cummings, K.M., (2016), A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products. Addiction. In press. Available from http://dx.doi.org/10.1111/add.13394.

Palazzolo, D.L., (2013). Electronic Cigarettes and Vaping: A New Challenge in Clinical Medicine and Public Health. A Literature Review. Front Public Health. 1:56. [PubMed: 24350225]. Available from http://dx.doi.org/10.3389/fpubh

Pokhrel, P., Fagan , P., Herzog , T.A., Chen , Q., Muranaka , N., Kehl , L., Unger, J.B.,(2014). E-cigarette advertising exposure and implicit attitudes among young adult non-smokers. : Addictive Behaviors Volume 39, Issue 6.. Available from: https://doi.org/10.1016/j.drugalcdep.2016.04.008

Pokhrel, Pallav, Fagan, Pebbles, Kehl, Lisa, Herzog, Thaddeus A (2015). Studied Receptivity to E-cigarette Marketing, Harm Perceptions, and E-cigarette Use. American Journal of Health Behavior, Volume 39, Number 1, pp. 121-131(11). Available from: https://doi.org/10.5993/AJHB.39.1.13

Rigotti, N.A., Lee, J.E., Wechsler, H., (2015). US college students’ use of tobacco products: Results of a national survey. JAMA. 2000; 284(6): 699705. Accessed. Available from http://jama.jamanetwork.com/article.aspx?articleid=192969&resultclick=1#REFJOC0048825

M.L.Saddleson, L.T.Kozlowski, G.A.Giovino, L.W.Hawk, J.M.Murphy, M.G.MacLeand, M.L.Goniewicz, G.G.Homisha , B.H.Wrotniakg , M.C.Mahoney (2015). Risky behaviors, e-cigarette use and susceptibility of use among college students. Drug and Alcohol Dependence; 149: 2530. Available from http://www.sciencedirect.com/science/article/pii/S0376871615000046#.

Schroeder, M.J., Hoffman, A.C., (2014). Electronic cigarettes and nicotine clinical pharmacology. Tobacco Control ;23:ii30-ii35.

Shaikh, A., Ansari, H.T., Ahmad, Z., Shaikh, M.Y., Khalid, I., Jahangir, M., Majeed, A., Shakeel, N., Ahmed, A., Memon, R.S., Tariq, E., Irfan, R., Madni, D. (2017). Knowledge and Attitude of Teenagers Towards Electronic Cigarettes in Karachi, Pakistan. Cureus. 9(7): e1468. DOI 10.7759/cureus.1468

Stanton, A., Glantz and David, W.B., (2018). E-Cigarettes: Use, Effects on Smoking, Risks, and Policy Implications. Public Health . 39:28.1–28.21.

Trtchounian, A., Williams, M., Talbot, P. (2010). Conventional and electronic cigarettes (ecigarettes) have different smoking characteristics. Nicotine Tob Res.; 12(9):905–912.. Available from http://dx.doi.org/ 10.1093/ntr/ntq114. [PubMed: 20644205]

U.S. National Institute of Health, National Cancer Institute. SEER Cancer Statistics Review, 1975–2015.

U.S. National Institutes of Health. National Cancer Institute. State Cancer Profiles, 2016.

Waters, K., Harris, K., Hall, S., Nazir, N., Waigandt, A. (2015). Characteristics of social smoking among college students. Journal of American College Health. 2006; 55(3): 133139. Available from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2963439/Williams M, Talbot P. Variability among electronic cigarettes in the pressure drop, airflow rate, and aerosol production. Nicotine Tob Res.; 13(12):1276–1283 (2011). Available from http://dx.doi.org/10.1093/ntr/ ntr164. [PubMed: 21994335]