ArticleTobacco induced diseases2026
Prevalence and factors associated with intention to use e-cigarettes among lower secondary school students in Bangkok: A cross-sectional study.
Article in Tobacco induced diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionE- cigarettes among youth represent a global public health challenge. The rising prevalence of e-cigarette use among students is a significant public health issue in Thailand. Therefore, this study aimed to identify the factors associated with the intention to smoke e-cigarettes among lower secondary school students in the Bangkok metropolitan area, using the Theory of Planned Behavior (TPB).
methodsA cross-sectional study was conducted among 300 students selected via two-stage cluster random sampling. Data were collected via a questionnaire between May and July 2024. Data analysis included descriptive statistics, chi-squared tests, and independent t-tests for bivariate analysis. Multivariable factors associated with intention were identified using binary logistic regression.
resultsIn all, 90.7% of students had a low level of intention to use e-cigarettes. In the bivariate analysis, gender was significantly associated with the intention to use e-cigarettes (p=0.026). The binary logistic regression model, which adjusted for gender and all three TPB constructs, revealed that attitude towards e-cigarette prevention was the only significant factor associated with the intention to use e-cigarettes. Students with a positive attitude toward prevention were 3.82 times more likely to report a low intention to use e-cigarettes (AOR=3.82; 95% CI: 1.40-10.39).
conclusionsAttitude toward e-cigarette prevention is the primary factor associated with the intention to use e-cigarettes among lower secondary students. These findings suggest that focusing on a positive attitude and refusal self-efficacy, through school and community collaboration, may effectively support prevention efforts.
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