Prevalence, Knowledge, Awareness, and Attitude on E-Cigarettes (Electronic Cigarettes) among Saint Mary’s University Senior High School Students
Hathea Gabriel Mendoza | Trish Graciella Longboy | Danica Shane Caducoy | Alleah Hannelene Jallorina | Khyla Castillejos | Eloisa Barbieto | Rachille Francis | Shiellah Mae Barsicula | Lady Valen Charon DelaPeña
Discipline: Education
Abstract:
Electronic cigarettes (e-cigarettes) are becoming increasingly popular among adolescents, despite the lack of research on their long-term health effects. While general studies on adolescent e-cigarette use exist, research specifically focused on senior high school students' knowledge, awareness, and attitudes is limited. This study aimed to address this gap by determining the prevalence of e-cigarette use, knowledge, risk awareness, and attitudes among senior high school students at Saint Mary's University. A descriptive- comparative-correlational approach was employed, utilizing a survey questionnaire adapted from previous studies. The questionnaire included sections on demographics, prevalence of use, knowledge, awareness, and attitude, along with an open-ended question on perceived positive and negative effects of e-cigarette use. Data was collected from 400 students using a quota sampling method, ensuring representation from all academic strands. The study found a 51.5% e-cigarette use rate. While students demonstrated good overall knowledge of health risks, awareness of societal implications was moderate. Interestingly, students generally held negative attitudes towards e-cigarettes. However, awareness levels varied by grade level, and both sex and grade level influenced student attitudes. Additionally, there is a positive correlation between awareness and e-cigarette use. Students' perceptions were diverse, with some acknowledging positive effects like stress relief and others expressing concerns about addiction and health risks. These findings suggest a need for educational campaigns and curriculum integration that address knowledge gaps and combat misperceptions about e-cigarettes to deter adolescents
References:
- Abu-Baker, N. N., Ananzeh, T., Al Modallal, H., Shahror, G. M., & Amarneh, B. B. (2022). Knowledge and Attitudes toward Electronic Cigarette Smoking: A Survey of School Male Adolescents in Jordan. The Open Public Health Journal, 15(1). https://doi.org/10.2174/18749445-v15-e221205-2022-154
- Acosta, I.M. (2022). ASSESSING E-CIGARETTE’S KNOWLEDGE AND PRACTICES AMONG COLLEGE STUDENTS AMID COVID-19 PANDEMIC. Electronic Theses, Projects, and Dissertations
- Alduraywish, S.A.; Aldakheel, F.M.; Alsuhaibani, O.S.; Jabaan, A.D.B.; Alballa, R.S.; Alrashed, A.W.; Alhassan, M.K.; Aldwaighri, M.K. (2023). Knowledge and Attitude toward E-Cigarettes among First Year University Students in Riyadh, Saudi Arabia. Healthcare. https://doi.org/10.3390/healthcare11040502
- Alfaraj, D.N., Alessa, Y.Z., Al Abdulatif, F.A., Alshorafa, J.M., Alshakhs, M.A., & AlButayan, H.A. (2019). Knowledge and Perception of Risks and Use of E-Cigarettes (Vaping) Among Adults in the Eastern Province of Saudi Arabia. International Journal of Medical Research & Health Sciences, 8(12), 17-31. ISSN: 2319-5886
- Aghar, H., El-Khoury, N., Reda, M., Hamadeh, W., Krayem, H., Mansour, M., Raouf, H., & Jaffa, M.A. (2020). Knowledge and attitudes towards E-cigarette use in Lebanon and their associated factors. BMC Public Health, (20), 278. https://doi.org/10.1186/s12889-020-8381-x
- Alanazi, A. M. (2016). The Prevalence of Use, Awareness and Beliefs of Electronic Cigarettes Among College-Based Health Care Students At A Southeastern Urban University. Georgia State University. https://doi.org/10.57709/8502691
- Al-Sawalha, N., Almomani, B., Mokhemer, E., Shatnawi, S., & Bdier R. (2021). E-cigarettes use among university students in Jordan: Perception and related knowledge. PLOS ONE, 16(12). https://doi.org/10.1371/journal.pone.0262090
- American Cancer Society. (2022). What Do We Know About E-cigarettes? https://www.cancer.org/healthy/stay-away-from-tobacco/e cigarettes-vaping/what-do-we-know-about
- Cambridge English (2023). Knowledge definition. Cambridge English Dictionary. https://dictionary.cambridge.org/us/dictionary/english/knowledge
- Centers for Disease Control and Prevention. (2023). About Electronic Cigarettes (E-Cigarettes). https://www.cdc.gov/tobacco/basic_information/e-cigarettes/about-e-cigarettes.html#:~:text=Top%20of%20Pag
- Center for Disease Control and Prevention. (2023, June). Tobacco Use. https://www.cdc.gov/nchs/hus/sources-definitions/tobacco
- Cheah, Y. K., Teh, C.H., Lim, H, K. (2019). Sociodemographic differences in awareness of e-cigarette in Malaysia. Journal of Oncological Science, 5(2), 54-59. https://doi.org/10.1016/j.jons.2019.04.001
- Cheng, H., Lizhnyak, P., & Richter, N. (2023) Mutual pathways between peer and own e-cigarette use among youth in the United States: a cross-lagged model. BMC Public Health, 23(1609). https://doi.org/10.1186/s12889-023-16470-5
- Cherry, K. (2023) The Components of Attitude- Definition, Formation, Changes. Verywellminded. https://www.verywellminded.com/attitudes-how-they-form-change-shape-behavior-2795897
- Chudech S. & Janmaimol P. (2021) University students’ knowledge about and attitudes toward e-cigarette use and factors influencing students’ e-cigarette use. Emerald Insight. https://www.emerald.com/insight/content/doi/10.1108/HE-11-2020- 0107/full/html#:~:text=Findings,who%20were%20not%20EC%20users.
- Cleveland Clinic. (2022) Vaping (E-Cigarettes). https://my.clevelandclinic.org/health/articles/21162-vaping
- Daniluk, A., Gawlikowska-Sroka, A., Stępień–Słodkowska, M., Dzięciołowska-Baran, E., & Michnik, K. (2017). Electronic Cigarettes and Awareness of Their Health Effects. In: Pokorski, M. (eds) Current Concepts in Medical Research and Practice. Advances in Experimental Medicine and Biology, 1039. https://doi.org/10.1007/5584_2017_83
- Fang, J., Ren, J., Ren, L., Max, W., Yao, T., & Zhao, F. (2022). Electronic cigarette knowledge, attitudes and use among students at a university in Hangzhou, China. Tobacco Induced Diseases. https://doi.org/10.18332/tid/144230
- Gotts, J., Jordt, S.V., McConell, R., & Tarran, R. (2019) What are the respiratory effects of e-cigarettes? BMJ. https://doi.org/10.1136/bmj.l5275
- Huang, J., Feng, B., Weaver, S., Pechacek, T., Slovic, P., & Eriksen, M. (2019) Changing Perceptions of Harm of e-Cigarette vs Cigarette Use Among Adults in 2 US National Surveys From 2012 to 2017. Jama Network. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2729471
- Jaminola III, L. (2022). Strengthening Tobacco Regulation to Protect Young People. Philippine Legislators’ Committee on Population and Development (PLCPD). https://www.plcpd.org.ph/strengthening-tobacco-regulation-to-protect-young-people
- Keith, R. & Bhatnagar, A. (2021). Cardiorespiratory and Immunologic Effects of Electronic Cigarettes. Current Addiction Reports, 8, 336-346. https://doi.org/10.1007/s40429-021-00359-7
- Kundu, S., Shaw, S., Khan, J., Chattopadhyay, A., Baptista, E. A., & Paswan, B. (2022). Age, gender and socioeconomic patterns of awareness and usage of e-cigarettes across selected WHO region countries: evidence from the Global Adult Tobacco Survey. BMJ Open, 13(1). https://doi.org/10.1136/bmjopen-2022-070419
- Kurdi, R., Al-Jayyousi, G., Yaseen, M., Ali, A., Mosleh, N., & Rahim, H. (2021). Prevalence, Risk Factors, Harm Perception, and Attitudes Toward E-cigarette Use Among University Students in Qatar: A Cross-Sectional Study. Front Public Health. https://doi.org/10.3389/fpubh.2021.682355
- Leventhal, A., Goldenson, N., Cho, J., Kirkpatrick, M., McConell, R., Stone, M., Pang, R., Audrain-McGovern, J., & Barrington Trimis, J. (2019). Flavored e-cigarette use and progression of vaping in adolescents. Pediatrics
- Lozano, P., David, V., Salvedia, K., & Vilarta Jr., R., (2015). Awareness, Knowledge, Attitudes, and Practices (AKAP) toward Electronic Cigarettes among 3rd and 4th Year Undergraduate Students of the University of the Philippines Manila. Research Gate. https://www.researchgate.net/publication/284180349_Awareness_Knowledge_Attitudes_and_Practices_AKAP_toward_Electronic_ Cigarettes_among_3rd_and_4th_Year_Undergraduate_Students_of_the_University_of_the_Philippines_Manila
- Marques, P. et al. (2021). An updated overview of e-cigarette impact on human health - Respiratory Research. BioMed Central. https://doi.org/10.1186/s12931-021-01737-5
- Merriam-Webster (2023). Awareness Definition & Meaning. Merriam-Webster. https://www.merriam webster.com/dictionary/awareness
- McKelvey, K., Popova, L., Pepper, J., Brewer, N., Halpern-Felsher, B., & Doran, N. (2018). Adolescents have unfavorable opinions of adolescents who use e-cigarettes. PLOS ONE, 13(11). https://doi.org/10.1371%2Fjournal.pone.0206352
- Miech, R., Johnston, L., O’Malley, P., & Bachman, J. (2019). Trends in adolescent vaping, 2017-2019. New England Journal of Medicine. https://www.nejm.org/doi/full/10.1056/NEJMc1910739
- National Academies of Sciences, Engineering, and Medicine. (2018) Public Health Consequences of E-Cigarettes. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK507
- National Institute on Drug Abuse (2020). Vaping Devices (Electronic Cigarettes) DrugFacts. https://nida.nih.gov/publications/drugfacts/vaping-devices-electronic-cigarettes
- Oliveira, W.J., Zobiole, A.F., Lima, B., Zurita, R.M., Flores, P.E., Rodrigues, L.G., Pinheiro, R.C., & Silva, V.F. (2018). Electronic cigarette awareness and use among students at the Federal University of Mato Grosso, Brazil. Jornal Brasileiro de Pneumologia, 44 (5). https://doi.org/10.1590/S1806-37562017000000229
- Padon, A., Lochbuehler, K., Maloney, E., & Cappella, J.(2018). A Randomized Trial of the Effect of Youth Appealing E-Cigarette Advertising on Susceptibility to Use E-Cigarettes Among Youth. Nicotine & Tobacco Research, 20(8), 954-961. https://doi.org/10.1093/ntr/ntx155
- Palmes, M., Trajera, S., & Sajnani, A. (2021). Knowledge and attitude related to use of electronic cigarettes among undergraduate nursing students in an urban university setting in Philippines. Journal of Preventive Medicine and Hygiene, 62(3). https://doi.org/10.15167%2F2421-4248%2Fjpmh2021.62.3.1709
- Pepper, J.K., Ribisi, K.M., Brewer, N.T. (2016). Adolescents’ interest in trying flavoured e-cigarettes. Tobacco Control, 25. https://doi.org/10.1136/tobaccocontrol-2016-053174
- Philippine Legislators’ Committee on Population and Development. (2021). New study reveals 1 in 7 Pinoy students aged 13-15 use e-cigarettes. PLCPD.
- Riehm, K., Young, A., Feder, K., Krawczyk, N., Tormohlen, K., Pacek, L., Mojtabai, R., & Crum, R. (2019). Mental Health Problems and Initiation of E-cigarette and Combustible Cigarette Use. American Academy of Pediatrics, 144(1). https://doi.org/10.1542/peds.2018-2935
- Rohde, J., Noar, S., Horvitz, C., Lazard, Al., Ross, J. C., & Sutfin, E. (2018). The Role of Knowledge and Risk Beliefs in Adolescent E-Cigarette Use: A Pilot Study. International Journal of Environmental Research and Public Health, 15(4). https://doi.org/10.3390/ijerph15040830
- Romijnders, K.A.G.J., Van Osch, L., De Vries, H., & Talhout R. (2018). Perceptions and Reasons Regarding E-Cigarette Use among Users and Non-Users: A Narrative Literature Review. International Journal of Environmental Research and Public Health, 15(6), 1190. https://doi.org/10.3390/ijerph15061190
- Sese, L. V. & Guillermo, M. C. (2023). E-Smoking out the Facts: The Philippines’ Vaping Dilemma. Tobacco Use Insights, 16. https://doi.org/10.1177/1179173X231172259
- Sharma, A., McCausland, K., & Jancey, J. (2021). Adolescents’ health perceptions of e-cigarettes: A systematic review. American Journal of Preventive Medicine, 60(5), 716-725. https://doi.org/10.1016/j.amepre.2020.12.013
- Shilco, P., Golshan, T., Lande, S., Nickfardjam, K., Roitblat, Y., Morgan, A., Nehuliaieva, L. & Shterenshis, M. (2022). Knowledge and attitudes of adolescents to e-cigarettes: an international prospective study. International Journal of Adolescent Medicine and Health, 34(3). https://doi.org/10.1515/ijamh-2019-0210
- Sokol, A., & Feldman, M. (2021). High School Seniors Who Used E-Cigarettes May Have Otherwise Been Cigarette Smokers: Evidence from Monitoring the Future (United States, 2009-2018). Nicotine & Tobacco Research, 23 (11), 1958-1961. https://doi.org/10.1093/ntr/ntab102
- Soneji, S.S., Knutzen, K., & Villanti, A. (2019). Use of Flavored E-Cigarettes Among Adolescents, Young Adults, and Older Adults: Findings From the Population Assessment for Tobacco and Health Study. Public Health Reports, 134(3), 282-292. https://doi.org/10.1177/0033354919830967
- Song, H., Yang, X., Dai, Y., Jiang, X., Huang, G., Li, M., Zhong, G., Liu, P., & Chen. J. (2023). Cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021. BMC Public Health, 23, 438. https://doi.org/10.1186/s12889-023-15350-2
- Tehrani, H., Rajabi, A., Ghelichi-Ghojogh, M., Nejatian, M., & Jafari, A. (2022). The prevalence of electronic cigarettes vaping globally: a systematic review and meta-analysis. Archives of Public Health, 80, 240. https://doi.org/10.1186/s13690-022-00998-w
- University of San Francisco. (2018). 4 marketing tactics e-cigarette companies use to target youth. Truth Initiative. https://truthinitiative.org/research-resources/tobacco-industry-marketing/4-marketing-tactics-e-cigarette-companies-use-target
- Undo.org. (2022). The Damaging Effects of Nicotine on the Teen Brain. California Tobacco Control Program. https://www.undo.org/addicting-kids/the-effects-of-nicotine-on-the-adolescent-brain
- Vogel, E., Ramo, D., Rubinstein, M., Delucchi, K., Darrow, S., Costello, C., & Prochaska, J. (2021). Effects of Social Media on Adolescents’ Willingness and Intention to Use E-Cigarettes: An Experimental Investigation. Nicotine & Tobacco Research, 23(4), 694-701. https://doi.org/10.1093/ntr/ntaa003
- Wang, M., Wang, J.W., Cao, S.S., Wang, H.Q., & Hu, R.Y. (2016). Cigarette Smoking and Electronic Cigarettes Use: A Meta-Analysis. International Journal of Environmental Research and Public Health, 13(1), 120. https://doi.org/10.3390/ijerph130