RESEARCH PAPER
Prevalence and associated factors of ever use of electronic cigarettes: Findings from a hospitals and health clinics study based in Malaysia
 
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1
Institute for Health Behavioural Research, Kuala Lumpur, Malaysia
2
Institute for Medical Research, Kuala Lumpur, Malaysia
3
Raja Permaisuri Bainun Hospital, Ipoh, Malaysia
Publish date: 2018-11-23
 
Tob. Induc. Dis. 2018;16(November):55
KEYWORDS:
TOPICS:
ABSTRACT:
Introduction:
Electronic cigarettes (e-cigarettes) are new smoking devices that have gained popularity recently. However, there is limited evidence on e-cigarette consumption in Malaysia. This study aims to determine the prevalence, risk factors and perception associated with e-cigarette use among those attending government hospitals and health clinics in Malaysia.

Methods:
A cross-sectional hospital-based study was conducted in seven public hospitals and health clinics in Malaysia, which were selected through a twostage cluster sampling. A validated questionnaire was used to obtain data from the selected participants. Multivariable logistic regression was employed to determine the association between sociodemographics and perceptions of e-cigarette use.

Results:
Almost three-quarters (73.6%; n=923/1254) of participants were aware of e-cigarettes and 13.2% (n=122/923) reported having ever used e-cigarettes. The prevalence was significantly higher among males (18.1%), smokers (21.4%), and younger age group 18–34 years (30.2%). Ever users showed favourable perceptions towards e-cigarettes compared to non-users (23.3% vs 30.14%, p<0.001). Multivariable logistic regression revealed that current smokers, younger age group and those possessing a positive perception towards e-cigarettes were likely to be ever users of e-cigarettes.

Conclusions:
The study showed that the awareness level of e-cigarettes was high amongst the population but the prevalence of ever e-cigarette user was moderate. Most of the ever e-cigarette users were male, current smokers, young adults and those with favourable perceptions towards e-cigarettes. Therefore, effective health educational activities regarding safe usage of e-cigarettes targeting those group identified in this study are warranted to reduce the negative outcomes from the use of this product.

CORRESPONDING AUTHOR:
Komathi Perialathan   
Institute for Health Behavioural Research, Jalan Rumah Sakit Bangsar, 50590 Kuala Lumpur, Malaysia
 
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