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Abstract
PurposeThis study aimed to examine factors associated with electronic cigarette use among adolescents aged 15–19 in Jakarta, Indonesia.Design/methodology/approachThe study was a school-based survey involving 1,318 students from 14 high schools in Jakarta. A multistage cluster sampling methodology was used. The authors used the chi-square test and multiple logistic regression to examine the association between electronic cigarette use and sociodemographic, social influences, health risk perceptions, availability, affordability and conventional cigarette smoking status.FindingsOverall, 6.3% of females and 29% of males reported ever having used electronic cigarettes. Electronic cigarette use was independently associated with sex, school locations, conventional cigarette smoking status, peer use, availability and perceptions that electronic cigarettes aid conventional cigarette smoking cessation. Compared with non-smokers, lifetime (AOR: 8.740, 95% CI: 5.126–14.901) and current conventional cigarette smokers (AOR: 18.380, 95% CI: 10.577–31.938) were more likely to use electronic cigarettes.Social implicationsThe use of electronic cigarettes among adolescents was considerably high in this study. Therefore, the tobacco control policy should be extended to regulate the marketing and use of all types of tobacco products and not just conventional cigarettes.Originality/valueThe study explored beyond individual lifestyle factors that contributed to electronic cigarette use in Indonesia such as affordability, school locations and availability of electronic cigarettes. These issues have not been specifically discussed in previous studies.
Highlights
The electronic nicotine delivery system (ENDS) or electronic cigarette is a major public health issue in many parts of the world [1]
We estimated that the current electronic cigarette smokers among females and males were 0.6% and 8.2%
The research has some implications for public health research and policy in Indonesia
Summary
The electronic nicotine delivery system (ENDS) or electronic cigarette is a major public health issue in many parts of the world [1]. The prevalence of electronic cigarette smoking varies across the WHO member countries ranging from 0.7% to 23.4% [2]. Studies found that electronic cigarette smoking has been increasing rapidly in recent years [3,4]. Basic health research 2018 reported that the prevalence of current electronic cigarette use is 2.8%, which consists of 2.8% in males and 2.7% in females [5]. The prevalence may still be lower than the US or European countries, but the government should be aware of the vaping trend, among youth. Electronic cigarettes have raised the attention of medical and public health professionals due to its potential benefit and harm [6].
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