Keywords
e-cigarettes
nursing students
health knowledge
attitude of health personnel
health care surveys
nursing students
health knowledge
attitude of health personnel
health care surveys
Abstract
Aim: This study was conducted to determine the knowledge and attitude toward electronic cigarettes (e-cigarettes) among undergraduate nursing students in the Philippines.
Methods: The participants of the study were 122 level four nursing students of West Visayas State University, Iloilo city, Philippines. A standardized self – administered questionnaire was used to collect the data and statistical analyses were performed.
Results: Majority of the participants were female, were never smokers and were aware or conscious of the existence of the e-cigarettes. The participants as an entire group and when grouped according to sex, socioeconomic status (Socialized Tuition Fee Assistance Program - STFAP), smoking status and awareness status had poor knowledge. Furthermore, in terms of attitude the students as an entire group had attitude opposing e-cigarette use. However, when grouped according to socioeconomic status (STFAP), participants belonging to Bracket 5,6 and 8 had attitude opposing e-cigarette use, while Bracket 7 and 9 had attitude supporting e-cigarette use. Never and former smokers had attitude opposing e-cigarette use while current smokers had attitude supporting e-cigarette use. There was no significant relationship between knowledge and attitude of nursing students towards e-cigarettes.
Conclusion: Nursing students did not have adequate knowledge regarding e-cigarettes but maintained an attitude opposing e-cigarette use. Poor knowledge did not influence the attitude of participants towards e-cigarettes.
References
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29. Dockrell M, Morrison R, Bauld L, McNeill A. E-cigarettes: prevalence and attitudes in Great Britain. Nicotine Tob Res. 2013; 15: 1737-1744.
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32. Sanders-Jackson AN, Tan AS, Bigman CA, Henriksen L. Knowledge about e-cigarette constituents and regulation: results from a national survey of U.S. young adults. Nicotine Tob Res. 2015; 17: 1247-1254.
2. Ayers JW, Ribisl KM, Brownstein JS. Tracking the rise in popularity of electronic nicotine delivery systems (electronic cigarettes) using search query surveillance. Am J Prev Med. 2011; 40: 448-453.
3. Pippard BJ, Shipley MD. Healthcare staff attitudes towards the use if electronic cigarettes (‘e-cigarettes’) compared with a local trust policy. Perspect Public Health. 2017; 137: 216-219.
4. Canzan F, Finocchio E, Moretti F, Vincenzi S, Tchepnou-Kouaya A, Marognolli O, Poli A, Verlato G. Knowledge and use of e-cigarettes among nursing students: results from a cross-sectional survey in north-eastern Italy. BMC Public Health. 2019, 19: 976.
5. Cullen KA, Ambrose BK, Gentzke AS, Apelberg BJ, Jamal A, King BA. Notes from the field: use of electronic cigarettes and any tobacco product among middle and high school students – United States, 2011-2018. MMWR Morb Mortal Wkly Rep. 2018; 67: 1276-1277.
6. Goniewicz ML, Gawron M, Nadolska J, Balwicki L, Sobczak A. Rise in electronic cigarette use among adolescents in Poland. J Adolesc Health. 2014; 55: 713-715.
7. Lee S, Grana RA, Glantz SA. Electronic cigarette use among Korean adolescents: a cross-sectional study of market penetration, dual use, and relationship to quit attempts and former smoking. J Adolesc Health. 2014; 54: 684-690.
8. Azagba S, Baskerville NB, Foley K. Susceptibility to cigarette smoking among middle and high school e-cigarette users in Canada. Prev Med. 2017; 103: 14-19.
9. Chen J, Ho SY, Leung LT, Wang MP, Lam TH. School-level electronic cigarette use prevalence and student-level tobacco use intention and behaviours. Sci Rep. 2019; 9: 1690.
10. Bertholon JF, Becquemin MH, Annesi-Maesano I, Dautzenberg B. Electronic cigarettes: a short review. Respiration. 2013; 86: 433-438.
11. Farsalinos KE, Romagna G, Allifranchini E, Ripamonti E, Bocchietto E, Todeschi S, Tsiapras D, Kyrzopoulos S, Voudris V. Comparison of the cytotoxic potential of cigarette smoke and electronic cigarette vapour extract on cultured myocardial cells. Int J Environ Res Public Health. 2013; 10: 5146-5162.
12. Royal College of Physicians. Nicotine without smoke: tobacco harm reduction. London: RCP; 2016. Available at https//www.rcplondon.ac.uk/projects/outputs/nicotine-without-smoke-tobacco-harm-reduction-0. Accessed January 5, 2020.
13. Bals R, Boyd J, Esposito S, Foronjy R, Hiemstra PS, Jiménez-Ruiz CA, Katsaounou P, Lindberg A, Metz C, Schober W, Spira A, Blasi F. Electronic cigarettes: a task force report from the European Respiratory Society. Eur Respir J. 2019; 53: 1801151.
14. Braun BL, Fowles JB, Solberg LI, Kind EA, Lando H, Pine D. Smoking-related attitudes and clinical practices of medical personnel in Minnesota. Am J Prevent Med. 2004; 27: 316-322.
15. Sarna L, Bialous SA, Nandy K, Antonio AL, Yang Q. Changes in smoking prevalences among healthcare workers from 2003 to 2010-2011. JAMA. 2014; 311: 197-199.
16. Smith DR, Leggat PA. An international review of tobacco smoking research in the nursing profession. J Res Nursing. 2007; 12: 165-181.
17. Blair E, Blair J. Applied survey sampling. USA: Inc Sage Publications; 2015.
18. Lozano P, Sabino A, David V, Villarta Jr. R, Salvedia K. Awareness, knowledge, attitudes and practices (AKAP) toward electronic cigarettes among 3rd and 4th year undergraduate students of the University of the Philippines. November 2015; doi: 10.13140/RG.2.1.4242.8881: retrieved from: https://www.researchgate.net/publication/ 284180349.
19. Centres for Disease Control and Prevention. Drop in cigarette consumption offset by increases in other forms of smoked tobacco. 2012. Retrieved from http://www.cdc.gov/mediareleases/2012/p0802_tobacco_consumption.html.
20. CDC Foundation. World Health Organization and World Lung Foundation. The GATS Atlas: Global Adult Tobacco Survey. 2015. Retrieved from http://www.who.int/tobacco/publications/surveillance.gatlas/en/
21. Fairchild AL, Bayer R, Colgrove J. The renormalization of smoking? E-cigarettes and tobacco “endgame”. N Engl J Med. 2014; 370: 2354.
22. Hartmann-Boyce J, McRobbie H, Bullen C, Begh R, Stead LF, Hajek P. Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev. 2016; 9: CD010216.
23. Kalkhoran S, Glantz SA. E-cigarettes and smoking cessation in real-world and clinical settings: a systematic review and meta-analysis. Lancet Respir Med. 2016; 4: 116-128.
24. Abo-Elkheir OI, Sobh E. Knowledge about electronic cigarettes and its perception: a community survey, Egypt. Respir Res. 2016; 17: 58.
25. Shaikh A, Ansari HT, Ahmad Z, Shaikh MY, Khalid I, Jahangir M, Majeed A, Shakeel N, Ahmed A, Memon RS, Tariq E, Irfan R, Madni D. Knowledge and attitude of teenagers towards electronic cigarettes in Karachi, Pakistan. Cureus. 2017; 9: e1468.
26. King BA, Alam S, Promoff G, Arrazola R, Dube SR. Awareness and ever-use of electronic cigarettes among U.S. adults, 2010-2011. Nicotine Tob Res. 2013; 15: 1623-1627.
27. Dawkins L, Turner J, Roberts A, Soar K. ‘Vaping’ profiles and preferences: an online survey of electronic cigarette users. Addiction. 2013; 108: 1115-1125.
28. Pepper JK, Reiter PL, McRee AL, Cameron LD, Gilkey MB, Brewer NT. Adolescent males’ awareness of and willingness to try electronic cigarettes. J Adolesc Health. 2013; 52: 144-150.
29. Dockrell M, Morrison R, Bauld L, McNeill A. E-cigarettes: prevalence and attitudes in Great Britain. Nicotine Tob Res. 2013; 15: 1737-1744.
30. Zhu SH, Gamst A, Lee M, Cummins S, Yin L, Zoref L. The use and perception of electronic cigarettes and snus among U.S. population. PLoS One. 2013; 8: e79332.
31. Brown J, West R, Beard E, Michie S, Shahab L, McNeill A. Prevalence and characteristics of e-cigarettes users in Great Britain: findings from a general population survey of smokers. Addict Behav. 2014; 39: 1120-1125.
32. Sanders-Jackson AN, Tan AS, Bigman CA, Henriksen L. Knowledge about e-cigarette constituents and regulation: results from a national survey of U.S. young adults. Nicotine Tob Res. 2015; 17: 1247-1254.