Keywords
Profile
and attitude towards vaping
quantitative descriptive method
Philippines
How to Cite
Abstract
This research aims to explore the profile and attitudes of young adults towards vaping, providing a foundation for the development of evidence-based information, education, and communication (IEC) materials. With the rising prevalence of vaping among this demographic, understanding their behaviors and perceptions is crucial for designing effective strategies to promote awareness and mitigate potential health risks associated with vaping. Utilizing a quantitative descriptive method of research, a diverse sample of young adults (18-39 years old) was surveyed using a questionnaire. The results indicate that Males are more common vape users. This may be due to social norms and perceptions about smoking or vaping, which can influence gender-specific patterns. Furthermore, in some cultures, smoking or vaping might be perceived as more socially acceptable or even desirable for males, aligning with stereotypical notions of masculinity and contributing to a higher prevalence among men. Furthermore, the common flavor the preference of vapers is menthol due to its cooling and refreshing sensation. Vapers often appreciate the smooth and soothing feeling in the throat and lungs when using menthol-flavored e-liquids. This can be especially appealing to those who enjoy a sensation similar to menthol cigarettes. The study also revealed a noteworthy correlation between participants' attitudes towards vaping and both their occupation and religious affiliations. The data suggests that individuals within certain occupations exhibit varying attitudes toward vaping, possibly influenced by workplace policies, societal norms, or health considerations. Additionally, religious beliefs seem to play a role in shaping attitudes towards vaping, with participants from different religious backgrounds demonstrating distinct perspectives on this behavior.References
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;40:448-53. https://doi.org/10.1016/j.amepre.2010.12.007 10.1016/j.amepre.2010.12.007s
Asian Vape Association. (2019) E-Cigarettes in Asia. available at http://www.asianvapeassociation.org/what-we-do/ecigrettes-in-asia/
Adermark L, Galanti M, Ryk C, Gilljam H, Hedman L. (2020). Prospective association between use of electronic cigarettes and use of conventional cigarettes: a systematic review and meta-analysis. ERJ Open Res. 2021;7:00976.2020
Ajzen, I. (2011) The Theory of Planned Behavior available at; http://citeseerx.ist.psu.edu/viewdoc/download?doi=1 0.1.1.317.9673&rep=rep1&type=pdf
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. https://doi.org/10.1183/13993003.01151-2018 10.1183/13993003.01151- 2018
Bertholon JF, Becquemin MH, Annesi-Maesano I, Dautzenberg B. Electronic cigarettes: a short review. Respiration 2013;86:433-38. https://doi.org/10.1159/000353253 10.1159/000353253
Bulletin M. (2022) Vape law described as one of the most well-studied pieces of legislation. https://mb.com.ph/2022/08/15/vape-law-described-as-one-of- the- most-well-studied-pieces-of-legislation/.
Bill No. 2239 and House Bill No. 9007, or the Vape Bill.
Caponnetto P, Campagna D, Papale G, Russo C, Polosa R. The emerging phenomenon of electronic cigarettes. Expert Rev Respir Med 2012;6:63-74. https://doi.org/10.1586/ers.11.92 10.1586/ers.11.92
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;67:1276-7. https://doi.org/10.15585/mmwr.mm6745a5 10.15585/mmwr.mm6745a5.
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. https://doi.org/10.1038/s41598- 018- 38266-z 10.1038/s41598- 018-38266.
Cobb N. K., Abrams D. B. (2012). Commentary on Wagener et al. (2012): Laissez-faire regulation: Turning back the clock on the Food and Drug Administration and public health.Addiction,107,1552–1554. 10.1111/j.1360-0443.2012.03927.x
Cahn Z., Siegel M. (2011). Electronic cigarettes as a harm reduction strategy for tobacco control: A step forward or a repeat of past mistakes? Journal of Public Health Policy,32,16–31.jphp201041[pii]10.1057/jphp.2010.41
Campus B, Fafard P, St Pierre J, Hoffman SJ. (2021). Comparing the regulation and incentivization of e-cigarettes across 97 countries. Soc Sci Med.;291:114187.
Carroll Chapman SL, Wu LT. E-cigarette prevalence and correlates of use among adolescents versus adults: a review and comparison. J Psychiatr Res. 2014;54:43–54. doi: 10.1016/j.jpsychires.2014.03.005.
Centers for Disease Control and Prevention. Electronic cigarettes: What’s the bottom line? Smoking and Tobacco Use; 2018. https://www.cdc.gov/tobacco/basic_information/e-cigarettes/pdfs/Electronic-Cigarettes-Infographic-508.pdf
Dai H, Leventhal AM.Prevalence of e-cigarette use among adults in the United States, 2014– 2018 [letter] JAMA 2019;322:1824–1827
de Souza Moura MA, Rieu N, Dautzenberg MD, Birkui P. The e-cigarette disrupts Dautzenberg B, other consumptions in Parisian teenagers (2012- 2014) Rev Mal Respir. 2016;33:225–234. doi: 10.1016/j.rmr.2015.05.010
Department of Health (2015). Global Adult Tobacco Survey: Country Report 2015. available at https://www.who.int/tobacco/surveillance/survey/gats/phl_country_report.pdf?ua=1
Del Rosario, E. N. (2022). A brief history of vaping: Everything you need to know. Available at: https://relxclub.com/blogs/news/history-of-vaping
Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2016.
Etter J. F., Bullen C. (2011). Electronic cigarette: Users profile, utilization, satisfaction and perceived efficacy. Addiction, 106, 2017–2028. 10.1111/j.1360- 0443.2011.03505.x
Executive Order No 26.Providing for the Establishment of SmokeFree Environments in Public and Enclosed Places. 2017.
Food and Drug Administration. 2022. Press Statement|The Food and Drug Administration (FDA) joins the Department of Health (DOH) in requesting the Presidential veto of Senate
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;10:5146-62. https://doi.org/10.3390/ijerph10105146 10.3390/ijerph10105146
Farber HJ, Neptune ER, Ewart GW. Corrective statements from the tobacco industry: more evidence for why we need effective tobacco control. Ann Am Thorac Soc. 2018;15:127–130.
Food and Drug Administration Philippines. Electronic Cigarettes and R.A. No. 9211, Otherwise Known as the Tobacco Act of 2003, FDA Advisory No. 2013-008 [Online]. 2013. Available from http://www.fda.gov.ph/advisories/food/38692- fdaadvisory-no-2013-08.
Garcia, G. (2010) Factors associated with Cigarette Smoking among Filipinos in t
he Philippines. Retrieved October 14, 2019 from https://www.researchgate.net/publication/266900954
González Roz A., Secades Villa R., Weidberg S.. Evaluating nicotine dependence levels in e-cigarette users. Adicciones. 2017;29(2):136-138. doi: 10.20882/adicciones.905
Grana R, Benowitz N, Glantz SA. E-cigarettes: a scientific review. Circulation. 2014;129:1972– 2015 . doi: 10.1161/CIRCULATIONAHA.114.007667.
Goldenson NI, Leventhal AM, Simpson KA, Barrington-Trimis JL. A review of the use and appeal of flavored electronic cigarettes. Curr Addict Rep. 2019;6:98–113.
Global State of Tobacco Harm Reduction (2022). 2022 Briefing Paper. 82 million vapers worldwide in 2021: the GSTHR estimate. Retrieved from https://gsthr.org/briefing-papers/82-million-vapers- worldwide-in-2021-the-gsthr-estimate/
Goniewicz M. L., Knysak J., Gawron M., Kosmider L., Sobczak A., Kurek J., Benowitz N. (2013). Levels of selected carcinogens and toxicants in vapor from electronic cigarettes. Tobacco Control, 23, 133–139. 10.1136/tobaccocontrol-2012–050859
Geiss O, Bianchi I, Barahona F, Barrero-Moreno J. Characterisation of mainstream and passive vapours emitted by selected electronic cigarettes. Int J Hyg Environ Health. 2015; 218 (1): 169-80.https://doi.org/10.1016/j.ijheh.2014.10.001
Garcia, G. (2010) Factors associated with Cigarette Smoking among Filipinos in the Philippines. available at: https://www.researchgate.net/publication/266900954
Hammal F, Finegan BA. Exploring Attitudes of Children 12–17 Years of Age Toward Electronic Cigarettes. Journal of Community Health. 2016:1–7
Hartmann-Boyce J, McRobbie H, Bullen C, Begh R, Stead LF, Hajek P. Cochrane Review: Electronic cigarettes for smoking cessation (Review). 2016.
Hsu G, Sun JY, Zhu SH. Evolution of electronic cigarette brands from 2013–2014 to 2016–2017: analysis of brand websites. J Med Internet Res. 2018;20:e80.
Hua M, Talbot P. Potential health effects of electronic cigarettes: A systematic review of case reports. Preventive Medicine Reports. 2016; 4: 169-78.https://doi.org/10.1016/j.pmedr.2016.06.002.
IPSOS (2016) Philippines Adult Smoker Survey avaialble at; https://www.factasia.org/wpcontent/uploads/pdf_files/survey- resultsphilippines.pd
Kulik M, Lisha N, Glantz S. E-cigarettes associated with depressed smoking cessation: A cross-sectional study of 28 European Union Countries. Am J Prev Med. 2018;54(4):603-609.
Kuehn BM. FDA: electronic cigarettes may be risky. JAMA. 2009;302:937
Leventhal AM, Strong DR, Kirkpatrick MG, Unger JB, Sussman S, Riggs NR, et al. Association of Electronic Cigarette Use With Initiation of Combustible Tobacco Product Smoking in Early Adolescence. JAMA. 2015;314:700–707. doi: 10.1001/jama.2015.8950.
Laugesen M. (2008). Safety report on the Ruyan e-cigarette cartridge and inhaled aerosol. Christchurch, New Zealand: Health New Zealand Ltd.
Leonardi-Bee J, Jere ML, Britton J. Exposure to parental and sibling smoking and the risk of smoking uptake in childhood and adolescence: a systematic review and meta-analysis. Thorax. 2011;66:847–855. doi: 10.1136/thx.2010.153379.
National Nutrition Council (2022). The risk of vaping. Retrieved at: https://nnc.gov.ph/regional-offices/mindanao/region-xi-davao-region/9032- the- risks-of-vaping
Mateo J (2022). 77% say vapes pose serious threat to users – survey, Philstar global, Philippines. Retrieved from: https://www.philstar.com/headlines/2021/11/11/2140435/77-say-vapes- pose- serious-threat-users-survey
Makati Medical Center (2022). The Hot Truth: 8 Vaping Facts You Need to Know Right Now. Retrieved from https://www.makatimed.net.ph/blogs/the-hot- truth-8- vaping-facts-you-need-to-know-right-now/
Medical News Today. (2018). Are e-cigarettes a safe alternative to smoking?avaialbleat: https://www.medicalnewstoday.com/articles/216550. php
National Library of medicine. (2021)https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9996725/
National Academies of Sciences. Engineering, and medicine. Public health consequences of e-cigarettes. Washington, DC: National Academies Press. https://www.nap.edu/catalog/24952/public-health-consequences-of-e-cigarettes (2018).
Pisinger C, Dossing M. A systematic review of health effects of electronic cigarettes.Preventive Medicine. 2014; 69:248-60.https:// doi.org/10.1016/j.ypmed.2014.10.009
Palmes M, Trajera SM, Sajnani AK. (2021). Knowledge and attitude related to use of electronic cigarettes among undergraduate nursing students in an urban university setting in Philippines. J Prev Med Hyg.;62(3):E770-E775. 10.15167/2421-4248/jpmh2021.62.3.1709.
Polosa R, Morjaria JB, Caponnetto P, Caruso M, Campagna D, Amaradio MD, et al. Persisting long term benefits of smoking abstinence and reduction in asthmatic smokers who have switched to electronic cigarettes. Discov Med. 2016;21:99–108.
Polit, D. F. and Beck, C. T. (2006). Essentials of nursing research, methods, appraisal, and utilization. Lippincott Williams & Wilkins. 6th edition. P.188
Schneller LM, Bansal-Travers M, Goniewicz ML, McIntosh S, Ossip D, O’Connor RJ. Use of flavored e-cigarettes and the type of e-cigarette devices used among adults and youth in the US—results from wave 3 of the Population Assessment of Tobacco and Health Study (2015– 2016) Int J Environ Res Public Health. 2019;16:2991.
Singh T, Arrazola RA, Corey CG. Tobacco use among middle and high school students— United States, 2011–2015. MMWR. 2016;65:361–7
Russell C, McKeganey N, Dickson T, Nides M. Changing patterns of first e-cigarette flavor used and current flavors used by 20,836 adult frequent e-cigarette users in the USA. Harm Reduct J. 2018;15:33.
Rennie LJ, Bazillier-Bruneau C, Rouëssé J. Harm Reduction or Harm Introduction? Prevalence and Correlates of E-Cigarette Use Among French Adolescents. Journal Adolescent Health. 2016;58:440–445. doi: 10.1016/j.jadohealth.2015.12.013.
Royal College of Physicians. Nicotine without smoke: tobacco harm reduction. London: CP; 2016. Available at: https//www.rcplondon.ac.uk/projects/outputs/nicotine- without- smoke-tobacco-harm-reduction-0
Ross, J (2019), E-Cigarettes: Good News, Bad news available at: https://www.health.harvard.edu/blog/electroniccigarettes-good-news-bad- news-2016072510010
U.S. Department of Health Human Services. E-cigarette use among youth and young adults: a report of the Surgeon General—executive summary. Atlanta, GA: U.S.
U.S. Food and Drug Administration, U.S. Department of Health Human Services. Deeming tobacco products to be subject to the Federal Food, Drug, and Cosmetic Act, as amended by the Family Smoking Prevention and Tobacco Control Act; restrictions on the sale and distribution of tobacco products and required warning statements for tobacco products. Final rule. Fed Regist. 2016;81:28973–29106
Villanti AC, Johnson AL, Glasser AM, Rose SW, Ambrose BK, Conway KP, et al. Association of flavored tobacco use with tobacco initiation and subsequent use among US youth and adults, 2013–2015. JAMA Netw Open. 2019;2:e1913804.
Vickerman K. A., Carpenter K. M., Altman T., Nash C. M., Zbikowski S. M. (2013). Use of electronic cigarettes among state tobacco cessation quitline callers. Nicotine & Tobacco Research, 15, 1787–1791. 10.1093/ntr/ntt061
Williams M., Villarreal A., Bozhilov K., Lin S., Talbot P. (2013). Metal and silicate particles including nanoparticles are present in electronic cigarette cartomizer fluid and aerosol. PLoS ONE, 8, e57987. 10.1371/journal.pone.0057987
Wagener T. L., Siegel M., Borrelli B. (2012). Electronic cigarettes: Achieving a balanced perspective. Addiction, 107, 1545–1548. 10.1111/j.1360- 0443.2012.03826.x
World Health Organization. Electronic Cigarettes (E-Cigarettes) or Electronic NicotineDeliverySystems. http://www.who.int/tobacco/communications/stat ements/ eletron ic_cigarettes/en/., 2017.
World Health Organization. Tobacco: E-cigarettes;2022. https://www.who.int/news-room/questions-and-answers/item/tobacco-e- cigarettes.
World Health Organization Framework Convention on Tobacco Control. 7th Conference of the Parties Report. Delhi, India. 2016
World Health Organization Framework Convention on Tobacco Control. 6th Conference of the Parties Report. Moscow, Russian Federation. 2014.
Wang MP, Ho SY, Leung LT, Lam TH. Electronic Cigarette Use and Respiratory Symptoms in Chinese Adolescents in Hong Kong. JAMA. 2016;170:89– 91. doi: 10.1001/jamapediatrics
Zare S, Nemati M, Zheng Y. A systematic review of consumer preference for e-cigarette attributes: flavor, nicotine strength, and type. PLoS One. 2018;13:e0194145.
Zhu SH, Sun JY, Bonnevie E, Cummins SE, Gamst A, Yin L, et al. Four hundred and sixty brands of e-cigarettes and counting: implications for product regulation. Tob Control. 2014;23(Suppl 3):iii3–iii9.