Cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021

Abstract Background There is an increase in the use of cigarettes and e-cigarettes worldwide, and the similar trends may be observed in young adults. Since 2014, e-cigarettes have become the most commonly used nicotine products among young adults (Sun et al., JAMA Netw Open 4:e2118788, 2021). With t...

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Main Authors: Hongjia Song, Xuemin Yang, Wanchun Yang, Yuxing Dai, Kun Duan, Xingtao Jiang, Guangye Huang, Min Li, Guoping Zhong, Peiqing Liu, Jianwen Chen
Format: Article
Language:English
Published: BMC 2023-03-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15350-2
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author Hongjia Song
Xuemin Yang
Wanchun Yang
Yuxing Dai
Kun Duan
Xingtao Jiang
Guangye Huang
Min Li
Guoping Zhong
Peiqing Liu
Jianwen Chen
author_facet Hongjia Song
Xuemin Yang
Wanchun Yang
Yuxing Dai
Kun Duan
Xingtao Jiang
Guangye Huang
Min Li
Guoping Zhong
Peiqing Liu
Jianwen Chen
author_sort Hongjia Song
collection DOAJ
description Abstract Background There is an increase in the use of cigarettes and e-cigarettes worldwide, and the similar trends may be observed in young adults. Since 2014, e-cigarettes have become the most commonly used nicotine products among young adults (Sun et al., JAMA Netw Open 4:e2118788, 2021). With the increase in e-cigarette use and the decrease in use of cigarettes and other tobacco products, however, there is limited information about Chinese smokers, e-cigarettes users and trends in cigarettes and e-cigarettes use among university students. Therefore, our objective was to investigate the using status of cigarettes, e-cigarettes and smoking behavior among the students from 7 universities in Guangzhou, China. Methods Students at 7 different universities in Guangzhou were investigated online in 2021 through a cross-sectional survey. A total of 10,008 students were recruited and after screening, 9361 participants were adopted in our statistics. Descriptive analysis, Chi-square analysis, and multiple logistic regression analysis were used to explore the smoking status and influencing factors. Results The average age of the 9361 university students was 22.4 years (SD = 3.6). 58.3% of participants were male. 29.8% of the participants smoked or used e-cigarettes. Among the smokers and users of e-cigarettes, 16.7% were e-cigarettes only users, 35.0% were cigarettes only users, and 48.3% were dual users. Males were more likely to smoke or use e-cigarettes. Medical students, students from prestigious Chinese universities, and students with higher levels of education were less likely. Students with unhealthy lifestyles (e.g., drinking alcohol frequently, playing video games excessively, staying up late frequently) were more likely to smoke or use e-cigarettes. Emotion can have significant impacts on both cigarettes and e-cigarettes dual users when choosing cigarettes or e-cigarettes to use. More than half of dual users said they would choose cigarettes when they were depressed and e-cigarettes when they were happy. Conclusion We identified factors influencing the use of cigarettes and e-cigarettes among university students in Guangzhou, China. Gender, education level background, specialization, lifestyle habits and emotion all influenced the use of cigarettes and e-cigarettes among university students in Guangzhou, China. Male, low education level, from non-prestigious Chinese universities or vocational schools, non-medical specialization, and presence of unhealthy lifestyles were influencing factors for the use of cigarettes and e-cigarettes among university students in Guangzhou and students with these factors were more likely to smoke or use e-cigarettes. Besides, emotions can influence dual users' choice of products. This study provides more information to better understand young people's preferences for cigarettes and e-cigarettes by elucidating the characteristics of cigarettes and e-cigarettes use, as well as related influencing factors, among university students in Guangzhou. Further research involving more variables connected to the use of cigarettes and e-cigarettes will be required in our future study.
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spelling doaj.art-15178a76687d40ac85795acda13062562023-03-22T12:36:40ZengBMCBMC Public Health1471-24582023-03-0123111010.1186/s12889-023-15350-2Cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021Hongjia Song0Xuemin Yang1Wanchun Yang2Yuxing Dai3Kun Duan4Xingtao Jiang5Guangye Huang6Min Li7Guoping Zhong8Peiqing Liu9Jianwen Chen10Department of Pharmacology and Toxicology, School of Pharmaceutical Sciences, Sun Yat-Sen UniversityRELX Lab, Shenzhen RELX Tech. Co, Ltd.Department of Pharmacology and Toxicology, School of Pharmaceutical Sciences, Sun Yat-Sen UniversityDepartment of Pharmacology and Toxicology, School of Pharmaceutical Sciences, Sun Yat-Sen UniversityRELX Lab, Shenzhen RELX Tech. Co, Ltd.RELX Lab, Shenzhen RELX Tech. Co, Ltd.Department of Pharmacology and Toxicology, School of Pharmaceutical Sciences, Sun Yat-Sen UniversityDepartment of Pharmacology and Toxicology, School of Pharmaceutical Sciences, Sun Yat-Sen UniversityDepartment of Pharmacology and Toxicology, School of Pharmaceutical Sciences, Sun Yat-Sen UniversityDepartment of Pharmacology and Toxicology, School of Pharmaceutical Sciences, Sun Yat-Sen UniversityDepartment of Pharmacology and Toxicology, School of Pharmaceutical Sciences, Sun Yat-Sen UniversityAbstract Background There is an increase in the use of cigarettes and e-cigarettes worldwide, and the similar trends may be observed in young adults. Since 2014, e-cigarettes have become the most commonly used nicotine products among young adults (Sun et al., JAMA Netw Open 4:e2118788, 2021). With the increase in e-cigarette use and the decrease in use of cigarettes and other tobacco products, however, there is limited information about Chinese smokers, e-cigarettes users and trends in cigarettes and e-cigarettes use among university students. Therefore, our objective was to investigate the using status of cigarettes, e-cigarettes and smoking behavior among the students from 7 universities in Guangzhou, China. Methods Students at 7 different universities in Guangzhou were investigated online in 2021 through a cross-sectional survey. A total of 10,008 students were recruited and after screening, 9361 participants were adopted in our statistics. Descriptive analysis, Chi-square analysis, and multiple logistic regression analysis were used to explore the smoking status and influencing factors. Results The average age of the 9361 university students was 22.4 years (SD = 3.6). 58.3% of participants were male. 29.8% of the participants smoked or used e-cigarettes. Among the smokers and users of e-cigarettes, 16.7% were e-cigarettes only users, 35.0% were cigarettes only users, and 48.3% were dual users. Males were more likely to smoke or use e-cigarettes. Medical students, students from prestigious Chinese universities, and students with higher levels of education were less likely. Students with unhealthy lifestyles (e.g., drinking alcohol frequently, playing video games excessively, staying up late frequently) were more likely to smoke or use e-cigarettes. Emotion can have significant impacts on both cigarettes and e-cigarettes dual users when choosing cigarettes or e-cigarettes to use. More than half of dual users said they would choose cigarettes when they were depressed and e-cigarettes when they were happy. Conclusion We identified factors influencing the use of cigarettes and e-cigarettes among university students in Guangzhou, China. Gender, education level background, specialization, lifestyle habits and emotion all influenced the use of cigarettes and e-cigarettes among university students in Guangzhou, China. Male, low education level, from non-prestigious Chinese universities or vocational schools, non-medical specialization, and presence of unhealthy lifestyles were influencing factors for the use of cigarettes and e-cigarettes among university students in Guangzhou and students with these factors were more likely to smoke or use e-cigarettes. Besides, emotions can influence dual users' choice of products. This study provides more information to better understand young people's preferences for cigarettes and e-cigarettes by elucidating the characteristics of cigarettes and e-cigarettes use, as well as related influencing factors, among university students in Guangzhou. Further research involving more variables connected to the use of cigarettes and e-cigarettes will be required in our future study.https://doi.org/10.1186/s12889-023-15350-2University studentsElectronic cigarettesCigarettesSmoking behavior
spellingShingle Hongjia Song
Xuemin Yang
Wanchun Yang
Yuxing Dai
Kun Duan
Xingtao Jiang
Guangye Huang
Min Li
Guoping Zhong
Peiqing Liu
Jianwen Chen
Cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021
BMC Public Health
University students
Electronic cigarettes
Cigarettes
Smoking behavior
title Cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021
title_full Cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021
title_fullStr Cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021
title_full_unstemmed Cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021
title_short Cigarettes smoking and e-cigarettes using among university students: a cross-section survey in Guangzhou, China, 2021
title_sort cigarettes smoking and e cigarettes using among university students a cross section survey in guangzhou china 2021
topic University students
Electronic cigarettes
Cigarettes
Smoking behavior
url https://doi.org/10.1186/s12889-023-15350-2
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