1. Perception of Harms and Benefits of Electronic Cigarettes Among Adult Malaysian Men: A Comparison by Electronic Cigarette Use and Smoking Status
- Author
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Lim Kuang Hock, Mira Kartiwi, Shamsul Draman, Guat Hiong Tee, Muhammad Fadhli Mohd Yusoff, Mohamad Haniki Nik Mohamed, Norny Syafinaz Ab Rahman, Jane Ling Miaw Yn, Jamalludin Ab Rahman, Bee Kiau Ho, Noorzurani Robson, Lei Hum Wee, and Caryn Mei Hsien Chan
- Subjects
Adult ,Male ,medicine.medical_specialty ,Health Knowledge, Attitudes, Practice ,Adolescent ,medicine.medical_treatment ,media_common.quotation_subject ,Wage ,Electronic Nicotine Delivery Systems ,Logistic regression ,Risk Assessment ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Surveys and Questionnaires ,medicine ,Humans ,030212 general & internal medicine ,media_common ,Aged ,030505 public health ,business.industry ,Public health ,Vaping ,Smoking ,Public Health, Environmental and Occupational Health ,Malaysia ,Odds ratio ,Middle Aged ,medicine.disease ,Confidence interval ,Substance abuse ,Risk perception ,Cross-Sectional Studies ,Smoking cessation ,0305 other medical science ,business ,Demography - Abstract
Little is known about the perceptions of harm and benefit associated with the use of e-cigarettes in Malaysia. This was a cross-sectional analysis of a nationally representative sample comprising 1987 males (≥18 years of age). Current, former, and never users of conventional cigarettes and/or e-cigarettes participated in a questionnaire study conducted via face-to-face interviews. The relationship between participant characteristics and perceptions of harm and benefit of e-cigarettes were determined with multivariable logistic regression. There were 950 current, 377 former, and 660 never users of e-cigarettes. Government employees (odds ratio [OR] = 1.85, 95% confidence interval [CI] = 1.29-2.66, P = .001), private sector employees (OR = 1.67, 95% CI = 1.27-2.18, P = .001), and the self-employed people (OR = 1.68, 95% CI = 1.31-2.17, P = .001) were more likely to perceive e-cigarettes as more harmful than conventional cigarettes compared with respondents who were not wage earners. All current users in the form of e-cigarette users (OR = 7.87, 95% CI = 3.23-19.18), conventional cigarette smokers (OR = 1.80, 95% CI = 1.39-2.33), and dual users (OR = 8.59, 95% CI = 4.76-15.52) were more likely to perceive e-cigarettes as useful in quitting conventional cigarette smoking compared with former and never users. Our findings constitute an important snapshot into the perceptions of e-cigarette harms and benefits, which could inform targeted public health messaging strategies.
- Published
- 2019