Cross-sector perspectives on e-cigarettes: A comprehensive study of youth, teachers, healthcare workers, and government workers
Keywords:
E-cigarettes, Government workers, Healthcare Workers, Students, TeachersAbstract
This cross-sectional quantitative study examined the perceptions of youth, teachers, healthcare workers, and government workers regarding e-cigarette use in Iligan City. The study assessed levels of awareness, beliefs, and attitudes toward e-cigarettes across these sectors. Data were collected using standardized questionnaires distributed to selected respondents from public and private institutions. Statistical analyses, including correlation and regression, were conducted to determine relationships among variables and identify significant predictors of attitudes. Findings revealed that youth showed moderate awareness but generally demonstrated more favorable attitudes toward e-cigarette use, influenced by peer pressure, curiosity, and stress. Teachers and healthcare workers showed higher awareness of health risks and had negative attitudes, emphasizing the need for regulation and prevention. Government workers highlighted gaps in policy implementation and enforcement. The results further indicated that awareness, beliefs, and attitudes are significantly related, with beliefs as the strongest predictor of attitudes toward e-cigarette use. The study concludes that a collaborative, multi-sectoral approach involving education, healthcare, and policy is essential to address youth e-cigarette use. Interventions should focus on correcting misconceptions and addressing social and psychological factors that drive vaping behavior. These findings provide a framework for developing health programs and policies to reduce usage and promote healthier youth lifestyles.
Downloads
References
Alluhibi, S., Alshammari, M., & Alzahrani, A. (2020). E-cigarette use among adolescents. International Journal of Adolescent Medicine and Health, 34(4), 145–152.
Alpert, J. M., Jaisle, A., & Chen, H. (2019). A content analysis of the promotional strategies employed by e-cigarette brands on Twitter. Health Marketing Quarterly, 36(4), 307-321.
Al-Sawalha, N. A., Almomani, B. A., Mokhemer, E., Al-Shatnawi, S. F., & Bdeir, R. (2021). E-cigarettes use among university students in Jordan: Perception and related knowledge. PLoS One, 16(12), e0262090.
Ambrose, B. K., Day, H. R., Rostron, B. L., & Rostron, K. (2019). Tobacco product use among students. Morbidity and Mortality Weekly Report (MMWR), 68(6), 157–164.
Anderson, C. M., Tedeschi, G. J., Cummins, S. E., Lienemann, B. A., Zhuang, Y. L., Gordon, B., ... & Zhu, S. H. (2024). LGBTQ utilization of a statewide tobacco quitline: engagement and quitting behavior, 2010–2022. Nicotine and Tobacco Research, 26(1), 54-62.
Baker, H. M., Kowitt, S. D., Meernik, C., Heck, C., Martin, J., Goldstein, A. O., & Ranney, L. (2019). Youth source of acquisition for E-Cigarettes. Preventive Medicine Reports, 16, 101011.
Cambron, C. (2022). E-cigarette use is associated with increased psychological distress among youth: a pooled cross-sectional analysis of state-level data from 2019 and 2021. International journal of environmental research and public health, 19(18), 11726.
Camenga, D., Gutierrez, K. M., Kong, G., Cavallo, D., Simon, P., & Krishnan-Sarin, S. (2018). E-cigarette advertising exposure in e-cigarette naïve adolescents and subsequent e-cigarette use: a longitudinal cohort study. Addictive behaviors, 81, 78-83. https://doi.org/10.1016/j.addbeh.2018.02.008
Desai, A. S., Solomon, S. D., Shah, A. M., Claggett, B. L., Fang, J. C., Izzo, J., ... & Mitchell, G. F. (2019). Effect of sacubitril-valsartan vs enalapril on aortic stiffness in patients with heart failure and reduced ejection fraction: a randomized clinical trial. Jama, 322(11), 1077-1084.
Fairman, R. T., Churchill, V., Garner, J. B., Brown, D., Massey, Z. B., Ashley, D. L., & Popova, L. (2023). It’s addiction at this Point”: A qualitative examination of youth E-cigarette use trajectory in the United States. Tobacco Use Insights, 16, 1179173X231185455.
Gardner, L. A., Rowe, A. L., Newton, N. C., Aitken, T., Stockings, E., Thornton, L., ... & Champion, K. E. (2022). School-based preventive interventions targeting e-cigarette use among adolescents: a systematic review protocol. BMJ open, 12(9), e065509.
Ghanim, M., Rabayaa, M., Abuawad, M., Saeedi, M., & Amer, J. (2024). E-cigarette use among university students in Palestine: Prevalence, knowledge, and determinant factors. PLoS One, 19(5), e0302946.
Goldenson, N. I., Leventhal, A. M., Simpson, K. A., & Barrington-Trimis, J. L. (2019). A review of the use and appeal of flavored electronic cigarettes. Current addiction reports, 6(2), 98-113.
Hong, Q., Han, W., Li, J., Xu, S., Wang, Y., Xu, C., ... & Cong, Y. (2022). Molecular basis of receptor binding and antibody neutralization of Omicron. Nature, 604(7906), 546-552.
Jaswal, R., Goel, A., & Sharma, S. (2023). Awareness of e-cigarettes among adults. Indian Journal of Public Health, 67(1), 45–50.
Levine, G. N., Cohen, B. E., Commodore-Mensah, Y., Fleury, J., Huffman, J. C., Khalid, U., ... & American Heart Association Council on Clinical Cardiology; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular and Stroke Nursing; and Council on Lifestyle and Cardiometabolic Health. (2021). Psychological health, well-being, and the mind-heart-body connection: a scientific statement from the American Heart Association. Circulation, 143(10), e763-e783.
Levy, B. R., Pietrzak, R. H., & Slade, M. D. (2023). Societal impact on older persons’ chronic pain: roles of age stereotypes, age attribution, and age discrimination. Social science & medicine, 323, 115772. https://doi.org/10.1016/j.socscimed.2023.115772
Lyu, J. C., Huang, P., Jiang, N., & Ling, P. M. (2022). A systematic review of e-cigarette marketing communication: messages, communication channels, and strategies. International Journal of Environmental Research and Public Health, 19(15), 9263.
Melin, K., Conte-Schmidt, N., Martínez-Arroyo, K., Rosa-Pérez, K., Soto-Avilés, A. E., & Hernández-Muñoz, J. J. (2018). Knowledge and Perceptions of E-cigarettes and the Motivations for their Use: Talking to Smokers (E-cigarettes and/or Conventional Cigarettes) and Non-smokers in Puerto Rico. Puerto Rico Health Sciences Journal, 37(3).
Miller, A. L., Miller, L. E., Bhattacharyya, M., & Bhattacharyya, R. (2024). Depression and anxiety among sexual minorities in the United States: A cross-sectional analysis of the National Health Interview Survey. Cureus, 16(7).
O’lawrence, H., Martinez, L., Garcia, A., Ramos, P., Pequillo, D., & Marquez, C. (2020). The use of E-Cigarettes among Adolescents in the United States.
Osibugun, O., Akinbode, A., & Ogunwale, M. (2020). Stress and youth vaping. Substance Use and Misuse, 55(8), 1234–1240.
Qutob, M., Al-Hassan, A., & Al-Khader, N. (2022). Knowledge and perception of e-cigarettes. BMC Public Health, 22(1), 1254.
Sahu, R., Shah, K., Malviya, R., Paliwal, D., Sagar, S., Singh, S., Prajapati, B. G., & Bhattacharya, S. (2023). E-cigarettes and cancer risk. Advances in Respiratory Medicine, 91(6), 516–531.
Salari, N., Rahimi, S., Darvishi, N., Abdolmaleki, A., & Mohammadi, M. (2024). Global prevalence of e-cigarettes in youth. Public Health in Practice, 7, 100473.
Schillo, B. A., Benson, A. F., Czaplicki, L., Anesetti-Rothermel, A., Kierstead, E. C., Simpson, R., ... & Rose, S. W. (2020). Modelling retailer-based exemptions in flavoured tobacco sales restrictions: national estimates on the impact of product availability. BMJ open, 10(11), e040490.
Stanton, R., To, A., & Khalesi, M. (2022). Marketing exposure and vaping. Health Promotion Journal of Australia, 33(1), 45–53.
Uppal, A. (2019). Prediction of Escalation in E-Cigarette Use Among Twitter Users (Master's thesis, University of Illinois at Chicago).
Vincent, J. (2023). E-cigarette use among Filipino youth. Philippine Journal of Public Health, 15(1), 45–52.
World Health Organization, “Tobacco: E-cigarettes,” 2024.
Published
How to Cite
Issue
Section
Copyright (c) 2026 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
