Reasons for using e-cigarettes and support for e-cigarette regulations: Findings from the 2020 ITC Malaysia survey

Hairi, Farizah Mohd and Goh, Kok Tiong and Driezen, Pete and Nordin, Amer Siddiq Amer and Yee, Anne and Tajuddin, Nur Amani Ahmad and Hasan, Siti Idayu and Danaee, Mahmoud and Kamaludin, Ina Sharyn and Kaai, Susan C. and Yan, Mi and Grey, Matthew and Quah, Anne C. K. and Thompson, Mary E. and Fong, Geoffrey T. (2022) Reasons for using e-cigarettes and support for e-cigarette regulations: Findings from the 2020 ITC Malaysia survey. Tobacco Induced Diseases, 20. ISSN 1617-9625, DOI

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Malaysia has the largest e-cigarette (EC) market in Southeast Asia, and it has been estimated that 17% of adult daily cigarette smokers also used ECs on a daily basis in 2020. However, few studies have examined the reasons people use ECs in Malaysia. This cross-sectional study of adult cigarette smokers from Malaysia assessed reasons for EC use and their support for key proposed EC regulations. METHODS Data are from the 2020 International Tobacco Control (ITC) Malaysia Wave 1 Survey of adult (aged >= 18 years) smokers who reported that they used ECs at least monthly (N=459 out of 1047 smokers). Weighted analyses were conducted on EC users' reasons for using ECs and their support for various EC regulations. RESULTS Smokers who used ECs at least monthly were more likely to be male, aged 25-39 years, of Malay ethnicity, married, more highly educated, and living in Peninsular Malaysia. Smokers who used ECs daily reported using ECs to reduce the number of cigarettes smoked (91.3%), pleasant taste (90.1%), to quit smoking (87.9%), and enjoyment (87.5%). Smokers who used ECs less than daily reported using ECs for their pleasant taste ( weekly 89.4%, monthly 87.5%), curiosity (weekly 79.5%, monthly 88.8%), being offered EC by someone (weekly 76.3%, monthly 81.6%), and to reduce the number of cigarettes smoked (weekly 76.2%, monthly 77.6%). Smokers who also used ECs were most likely to support EC regulations requiring a minimum purchasing age (88.3%) and limiting nicotine concentration (79.6%), and least likely to support regulations banning EC fruit and candy flavors (27.1%). CONCLUSIONS The most prevalent reasons for using ECs in Malaysia are comparable to those of other ITC countries, including Canada, US, England, and Australia. An understanding of use patterns of ECs, especially their interaction with cigarettes, are important in developing evidence-based regulations in Malaysia.

Item Type: Article
Funders: Malaysia Ministry of Higher Education-LRGS NanoMITe [RU029-2014], University of Malaya Research University Grant [RU029C-2014 RU001A-2021], Canadian Institutes of Health Research (CIHR) [FDN148477], Ontario Institute for Cancer Research [IA-004], Canadian Cancer Society O. Harold Warwick Prize, Johnson & Johnson Malaysia Sdn Bhd
Uncontrolled Keywords: e-cigarettes; Malaysia; Vaping; Reasons for vaping; Regulations
Subjects: R Medicine
R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 29 Aug 2023 03:58
Last Modified: 29 Aug 2023 03:58

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