Knowledge and Attitudes Toward E-cigarette Use: A Cross-Sectional Study From Saudi Arabia

Area of Science:

• Public Health
• Behavioral Science
• Tobacco Control

Background:

• Electronic cigarette (e-cigarette) use is a growing behavior in the Middle East, a region with high tobacco consumption.
• Understanding public awareness and attitudes towards e-cigarettes in Saudi Arabia is crucial given this emerging trend.

Purpose of the Study:

• To investigate the level of knowledge and attitudes regarding electronic cigarette (e-cigarette) utilization in Saudi Arabia.

Main Methods:

• A cross-sectional online survey was conducted from May to September 2023.
• A validated questionnaire assessed knowledge and attitudes among 422 participants.
• Binary logistic regression identified predictors of e-cigarette knowledge and positive attitudes.

Main Results:

• Participants demonstrated a high median knowledge score (13.00/15.00) regarding e-cigarettes.
• A prevailing negative attitude towards e-cigarette use was observed (median score 3.00/12.00).
• Higher monthly income (≥5,001 SAR) was significantly associated with greater e-cigarette knowledge (p < 0.05).
• No significant predictors for a positive attitude toward e-cigarette use were identified (p > 0.05).

Conclusions:

• The Saudi Arabian study population possesses substantial e-cigarette knowledge but generally holds negative attitudes.
• Individual income level is a significant predictor of e-cigarette knowledge.
• Qualitative research is recommended to explore factors influencing negative attitudes towards e-cigarette use.