TY - JOUR T1 - Dental Students’ Knowledge and Attitudes Toward Electronic Cigarettes: A Cross-Sectional Study from Türkiye TT - Diş Hekimliği Öğrencilerinin Elektronik Sigara Konusundaki Bilgi ve Tutumları: Türkiye’den Kesitsel Bir Çalışma AU - Gürbüz, Duru AU - Karaaslan, Fatih PY - 2025 DA - October Y2 - 2025 DO - 10.53424/balikesirsbd.1669189 JF - Balıkesir Sağlık Bilimleri Dergisi JO - BAUN Health Sci J PB - Balıkesir University WT - DergiPark SN - 2146-9601 SP - 689 EP - 695 VL - 14 IS - 3 LA - en AB - Objective Dental students are expected to play a pivotal role in raising public awareness about tobacco-related products, including electronic cigarettes (e-cigarettes). This study aimed to assess the habits, knowledge, and attitudes of dental students toward e-cigarettes, and to examine differences between clinical and preclinical students as well as across genders. Materials and Methods: A cross-sectional, paper-based survey consisting of 12 items covering demographics, knowledge, attitudes, and e-cigarette use was administered to undergraduate dental students at Uşak University, Turkey. Participants were categorized as preclinical (1st–3rd year) or clinical (4th–5th year) students. Results:A total of 502 students participated (mean age: 22.1±1.8 years; 184 males, 318 females). Overall, 27.8% reported smoking cigarettes and 8.7% reported e-cigarette use. Male students had significantly higher cigarette smoking rates compared with females (43.0% vs. 19.0%, p KW - dental students KW - e-cigarettes KW - level of knowledge KW - awareness KW - dental school KW - smoking N2 - Amaç: Diş hekimliği öğrencileri, tütün ürünleri ve elektronik sigaralar konusunda toplumun farkındalığını artırmada önemli bir rol üstlenmektedir. Bu çalışmada, öğrencilerin elektronik sigaralara ilişkin bilgi, tutum ve alışkanlıklarının yanı sıra preklinik ve klinik gruplar ile cinsiyetler arasındaki farklılıkların değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Uşak Üniversitesi Diş Hekimliği Fakültesi öğrencilerine 12 sorudan oluşan ve öğrencilerin demografik bilgilerinin, bilgi düzeylerinin, tutumlarının ve elektronik sigara kullanımlarının sorgulandığı kesitsel ve anket bazlı bir çalışma uygulanmıştır. Katılımcılar preklinik (1.–3. sınıf) ve klinik (4.–5. sınıf) öğrenciler olarak sınıflandırılmıştır. Bulgular: Çalışmaya 502 (184 erkek, 318 kadın) öğrenci (yaş ort. 22.1±1.8) katılmıştır. Katılımcıların %27.8’i sigara, %8.7’si elektronik sigara kullandığını bildirmiştir. Erkek öğrencilerde sigara kullanımı kadınlara göre anlamlı derecede yüksektir (erkek %43; kadın %19; p CR - Abbott, A.J., Reibel, Y.G., Arnett, M. C., Marka, N., & Drake, M.A. (2023). Journal of Dental Hygiene (Online), 97(4), 21-35. CR - Bansal, V., Hashemi, B., Raza, N., Kim, K. H., Raza, W., Kumar, P., & Brown, R. J. (2020). Review of the analytical methods for and clinical impact of additives and flavors used in electronic cigarettes. Exposure and Health, 12, 593-615. https://doi.org/10.1007/s12403-019-00331-x CR - Bhalerao, A., Sivandzade, F., Archie, S. R., & Cucullo, L. (2019). Public health policies on e-cigarettes. Current cardiology reports, 21, 1-6. 2019;21:1-6. https://doi.org/10.1007/s11886-019-1204-y CR - Börekçi, Ş., Bilir, N., & Karlıkaya, C. (2015). A New Area to Fight: Electronic Cigarette. Eurasian Journal of Pulmonology, 17(2). DOI: 10.5152/ejp.2015.65375 CR - Camenga, D. R., Krishnan-Sarin, S., Davis, D. R., Bold, K. W., Kong, G., & Morean, M. E. (2022). Curiosity, use, and perceptions of “tobacco-free nicotine” E-cigarettes among US young adults. Preventive medicine, 164, 107296. https://doi.org/10.1016/j.ypmed.2022.107296 CR - da Silva Leonel, A. C. L., Bonan, P. R. F., de Castro, J. F. L., dos Anjos Pontual, A., de Moraes Ramos-Perez, F. M., Feitosa, D. S., & da Cruz Perez, D. E. (2021). Tobacco use, attitudes, knowledge, and perception about smoking cessation counseling among Brazilian dental students: a cross-sectional study. Journal of Cancer Education, 36, 143-151. https://doi.org/10.1007/s13187-019-01610-6 CR - Ebrahimi Kalan, M., McKelvey, K., Ibrahimou, B., Trucco, E. M., & Ben Taleb, Z. (2020). The road to vaping: e-cigarette susceptibility and curiosity among US adolescents susceptible and nonsusceptible to cigarette smoking. Health Education & Behavior, 47(5), 696-705. https://doi.org/10.1177/1090198120943166 CR - Fang, J., Ren, J., Ren, L., Max, W., Yao, T., & Zhao, F. (2022). Electronic cigarette knowledge, attitudes and use among students at a university in Hangzhou, China. Tobacco induced diseases, 20, 09. https://doi.org/10.18332/tid/144230 CR - Figueredo, C. A., Abdelhay, N., Figueredo, C. M., Catunda, R., & Gibson, M. P. (2021). The impact of vaping on periodontitis: A systematic review. Clinical and Experimental Dental Research, 7(3), 376-384. https://doi.org/10.1002/cre2.360 CR - Györkös, Á. I., Kulcsár, N., Hermann, P., & Kispélyi, B. (2022). The oral effects of e-cigarettes–a literature review. Stoma Edu J, 9(3-4), 109-114. https://doi.org/10.25241/stomaeduj.2022.9(3-4).art.5 CR - Martín Carreras‐Presas, C., Naeim, M., Hsiou, D., Somacarrera Pérez, M. L., & Messadi, D. V. (2018). The need to educate future dental professionals on E‐cigarette effects. European Journal of Dental Education, 22(4), e751-e758. https://doi.org/10.1111/eje.12390 CR - Menezes, I.L., Targino, M.Ld.M., Silva, B.Ld., & Marinho, S.A. (2023) Knowledge and Habits of Brazilian Dental Students about Electronic Cigarettes. Journal of Advances in Medicine and Medical Research. 35(23):215-28. CR - Natto, Z. S. (2020). Dental students’ knowledge and attitudes about electronic cigarettes: a cross‐sectional study at one Saudi university. Journal of dental education, 84(1), 27-33. https://doi.org/10.21815/JDE.019.162 CR - Nor, N. A. M., Ismail, N., Ibrahim, F., Razak, I. A., & Ab-Murat, N. (2018). Tobacco use and attitudes towards tobacco control activities of Malaysian dental students. Archives of Orofacial Science, 13(1). CR - Obisesan, O. H., Osei, A. D., Uddin, S. I., Dzaye, O., Mirbolouk, M., Stokes, A., & Blaha, M. J. (2020). Trends in e-cigarette use in adults in the United States, 2016-2018. JAMA internal medicine, 180(10), 1394-1398.. doi:10.1001/jamainternmed.2020.2817 CR - O’Brien, D., Long, J., Quigley, J., Lee, C., McCarthy, A., & Kavanagh, P. (2021). Association between electronic cigarette use and tobacco cigarette smoking initiation in adolescents: a systematic review and meta-analysis. BMC Public Health, 21(1), 954. https://doi.org/10.1186/s12889-021-10935-1 CR - Rodakowska, E., Mazur, M., Baginska, J., Sierpinska, T., La Torre, G., Ottolenghi, L., ... & Guerra, F. (2020). Smoking prevalence, attitudes and behavior among dental students in Poland and Italy. International journal of environmental research and public health, 17(20), 7451. https://doi.org/10.3390/ijerph17207451 CR - Rouabhia, M. (2020). Impact of electronic cigarettes on oral health: a review. J Can Dent Assoc, 86(7), 1-8. Sapru, S., Vardhan, M., Li, Q., Guo, Y., Li, X., & Saxena, D. (2020). E-cigarettes use in the United States: reasons for use, perceptions, and effects on health. Public Health, 20, 1-10.. https://doi.org/10.1186/s12889-020-09572-x CR - Satpathy, N., Jena, P. K., Sahoo, M., Agarwal, S. J., Raut, K., Sahu, M., ... & Patel, A. (2024). Changes in Smoking Patterns in Turkey Before and After the Ban on Loose Cigarettes: An Ecological Perspective From Global Tobacco Surveillance Data. Cureus, 16(9). DOI: 10.7759/cureus.69657 CR - Smolana, A., Loster, Z., & Loster, J. (2022). Assessment of stress burden among dental students: A systematic literature review and meta-analysis of data. Dental and Medical Problems, 59(2), 301-307. doi: 10.17219/dmp/133955 CR - Tong, E. K., Wolf, T., Cooke, D. T., Fairman, N., & Chen Jr, M. S. (2020). The emergence of a sustainable tobacco treatment program across the cancer care continuum: a systems approach for implementation at the University of California Davis Comprehensive Cancer Center. International Journal of Environmental Research and Public Health, 17(9), 3241. https://doi.org/10.3390/ijerph17093241 CR - Villarroel, M. A., Cha, A. E., & Vahratian, A. (2020). Electronic cigarette use among US adults, 2018. Wang, R. J., Bhadriraju, S., & Glantz, S. A. (2021). E-cigarette use and adult cigarette smoking cessation: a meta-analysis. American journal of public health, 111(2), 230-246. https://doi.org/10.2105/AJPH.2020.305999 CR - World Health Organization [WHO]. (1948, April). WHO report on the global tobacco epidemic 2017: Monitoring tobacco use and prevention policies. 2017 UR - https://doi.org/10.53424/balikesirsbd.1669189 L1 - https://dergipark.org.tr/en/download/article-file/4741768 ER -