Use of nicotine products and awareness among young generation in university

Year 2024, , 29 - 37, 29.01.2024

Ahsan Hayat , Talha Farooq Latif Saarim Waleed Khan Shafqat Huseein Hannan Munir Dr Sajida Naseem

https://doi.org/10.46310/tjim.1368098

Abstract

Background With the increasing prevalence of the use of nicotine products in educational institutions by the young generation, this research investigates the prevalence and awareness of nicotine products at Shifa Tameer-e-Millat University in Islamabad, Pakistan. It explores demographics, consumption patterns, and perceptions related to nicotine products.
Methods This study was conducted at Shifa Tameer-e-Millat University, Islamabad, from March 2022 to August 2023. Individuals aged 18 or older of both genders, including students from the university and Shifa Medical College, as well as healthcare employees and teachers who had consented to participate and had a history of nicotine product usage, were included.
Results The sample size was 320, with most being students (83.0%) with a mean age of 22.31 years, predominantly using cigarettes (57.5%), followed by e-cigarettes (23.4%). Participants reported exposure mainly to university (41%) and college (37%). Usage frequency varied, with 34.7% using nicotine products once daily, 32.5% 2-3 times daily, 20.6% 4-6 times daily, and 12.2% more than seven times daily. Peer pressure had a moderate influence (mean rating of 5.96), and a significant association was found between gender and nicotine product usage (p=0.003). Preferences favoured modern nicotine products (n: 233) over conventional ones (n: 87), but no linear trend was observed. Health impact perception was linked to willingness to quit; 167 believed their health was affected and were willing to quit, while 48 hesitated, and 79 were indecisive (p=0.009), with a linear trend (p<0.05).
Conclusion This study illuminated nicotine usage patterns, thus informing public health efforts to reduce consumption.

Keywords

: Nicotine, young generation, E-cigarette, prevalence, awareness

Ethical Statement

This study is commited to upolding ethical principles to contribute valueable insights to the field while priortizing the rights of the participants involved.

Thanks

We are grateful to our supervisor DR Sajida Naseem for providing her insight and help us to complete this research project.

References

• Pepper JK, Brewer NT. Electronic nicotine delivery system (electronic cigarette) awareness, use, reactions and beliefs: a systematic review. Tob Control. 2014 Sep;23(5):375-84. doi: 10.1136/tobaccocontrol-2013-051122.
• Ng M, Freeman MK, Fleming TD, Robinson M, Dwyer-Lindgren L, Thomson B, Wollum A, Sanman E, Wulf S, Lopez AD, Murray CJ, Gakidou E. Smoking prevalence and cigarette consumption in 187 countries, 1980-2012. JAMA. 2014 Jan 8;311(2):183-92. doi: 10.1001/jama.2013.284692.
• Benowitz NL, Goniewicz ML. The regulatory challenge of electronic cigarettes. JAMA. 2013 Aug 21;310(7):685-6. doi: 10.1001/jama.2013.109501.
• Kim AE, Arnold KY, Makarenko O. E-cigarette advertising expenditures in the U.S., 2011-2012. Am J Prev Med. 2014 Apr;46(4):409-12. doi: 10.1016/j.amepre.2013.11.003.
• Wang B, King BA, Corey CG, Arrazola RA, Johnson SE. Awareness and use of non-conventional tobacco products among U.S. students, 2012. Am J Prev Med. 2014 Aug;47(2 Suppl 1):S36-52. doi: 10.1016/j.amepre.2014.05.003.
• Vaping Devices (Electronic Cigarettes) DrugFacts. National Institute On Drug Abuse [Internet]. Jan 2020. Available at: https://nida.nih.gov/publications/drugfacts/vaping-devices-electronic-cigarettes. Accessed Jan 26, 2022.
• Rafique I, Nadeem Saqib MA, Bashir F, Naz S, Naz S. Comparison of Tobacco Consumption among Adults in SAARC Countries (Pakistan, India and Bangladesh). J Pak Med Assoc. 2018 May;68(Suppl 2)(5):S2-S6.
• Grana RA, Ling PM. "Smoking revolution": a content analysis of electronic cigarette retail websites. Am J Prev Med. 2014 Apr;46(4):395-403. doi: 10.1016/j.amepre.2013.12.010.
• Kong G, Morean ME, Cavallo DA, Camenga DR, Krishnan-Sarin S. Reasons for electronic cigarette experimentation and discontinuation among adolescents and young adults. Nicotine Tob Res. 2015 Jul;17(7):847-54. doi: 10.1093/ntr/ntu257.
• Choi K, Fabian L, Mottey N, Corbett A, Forster J. Young adults' favorable perceptions of snus, dissolvable tobacco products, and electronic cigarettes: findings from a focus group study. Am J Public Health. 2012 Nov;102(11):2088-93. doi: 10.2105/AJPH.2011.300525.
• Tobacco Use. Substance Abuse and Mental Health Services Administration. Behavioral Health Trends in the United States: Results from the 2014 National Survey on Drug Use and Health [Internet]. September 2015:14-18. Available at: https://www.samhsa.gov/data/sites/default/files/NSDUH-FRR1-2014/NSDUH-FRR1-2014.pdf.
• Piñeiro B, Correa JB, Simmons VN, Harrell PT, Menzie NS, Unrod M, Meltzer LR, Brandon TH. Gender differences in use and expectancies of e-cigarettes: Online survey results. Addict Behav. 2016 Jan;52:91-7. doi: 10.1016/j.addbeh.2015.09.006.
• Mendelsohn CP, Wodak A, Hall W, Borland R. A critical analysis of 'Electronic cigarettes and health outcomes: Systematic review of global evidence'. Drug Alcohol Rev. 2022 Nov;41(7):1493-8. doi: 10.1111/dar.13515.
• Lucherini M, Rooke C, Amos A. E-cigarettes, vaping and performativity in the context of tobacco denormalisation. Sociol Health Illn. 2018 Jul;40(6):1037-52. doi: 10.1111/1467-9566.12741.