Factors affecting the behavioral e-cigarettes smoking prevention behavior among high school students in Nakhon Sawan Province
Abstract
This predictive correlational research aimed to study electronic cigarette (e-cigarette) prevention behaviors and the factors influencing these behaviors among 391 upper secondary school students in Nakhon Sawan Province. The research instruments consisted of questionnaires covering general information, knowledge, attitudes, reinforcing factors, enabling factors, and e-cigarette smoking prevention behavior, along with suggestions for school-based e-cigarette prevention guidelines. The content validity (IOC) ranged from 0.67-1.00, and the overall reliability coefficients were 0.73, 0.90, 0.96, 0.87, 0.76, and 0.98, respectively. Data were analyzed using descriptive statistics and stepwise multiple regression.
The study found that 89.5% of the samples exhibited high levels of e-cigarette prevention behaviors. Four factors significantly predicted e-cigarette prevention behaviors: history of e-cigarette smoking (Beta = 0.550, p < 0.001), attitudes (Beta = 0.158, p < 0.001), reinforcing factors (Beta = 0.126, p = 0.003), and knowledge (Beta = 0.089, p = 0.018). These factors collectively accounted for 63.7% of the variance in e-cigarette prevention behaviors. Recommends that school administrators utilize these findings to establish policies or practical guidelines for secondary schools, in collaboration with public health agencies and networks. This includes campaigning to raise awareness, foster positive attitudes, and create a supportive environment to prevent e-cigarette use in schools, thereby reducing the risk of e-cigarette smoking among students.
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