The Relationship between Health Literacy to Smoking Cessation Assistance Behavior, Opinions and Experiences of Health Service about E – Cigarette among Primary Healthcare Providers
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Abstract
This mixed-methods research aimed to 1) examine the relationship between e-cigarette health literacy and smoking cessation assistance behavior among primary healthcare providers, and 2) explore their opinions and experiences and roles in providing tobacco and e-cigarette control services. For the quantitative phase, a total of 282 primary healthcare providers working in sub-district health promoting hospitals in Chachoengsao Province were recruited. Data were collected using questionnaires on e-cigarette health literacy and smoking cessation assistance behavior with Cronbach’s alpha coefficient of .97. Data were analyzed using descriptive statistics and Pearson’s correlation. For the qualitative phase, 11 primary healthcare providers were purposively selected and participated in in-depth interviews. Data were analyzed using content analysis. The results showed that.
1. The primary healthcare providers had a high level of e-cigarette health literacy and smoking cessation assistance behavior (M = 120.64, 26.98; SD = 14.60, 6.48, respectively). E-cigarette health literacy was significantly positively correlated with smoking cessation assistance behavior (r = .539, p < .001).
2. Qualitative findings indicated that primary healthcare providers perceived e-cigarettes negatively, recognizing their harmful effects on both users and bystanders and their association with various diseases. They reported roles and experiences in providing health education, screening, counseling, and smoking cessation support. Key barriers included easy accessibility of e-cigarettes, lack of awareness of their health risks, misconceptions about their safety, and inappropriate role models.
Recommendations for controlling e-cigarette use included strengthening community-based measures, enforcing tobacco control laws more strictly, and providing continuous education and capacity-building for personnel involved in tobacco control.
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