Factors Influencing Depression among Adolescent Students Who Use E-Cigarettes in Surin Province
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Abstract
This cross-sectional analytical study aimed to examine the factors associated with depression among adolescent students who use e-cigarettes in Surin Province. The sample consisted of 130 adolescent students aged 15–18 years who reported using e-cigarettes in Mueang District, Surin Province. Participants were recruited using a snowball sampling technique. Data were collected using a personal factors questionnaire, an adolescent depression assessment scale, and a nicotine dependence assessment scale. The reliability of the instruments was Cronbach’s alpha coefficients of .92 and .96, respectively. Data were analyzed using descriptive statistics and multiple logistic regression.
The results revealed that the prevalence of depression among adolescent e-cigarette users in Surin Province was 93.07%. Vocational students who used e-cigarettes were 182.01 times more likely to experience depression than those in general education programs (ORadj = 182.01, 95% CI: 15.71–2107.83). In addition, adolescents who consumed alcohol were 10.57 times more likely to experience depression than those who did not consume alcohol (ORadj = 10.57, 95% CI: 1.09–102.20). These associations were statistically significant at the .01 and .05 levels.
The findings of this study can be used by public health agencies as baseline information for policy development and the design of intervention programs aimed at preventing depression among adolescent e-cigarette users.
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