The use of electronic cigarettes in Thailand: a cross-sectional national survey

Background An electronic cigarette (e-cigarette) is an electronic nicotine delivering system that may be widely used by smokers in Thailand for some reasons, although e-cigarette is an embargo good in Thailand and their benefits are not clear. Moreover, the behaviors of Thai e-cigarettes users remain insufficient and ambiguous. This study aimed to survey behaviors of using e-cigarettes and rationales among Thai e-cigarette users. Methods We conducted a cross-sectional study from December 2019 to February 2020 throughout Thailand. The participants were Thais with at least 18 years old and currently using e-cigarette, and they were invited to voluntary participate in the study using an online questionnaire posting on social media. Results Of 1,050 participants, most of participants were men (89.1%); the average age was 31.2±8.4 years old. They were from all regions of Thailand, but most of them (64.5%), were from the central part of Thailand. Of currently Thai e-cigarette users, 43.2%, 23.1%, and 14.9% were private employees, business owners/ freelancers, and students, respectively. Most of the users were graduated with a bachelor's degree (53.8%), and Senior high school or Vocational certificate (25.0%). E-cigarette users reported the top 3 rationales for using e-cigarette were the belief of less harmful of e-cigarette than a conventional cigarette (81.0%), using as a smoking quitting aid (80.6%), and lacking attaching normal cigarette odor (58.2%). Conclusions This study shows that most of the e-cigarette users were males with an average age of 31 years old. Smokers used e-cigarette because of the belief of less harmful of e-cigarette than a conventional cigarette and being a quitting aid. The public health organizations and health care providers should provide accurate information and raise awareness of users about the harm of e-cigarettes and inconclusive evidence of using e-cigarettes as a quitting aid. Key messages The public health organizations should provide accurate information and raise awareness of users about the harm of e-cigarettes and inconclusive evidence of using e-cigarettes as a quitting aid. Most of Thai e-cigarette users were men, at the average age of 31 years old, from the central part of Thailand, work as private company employees and bachelor’s degree graduated.