EXPOSURE TO E-CIGARETTE ADVERTISEMENT AMONG FIRST-YEAR STUDENTS AT HANOI MEDICAL UNIVERSITY IN 2024 AND ASSOCIATED FACTORS

Ha Thi Thu Linh1, Nguyen Thi Diem Huong1
1 Institute of Preventive Medicine and Public Health Training, Hanoi Medical University

Main Article Content

Abstract

Objectives: To describe the prevalence of exposure to e-cigarette advertising and identify associated factors among first-year students at Hanoi Medical University in 2024.


Methods: A cross-sectional descriptive study was conducted among 457 first-year medical students from 11/2023 to 6/2024.


Results: The study indicated that two-thirds of first-year students (67.0%) reported exposure to e-cigarette advertising, with social media being the primary channel. Students who had acquaintances using e-cigarettes were more likely to be exposed to e-cigarette advertising compared with those who did not (OR = 1.6; 95% CI: 1.1–2.4; p = 0.026). In addition, students who were exposed to e-cigarette smoke in the past 30 days were also more likely to encounter e-cigarette advertising than those who were not exposed (OR = 1.9; 95% CI: 1.2–2.9; p = 0.04).


Conclusions: A high prevalence of exposure to e-cigarette advertising was observed among first-year students at Hanoi Medical University, with social media being the most common source of exposure. A statistically significant association was found between exposure to e-cigarette advertising and both having acquaintances who use e-cigarettes and passive exposure to e-cigarette smoke in the past 30 days.

Article Details

References

[1] Travis N, Knoll M, Cadham CJ, Cook S, Warner KE, Fleischer NL, et al. Health Effects of Electronic Cigarettes: An Umbrella Review and Methodological Considerations. Int J Environ Res Public Health. 2022 Jul 25;19(15):9054. doi:10.3390/ijerph19159054
[2] Urgent action needed to protect children and prevent the uptake of e-cigarettes [Internet]. [cited 2024 Jun 8]. Available from: https://www.who.int/news/item/14-12-2023-urgent-action-needed-to-protect-children-and-prevent-the-uptake-of-e-cigarettes
[3] Hansen J, Hanewinkel R, Morgenstern M. Electronic cigarette advertising and teen smoking initiation. Addict Behav. 2020 Apr;103:106243. doi:10.1016/j.addbeh.2019.106243
[4] Marynak K. Exposure to Electronic Cigarette Advertising Among Middle and High School Students — United States, 2014–2016. MMWR Morb Mortal Wkly Rep. 2018;67. doi:10.15585/mmwr.mm6710a3
[5] Sawdey MD, Hancock L, Messner M, Prom-Wormley EC. Assessing the Association between E-Cigarette Use and Exposure to Social Media in College Students: A Cross-Sectional Study. Subst Use Misuse. 2017 Dec 6;52(14):1910–7. doi:10.1080/10826084.2017.1319390
[6] Huong L, Dat LM, Hien N, Anh N, Son Đ, Nga Đ, et al. Thực trạng phơi nhiễm với quảng cáo thuốc lá điện tử của thanh thiếu niên 15-24 tuổi tại Hà Nội và Thành phố Hồ Chí Minh năm 2020. Vietnam J Public Health. 2021 Dec 31. doi:10.53522/ytcc.vi57.T211109
• [7] Online E-Cigarette Information Exposure and Its Association with E-Cigarette Use among Adolescents in Shanghai, China [Internet]. [cited 2025 Sep 16]. Available from: https://www.mdpi.com/1660-4601/19/6/3329. doi: 10.3390/ijerph19063329
[8] Pettigrew S, Santos JA, Pinho-Gomes AC, Li Y, Jones A. Exposure to e-cigarette advertising and young people’s use of e-cigarettes: A four-country study. Tob Induc Dis. 2023 Oct 24;21:141. doi:10.18332/tid/172414