Development of a Model for Preventing New Users of Electronic Cigarettes Among Students: A Case Study of Upper Secondary School Students in Thanyaburi District, Pathum Thani Province
Keywords:
electronic cigarette, new electronic cigarette use, risk behaviorAbstract
The research titled “Development of a model for preventing new users of electronic cigarettes among students: A case study of upper secondary school students in Thanyaburi district, Pathum Thani province” aimed to examine the situation and contributing factors related to e-cigarette use among upper secondary school students in Thanyaburi District, Pathum Thani Province, and to develop an effective prevention model. This quasi-experimental study employed a mixed-methods approach, involving 250 student participants. Data were collected through questionnaires and interviews. Findings revealed that most students had prior experience with e-cigarette use, typically consuming more than 5 times per day with nicotine concentrations of 4 milligrams. The developed preventive model included activities that promoted self-management of health behaviors across four dimensions: risk behavior, psychological factors, social and environmental influences, and accessibility. After participating in the intervention, students demonstrated significantly improved self-management behaviors, with statistical significance at the 0.05 level. Based on these results, it is recommended that schools adopt this model as part of a supplementary curriculum to continuously prevent e-cigarette use among students. Furthermore, the model can be expanded and integrated into national policy under the Ministry of Education’s framework for preventing and addressing e-cigarette issues in educational institutions in a systematic and sustainable manner.
References
Becker, T. D., Arnold, M. K., Ro, V., Martin, L., & Rice, T. R. (2021). Systematic review of electronic cigarette use (vaping) and mental health comorbidity among adolescents and young adults. Nicotine & Tobacco Research, 23(3), 415-425. Doi: doi0.1093/ntr/ntaa171.
Bloom, R. S. (1975). Stating educational objectives i behavioral terms. Nursing forum, 14(1), 30-42.
Coopersmith, S. (1981). Coopersmith self-esteem inventories (CSEI) [Database record]. APA PsycTests. Doi: https://doi.org/10.1037/t06456-000
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research, 18(1), 39-50.
Green, L., & Kreuter, M. (2005) Health program planning: An educational and ecological approach. (4th ed.). New York: McGraw Hill.
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). London: Pearson Education.
Jungsomjatepaisal, P., & Tuaymeerit, S. (2021). Development of a smoking prevention promotion model of secondary school students in Nakhon Ratchasima Province. Journal of health science, 30(5), 824-833. (in Thai)
Maneekun, C. (2023). Factors related to early electric smoking stage among upper secondary school students in Chachoengsao Province Burapha University. Retrieved from https://ir.buu.ac.th/dspace/bitstream/1513/841/1/63910211.pdf (in Thai)
Mc Leroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health education quarterly, 15, 351-77.
Onmoy, P., Buarueang, A., Paponngam, C., Janrungrueang, T., Lao-noi, N., & Boonrawd, A. (2022). Factors associated with electronic cigarette smoking behaviors of adolescents in Uttaradit Province, Thailand. Journal of health science, 31, 197-205. (in Thai)
Ruanphet, K. (2021). Factors related to electric smoking among male vocational students in Buriram Province Burapha University. Retrieved from https://ir.buu.ac.th/dspace/bitstream/1513/1/61920147.pdf (in Thai)
Sallis, J. F., Owen, N., & Fisher, E. B. (2008). Ecological models of health behavior. In: Glanz, K, Rimer, BK., Viswanath, K, editors. Health behavior and health education: Theory, research and practice. (4th ed.). San Francisco: Jossey-Bass.
Suwatpinyo, P., Kengganpanich, M., & Kengganpanich, T. (2021). Factors related to e-cigarette smoking among senior high school students in Bangkok Metropolitan area. Thai journal of health education, 44(2), 88-101. (in Thai)
Thai Health Promotion Foundation (Thai Health). (2023). Thai health report 2023. Bangkok: Amarin Printing and Publishing. (in Thai)
Tobacco Control Research and Knowledge Management Center. (2024). The situation of e-cigarette use among Thai youth. Retrieved from https://www.trc.or.th/th/ศูนย์ข้อมูล/สื่อเผนแพร่/infographic.html
Ua-Kit, N., & Pensri, L. (2019). Utilization of the precede model in health promotion. Thai red cross nursing journal, 12(1), 38-48. (in Thai)
Weiss, R. S. (1973). Loneliness: The experience of emotional and social isolation. Cambridge, MA: MIT Press.
World Health Organization. (2024). Hooking the next generation: How the tobacco industry captures young customers. Geneva: World Health Organization
