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Factors Associated With Victorian Adolescents' Harm Perceptions and Attitudes About e-Cigarettes

Koh I, Scully M, Baker E, Wakefield M, White V, Durkin S

Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals, 2026

1,701 participants · 1 citation

Abstract

Issue addressed: To explore Australian adolescents' perceptions of the risks and health harms associated with vaping and their attitudes towards e-cigarettes and examine if these vary by demographic and other factors.

Methods: Data were from a 2022-2023 cross-sectional, school-based survey of Victorian students aged 12-17 years (n = 1701 [weighted]; n = 1696 [unweighted]). Separate multivariable logistic regression models tested associations between agreement with each perception/attitude and predictors (age group, gender, area-based socio-economic status, vaping susceptibility, e-cigarette marketing exposure, peer vaping), controlling for education sector and school-level clustering.

Results: Most students (≥ 86%) agreed that vaping is harmful and addictive and that e-cigarettes contain harmful substances and nicotine, while agreement that breathing other people's e-cigarette vapour can affect your health was somewhat lower (69%). Perceptions of vaping harms tended to be stronger among females (vs. males) and weaker among past-month vapers (vs. non-susceptible, never-vapers). Overall, students held more negative than favourable attitudes towards e-cigarettes. However, vaping susceptibility, being of younger age and having a close friend that vapes were independently associated with having more favourable attitudes towards e-cigarettes (e.g., they look cool, make vaping look exciting). Further, past-month exposure to e-cigarette advertising was associated with students…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 1,701 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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