Inhale the Truth: Knowledge, Attitude, and Usage Patterns of Cigarette and E-Cigarette (Vape) Users Among Young Adults Aged 18–27 Years — A Cross-Sectional Study from Maharashtra, India
Abstract
Background: The co-occurring use of e-cigarettes and combustible cigarettes among young adults is a growing public health concern. Differences in knowledge, attitude, and usage patterns between cigarette smokers and vape users are critical to informing targeted interventions.
Objective: To evaluate and compare knowledge, attitude, and usage patterns among cigarette smokers and vape users aged 18–27 years, and to assess nicotine dependence using the Penn State Cigarette Dependence Scale (PSCDS).
Methods: A cross-sectional study was conducted using a structured, validated questionnaire administered to 812 young adults in a city in Maharashtra, India. A total of 812 participants (406 cigarette smokers and 406 vape users) completed both the Knowledge-Attitude-Practice questionnaire and the Penn State Cigarette Dependence Scale. Demographic data, health risk knowledge, attitudes, usage patterns, and nicotine dependence were collected. Descriptive statistics, Independent Samples t-test, and Chi-square test were used for statistical analysis.
Results: The majority of participants were male (81.3%) and aged 18–22 years (56.7%). Mean PSCDS scores were 7.94 ± 2.93 for vape users and 7.31 ± 2.90 for cigarette smokers (Table 5). Over 33% of participants initiated use before the age of 17 years (Table 2). Peer influence and curiosity were the primary reasons for initiation (34.5% each). While 70.2% correctly identified the government ban, significant misconceptions persisted — 26.4%…
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: 812 participants or records.
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