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Knowledge and Attitude of the General Population Toward E-cigarette Use in Khyber Pakhtunkhwa: A Cross-Sectional Study

Muhammad Haris Khan, Muhammad Ijaz Khan, Samra Israr, A. Haseeb, Fnu Ariya, Muhammad Ibadullah Khan, Maryam Amir

Cureus, 2025

403 participants · 1 citation

Abstract

Introduction Electronic cigarette (e-cigarette) use has risen markedly worldwide in recent years, raising public health concerns. E-cigarettes contain many addictive and dangerous substances, including nicotine, different flavorings, propylene glycol, vegetable glycerin, and others, making them more appealing but, at the same time, have various harmful effects on health. The available literature on e-cigarette and vape use and their adverse effects is insufficient and limited, even in developed countries, let alone in developing nations like Pakistan. This study investigates the knowledge and attitudes of the Khyber Pakhtunkhwa (KPK) population toward e-cigarette use and its adverse effects on human health. This study also disclosed the use of e-cigarettes among different age groups, genders, and socioeconomic classes. Materials and methods A cross-sectional survey was carried out from October to December 2023 after obtaining ethical approval from the Institutional Research and Ethical Review Board (IREB). The sample size of our study was 385, which was determined using Cochran's formula. Using non-probability convenience sampling, we collected data from 403 individuals. A pre-validated questionnaire from a study conducted in Karachi was adopted for our study, which had four sections. The first section dealt with demographics, the second with knowledge of using e-cigarettes, and the third and fourth with attitudes and practices around using e-cigarettes, respectively. The…

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