• Hemanath Sinnathamby Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah
  • Sahipudin Saupin Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah
  • Khamisah Awang Lukman Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah
  • Zulkhairul Naim Sidek Ahmad Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah
  • Loganathan Salvaraji Ministry of Health, Malaysia
  • Fredie Robinson Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah


E-cigarettes; Conventional cigarettes; Dual user; University student; Vendor promotion; Perception of e-cigarettes; Smokers


The health effects of e-cigarette use among the public is a new burden being faced by the public health community which will reflect on the future non-communicable disease problem. Currently, according to available data, usage of e-cigarettes shows an increase in trend among the younger generation. Furthermore, it scarcely investigated on perception and promoting factors of e-cigarette users among university students. Thus, this study aimed to estimate the prevalence and associated factors related to e-cigarette use among students at Universiti Malaysia Sabah (UMS). A cross-sectional study was conducted among the students in UMS, Kota Kinabalu district, and 383 respondents were involved, and a Google form questionnaire was used as the study tool. The prevalence of e-cigarette users among the students was 27.2%. There was a significant statistical association between the following variables and the use of e-cigarettes among UMS students. It was noted that male has a significant association with e-cigarette use which is aOR = 2.13 (95% CI 1.08, 4.18 with p-value 0.029) and the age group 22 – 24 years were less likely to use e-cigarettes compared to the age group 18 to 21 years (aOR: 0.25, 95% CI 0.11,0.61, with p-value 0.002). The perception of whether it would be difficult to quit e-cigarettes is aOR = 2.40 (95% CI 1.21, 4.76 with p-value: 0.012). The acceptance of an offer to use a vape by best friends is aOR = 12.54 (95% CI 6.12, 25.68 with p-value <0.001). There were also higher odds of ever cigarettes smokers starting using e-cigarettes which is aOR = 8.07 (95% CI 4.13, 15.77 with p-value <0.001). This study has identified some evidence-based information and associated factors related to e-cigarette use among UMS students which can be used in the future planning of programs or regulations to fight this new rising epidemic.


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How to Cite

Sinnathamby, H., Saupin, S., Awang Lukman, K., Sidek Ahmad, Z. N., Salvaraji , L., & Robinson, F. (2023). PREVALENCE AND ASSOCIATED RISK FACTORS RELATED TO E-CIGARETTE USE AMONG STUDENTS IN UNIVERSITI MALAYSIA SABAH. Malaysian Journal of Public Health Medicine, 23(3), 13–21. Retrieved from