Abstract:
Shisha and electronic cigarette smoking become new global epidemic. Youth were the most vulnerable group to be attracted using this product. The study aims to find out prevalence and significant predictors of shisha electronic cigarette smoking among high school students in Jakarta Indonesia. The study design was cross-sectional with multistage cluster random sampling. A total of 1,318 students aged 15-19 from 14 schools (suburban: 8 and downtown: 6) participated. The prevalence of shisha smoking were 20.6% in lifetime, 15.5% in past year, and 5.2% in current. For electronic cigarette, the prevalence of lifetime, past year, and current smoker reached to 14.6%, 12.5%, and 3.4% respectively. About 10.5% of respondents ever tried both of shisha and electronic cigarette, 7.6% used in past year, and 1.1% in past 30 days. Multiple logistic regression found gender, school location, father education, smoking status of father and close friends, lifetime cigarette smoking, past year cigarette smoking, and availability were predictors for electronic cigarette and shisha use. Furthermore, lifetime cigarette smoking was the strongest predictor which were 4 times more likely to tried shisha (AOR: 4.251 95% CI: 2.683-6.734) and electronic cigarette (AOR: 4.496, 95% CI: 2.52-8.022) than nonsmoker. The prevalence of shisha and electronic cigarette smoking was considerably high in this study. Thus, health promotion program with emphasize to prevent shisha and electronic cigarette smoking were urgently needed.
