Background: The rising prevalence of e-cigarette use among adolescents in Thailand poses significant public health concerns, particularly due to its association with increased risks of nicotine addiction and potential progression to traditional tobacco use. Educators play a pivotal role in tobacco prevention efforts; however, disparities in their knowledge, attitudes, and awareness may influence the effectiveness of such interventions. Objective: To assess sex-based differences in knowledge, attitudes, and awareness regarding e-cigarette use among secondary school teachers in Thailand, aiming to inform targeted educational strategies. Methods: A cross-sectional study was conducted involving 498 secondary school teachers from Bangkok and central Thailand. Participants completed a validated questionnaire assessing their knowledge, attitudes, and awareness related to e-cigarette use (Cronbach’s alpha 0.80–0.88). Statistical analyses included descriptive statistics, independent t-tests to evaluate sex differences, and linear regression to identify predictors of awareness. Results: Female teachers exhibited significantly higher mean scores in knowledge (M=11.03, SD=2.03), attitudes (M=3.98, SD=0.56), and awareness (M=4.09, SD=0.44) compared to male teachers (knowledge: M=10.51, SD=2.47; attitudes: M=3.68, SD=0.60; awareness: M=3.93, SD=0.53), with all differences reaching statistical significance (p<0.05). Regression analyses revealed that both knowledge (β = 0.606 for females, β = 0.597 for males) and attitudes (β = 0.151 for females, β = 0.191 for males) were significant predictors of awareness for both males and females (R² = 0.547 for males; R² = 0.519 for females). Conclusion: The study observed noteworthy sex differences in teachers’ perceptions and understanding of e-cigarette use, with female teachers demonstrating greater knowledge, more positive attitudes, and higher awareness. These findings underscore the need for sex-sensitive educational interventions to enhance the role of all educators in tobacco prevention efforts among youth.
Sarayuthpitak, J. , Tapat, C. and Treesopanakorn, K. (2025). Thai Teachers’ Knowledge, Attitude, and Awareness of E-Cigarette Use among Youth: A Sex-Based Comparative Analysis. Asian Pacific Journal of Cancer Prevention, 26(11), 4165-4170. doi: 10.31557/APJCP.2025.26.11.4165
MLA
Sarayuthpitak, J. , , Tapat, C. , and Treesopanakorn, K. . "Thai Teachers’ Knowledge, Attitude, and Awareness of E-Cigarette Use among Youth: A Sex-Based Comparative Analysis", Asian Pacific Journal of Cancer Prevention, 26, 11, 2025, 4165-4170. doi: 10.31557/APJCP.2025.26.11.4165
HARVARD
Sarayuthpitak, J., Tapat, C., Treesopanakorn, K. (2025). 'Thai Teachers’ Knowledge, Attitude, and Awareness of E-Cigarette Use among Youth: A Sex-Based Comparative Analysis', Asian Pacific Journal of Cancer Prevention, 26(11), pp. 4165-4170. doi: 10.31557/APJCP.2025.26.11.4165
CHICAGO
J. Sarayuthpitak , C. Tapat and K. Treesopanakorn, "Thai Teachers’ Knowledge, Attitude, and Awareness of E-Cigarette Use among Youth: A Sex-Based Comparative Analysis," Asian Pacific Journal of Cancer Prevention, 26 11 (2025): 4165-4170, doi: 10.31557/APJCP.2025.26.11.4165
VANCOUVER
Sarayuthpitak, J., Tapat, C., Treesopanakorn, K. Thai Teachers’ Knowledge, Attitude, and Awareness of E-Cigarette Use among Youth: A Sex-Based Comparative Analysis. Asian Pacific Journal of Cancer Prevention, 2025; 26(11): 4165-4170. doi: 10.31557/APJCP.2025.26.11.4165
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