The relationship and predictive power between nicotine dependence levels and substance addiction among adolescents using electronic cigarettes

Authors

  • Narissara Soutmun Boromarajonani College of Nursing, Surin, Faculty of Nursing, Praboromarajchanok Institute
  • Rujisan Surathaworn Boromarajonani College of Nursing, Surin, Faculty of Nursing, Praboromarajchanok Institute
  • Watchareewong Wangmun Boromarajonani College of Nursing, Surin, Faculty of Nursing, Praboromarajchanok Institute
  • Thidarat Kanungpiarn Boromarajonani college of nursing, Surin, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

nicotine dependence, substance addiction, teenagers, electronic cigarettes

Abstract

This descriptive study aimed to examine the relationship and predictive power of nicotine dependence levels on substance addiction among adolescents using e-cigarettes. The sample consisted of 84 adolescents aged 15–18 years, residing in communities in Surin Province, who were purposively selected based on predefined inclusion criteria. Research instruments included a personal information questionnaire, a nicotine dependence scale, and a substance use assessment scale. The reliability of the instruments was confirmed with Cronbach’s alpha coefficients of 0.92 and 0.94, respectively. Data were analyzed using descriptive statistics and multiple regression analysis.

The findings revealed that most participants had very low levels of nicotine dependence (34.53%, n=29). For substance use, the majority scored between 2–3 points, indicating user status (58.33%, n=49). Nicotine dependence was found to have a low but statistically significant positive correlation with substance addiction (r = 0.226, p < .05). Moreover, nicotine dependence significantly predicted substance addiction among adolescents who used e-cigarettes, accounting for 5.1% of the variance (R² = 0.051, p < .05).

These results demonstrate that nicotine dependence influences substance addiction in adolescents using e-cigarettes. The findings underscore the importance of preventive and control measures against e-cigarette use to reduce the risk of subsequent substance addiction among adolescents.

Author Biography

Thidarat Kanungpiarn, Boromarajonani college of nursing, Surin, Faculty of Nursing, Praboromarajchanok Institute

Ph.D (nursing science)

References

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Published

2025-09-12

How to Cite

1.
Soutmun N, Surathaworn R, Wangmun W, Kanungpiarn T. The relationship and predictive power between nicotine dependence levels and substance addiction among adolescents using electronic cigarettes. NURS HEALTH &amp; PUB J [internet]. 2025 Sep. 12 [cited 2025 Dec. 10];4(3):37-4. available from: https://he03.tci-thaijo.org/index.php/nhphj/article/view/4229

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Research Articles