{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T10:02:23Z","timestamp":1789984943148,"version":"4.0.1"},"reference-count":46,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Studies have shown that electronic cigarettes have gained immense popularity, particularly among university students, as they've been marketed as a safer, cleaner, and more acceptable alternative to traditional tobacco. However, little is known about the knowledge, attitude, and use of e\u2010cigarettes in a developing country such as Syria. This study aimed to investigate the knowledge, practices, and attitudes of Syrian university students regarding e\u2010cigarettes and the demographic factors related to these aspects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A web\u2010based survey was distributed to university students on social media. A total of 26 questions were used to collect demographic data and evaluate the knowledge, attitude, and use of e\u2010cigarettes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The total number of participants was 1572. The prevalence of e\u2010smoking alone was 24%, while 9.5% smoked e\u2010cigarettes and traditional tobacco together. The most prevalent source of information about e\u2010cigarettes was friends, followed by media, while desirable taste, followed by fun, was the most prevalent reason for using e\u2010cigarettes. The average knowledge score was 5.20\u2009\u00b1\u20093.01, while the average attitude score was 21.04\u2009\u00b1\u20094.56. Male gender, parental smoking, and decreased attitude score were independently associated with e\u2010smoking, while studying a medical specialty and decreased knowledge score were associated with e\u2010smoking but not independently.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Syrian university students' knowledge about e\u2010smoking is limited. Male gender, parental smoking, and lower attitude scores were independent predictors of e\u2010cigarette use. Academic specialty and knowledge were associated in univariate analysis but were not independent predictors. Awareness campaigns are imperative to counter the increased popularity of e\u2010smoking among the Syrian youth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72686","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T13:20:12Z","timestamp":1781875212000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, Attitude, and Use of E\u2010Cigarettes Among Syrian University Students: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7156-567X","authenticated-orcid":false,"given":"Mohammad Basheer","family":"Alameer","sequence":"first","affiliation":[{"name":"Faculty of Medicine Damascus University Damascus Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Al Emam","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Syrian Private University 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