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Imam Abidin
Nursing Department, Faculty of Nursing, Universitas Bhakti Kencana, Indonesia
Nursing

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Prevalence of Dual Use Smoking and Nicotine Dependence Levels Among Adolescents and Adults in Community SettingsPrevalence of Dual Use Smoking and Nicotine Dependence Levels Among Adolescents and Adults in Community Settings Imam Abidin; Lia Nurlianawati
HealthCare Nursing Journal Vol. 8 No. 1 (2026): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v8i1.7512

Abstract

Dual smoking behavior, the concurrent use of conventional cigarettes and e-cigarettes, is an increasing public health concern, especially among adolescents and adults in Indonesia.  This study aimed to explore the prevalence of dual smoking behavior and nicotine dependence levels among community-dwelling adolescents and adults. This descriptive quantitative study involved 100 respondents selected through purposive sampling in RW 01 Cisaranten Kidul and RW 03 Ujung Berung. Data were collected using a demographic questionnaire, the Fagerström Test for Nicotine Dependence (FTND) for conventional cigarettes, and the Electronic Cigarette Dependence Index (ECDI) for dual users. Analysis utilized descriptive statistics. The results showed Most respondents were adults (90%). A total of 76% used only conventional cigarettes, while 24% were dual users. Nicotine dependence levels for conventional smoking were: low (26%), moderate (58%), and high (16%). Among dual users, 70.8% had no dependence on e-cigarettes, and 29.2% were mildly dependent. Dual use was present among community smokers, with most respondents demonstrating moderate dependence on nicotine from conventional cigarettes. Strengthened health promotion and early prevention strategies are needed to reduce addiction risk and dual-use patterns.
Co-Authors Lia Nurlianawati