Exploring initiation process and cultural identity towards young adult vapers in China: a qualitative study

Abstract

Abstract Background E-cigarette(EC) communication with conflicting views significantly shapes young people's knowledge and attitudes, which are precursor predictors of their usage behavior. This study aims to explore the experiences and perspectives on ECs from young adult vapers in China, especially in terms of culture. Methods Based on narrative analysis approach, this paper conducted one-on-one interview and focus group with 43 young adult vapers from China to understand their EC usage behavior and cultural understanding. Combined with the narrative analysis framework of the problem-solving approach, data were analyzed using thematic analysis, to develop themes related to EC usage. Results Three themes about e-cigarette usage behavior among the youth were presented: (i)e-cigarette initiation process and use patterns, (ii) temporal orientations to risks and benefits, and (iii) self-construction of individuals and relationships. The latter two are about the young adult vapers’ cultural understanding of EC. Conclusion Single and dual users have similar initiation processes in general, but have different behavioral structures in detail. Factors such as motivation and experience with traditional cigarettes should be considered for both when tailoring health messages. The cultural factors regarding time orientation and self-construation will provide support for message tailoring and behavioral intervention to young adult vapers.