• Norah I AlHumaidan, Lama A AlZelfawi, Zeena A AlHindawi, Lena M AlDosari, Aljoharah M AlTowaijri, and Njoud F AlFaisal.
• From the College of Medicine (AlHumaidan, AlZelfawi, AlHindawi, AlDosari, AlTowaijri), Princess Noura Bint Abdulrahman University, and from the Department of Family Medicine (AlFaisal), King Abdullah University Hospital, Riyadh, Kingdom of Saudi Arabia.
• Saudi Med J. 2024 Aug 1; 45 (8): 857861857-861.

ObjectivesTo determine the prevalence of electronic cigarette (e-cigarette) usage among young adults in Riyadh, Saudi Arabia; their perceptions of its harm and legal age, and the reasons and factors influencing their use.MethodsThis cross-sectional study was carried out within the general community of Riyadh, Saudi Arabia, between December 2023 and April 2024. Participants aged 18-25 years were included. A self-administered online questionnaire was used to gather demographic data, perceptions, and attitudes toward e-cigarettes and reasons for their use.ResultsThe majority of the 476 participants were female (n=378, 79.4%) and Saudi nationals (n=451, 94.7%). Current e-cigarette usage was 10.5% (n=50), being more prevalent among males (n=46, 46.9%) and non-Saudis (n=12, 48%). Respondents living alone (n=11, 34.4%) or with friends (n=4, 80%), those who perceived e-cigarettes as safer than cigarettes (n=38, 42.2%), or were unsure of age restrictions demonstrated high usage. Key motivators included flavors available, stress relief, and curiosity.ConclusionEelectronic cigarette use among Riyadh's youth was remarkable, especially among males. Reducing the e-cigarette usage prevalence in Saudi Arabia should be prioritized.Copyright: © Saudi Medical Journal.

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