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Open AccessArticle

Feasibility of e-Health Interventions on Smoking Cessation among Vietnamese Active Internet Users

Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Vietnam Young Physicians’ Association, Hanoi 100000, Vietnam
Faculty of Pharmacy, Duy Tan University, Da Nang 550000, Vietnam
Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
Biomedical Global Institute of Healthcare Research & Technology (BIGHEART), National University of Singapore 117599, Singapore
Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
Authors to whom correspondence should be addressed.
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2018, 15(1), 165;
Received: 13 November 2017 / Revised: 2 January 2018 / Accepted: 19 January 2018 / Published: 20 January 2018
(This article belongs to the Special Issue eHealth: The Impact of Technology on Healthcare)
Introduction: Although e-health interventions are widely implemented as a supportive measure to smoking cessation, there is a lack of evidence in the feasibility of its application among Vietnamese youths, which is considered to be one of the most frequent internet using populations. This study assessed the quitting attempts among smokers and their preference and willingness to pay for smartphone-based cessation supporting applications in a sample of active internet users approached. Methods: A total of 1082 participants were recruited for the online-based survey from August to October 2015 in Vietnam. Information on sociodemographic characteristics, health information seeking behaviors on the internet, smoking status, quitting attempts and willingness to pay for smartphone-based cessation supporting applications were collected. Multivariate logistic regression was used to determine the associated factors with current smoking and willingness to pay for the smoking cessation application. Results: About 11% of participants were current smokers while 73.4% had attempted to quit smoking. Only 26.8% of the individuals indicated that they were willing to utilize a smartphone application to assist them in quitting. Participants who were male, had partners/spouse and lived at other places were more likely to smoke cigarette. Meanwhile, people who spent 50–70% of their online time to read health information were less likely to smoke. Results also show that living with family and never sharing health information on the internet were negatively associated with a participant’s willingness to pay for the smartphone application. Meanwhile, people who highly trusted health information were more likely to be willing to pay for the application. Conclusions: This prevalence of smoking and associated factors can provide potential indicators for creating several public health interventions in the new environment with the increasing development of information technology. This study implies that in order to expand the coverage of smoking cessation interventions, we recommend the integration of e-health interventions with clinical- or telephone-based conventional models by providing smartphone applications and information on the internet from reliable sources. View Full-Text
Keywords: feasibility; ehealth; intervention; smoking; Vietnam; youth feasibility; ehealth; intervention; smoking; Vietnam; youth
MDPI and ACS Style

Tran, B.X.; Le, X.T.T.; Nguyen, P.N.; Le, Q.N.H.; Mai, H.T.; Nguyen, H.L.T.; Le, H.T.; Tran, T.T.; Latkin, C.A.; Zhang, M.W.; Ho, R.C. Feasibility of e-Health Interventions on Smoking Cessation among Vietnamese Active Internet Users. Int. J. Environ. Res. Public Health 2018, 15, 165.

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