Electronic Cigarette Use in Saudi Arabia: Emerging Trends and Public Health Concerns

A cross-sectional study conducted in Saudi Arabia investigated the patterns, motivations, and perceptions surrounding electronic cigarette (e-cigarette) use, highlighting significant public health concerns.

The findings revealed that e-cigarette use is widespread, particularly among younger males. The majority of the 441 participants were male (86%) and aged 18–28 (63%). Furthermore, e-cigarette use was significantly associated with lower educational attainment and lower income levels.

The study classified participants into three groups: dual users of e-cigarettes and traditional cigarettes (47%), ex-smokers who used e-cigarettes (31%), and exclusive e-cigarette users (22%). Key motivations for e-cigarette use included smoking cessation (45%), the availability of diverse flavors (35%), and the perception that they are safer than traditional tobacco products (29%).

Notably, half of the participants reported daily use, and a significant portion (26%) preferred e-juices with high nicotine content (≥16 mg). Retailers (43%) and online stores (27%) were the primary sources of these products.

Despite the perception of safety, 44% of participants reported experiencing adverse effects such as shortness of breath (18%) and chest pain (15%).

A significant majority (61%) supported government regulation of e-cigarettes.

The authors conclude that comprehensive public health measures are urgently needed to address the rising prevalence and risks. Recommended interventions include nicotine regulation, sales restrictions, taxation, and education campaigns.

Reference Source

Alhomoud FK, Almuhayshi A, Altarouti R, Abushaheen T. Alhomoud F. Alotaibi N, Alsugeir D, Alamer KA, Alqarni Y, Alfagen B, Almoghirah H and Alsulami F (2025) Electronic cigarette use in Saudi Arabia: a cross-sectional study on emerging trends and public health concerns. Front. Public Health 13:1574623.
doi: 10.3389/fpubh.2025.1574623.