Hasmah Binti Mohamed Haris , Wan Shakira Rodzlan Hasani ,Jane Ling Miaw Yn , Mohd Hatta Bin Abdul Mutalip , Eida Nurhadzira Binti Muhammad , Muhammad Faiz Bin Mohd Hisham , Ahzairin Bin Ahmad , Muhammad Fadhli Bin Mohd Yusoﬀ 1 Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia. NMRR-18-3085-44207 1. Sharifa EWP. (2018). The use of e-cigarettes among university students in Malaysia. Tobacco Induced Diseases. Vol (16). Doi: 10.18332/tid/99539. 2. Palipudi KM, Mbulo L, Morton J, et al. Awareness and Current Use of Electronic Cigarettes in Indonesia, Malaysia, Qatar, and Greece: Findings From 2011-2013 Global Adult Tobacco Surveys. Nicotine Tob Res. 2016;18(4):501-507. doi:10.1093/ntr/ntv081 3. Hiong Tee, G., & Low, W. Y. (2019). Electronic Cigarettes Use Among Adults and Adolescents in Malaysia: A Public Health Concern? Asia Pacific Journal of Public Health, 31(7_suppl), 4S-5S. https://- doi.org/10.1177/1010539519878329 4. Kilibarda B, Mravcik V, Martens MS. E-cigarette use among Serbian adults: prevalence and user characteristics. Int J Public Health. 2016;61(2):167-175. doi:10.1007/s00038-016-0787-y References P-17 Electronic cigarettes (e-cigarettes) is growing a public health concern because its present threats to tobacco control and undo the success achieved. E-cigarettes and vaping are seems to be in trend nowadays especially among adults regardless of the negative health impacts. This study aimed to investigates the current prevalence of e- cigarette users and its associated factors among adults aged 15 years and above in Malaysia. • There was almost equal representation of male and female respondents from 11,111 respondents aged 15 years and older. • The prevalence was signiﬁcantly highest among Malay and others ethnicity (5.8%), younger age group 15-24 years (11.2%) ,private employee (7.3%) and among current smoker (15.5%). • Current e-cigarette users were associated with male (aOR= 26.71;95% CI= 14.79, 48.23), 18 to 24 years old (aOR= 10.80; 95% CI= 7.22, 16.13), and current tobacco smoker (aOR=2.51, 95% CI=1.98, 3.17). • From other study among university in students in Malaysia done by Sharifa et al, it showed that 74.9% of the students smoke and 40.3% were cigarrette smokers too . • In 2011, a Global Adult Tobacco Survey was done in Malaysia and the current e-cigarettes user among adults at that time was 0.8% . • The prevalence of smokeless tobacco products including e-cigarette use among adult in Malaysia was 10.9% but that was including other types of smokeless tobacco products . • The current e-cigarettes smoker in Serbia was reported to be 2% which is lower than our national prevalence • Data from the National Health & Morbidity Survey (NHMS) 2019 conducted by Institute for Public Health, Ministry of Health was analyzed. • It is a cross sectional, population-based survey which employed a two-stage stratiﬁed cluster random sampling design to ensure national representativeness. • Sample consisted of 11,111 respondents aged 15 years and above responded to the smoking module. Respondents were given structured questionaires via face to face interview. Descriptive and multivariate analyses were used for analysis. This study showed that current using e-cigarettes are more frequently among smokers. Hence e-cigarette intervention strategies and policies should target at this high-prevalence group and urgent need in preventive strategies to protect younger adults and adolescent from this harmful exposure. 1 1 1 1 1 1 1 4 The prevalence and factors associated with 1 1 3 E-cigarette users among Malaysian Variables Overall Gender Male Female Ethnic Malay Chinese Indian Bumiputera Sabah & Sarawak Others Age Group (years) 15-24 25-34 35-44 45 and above Occupation Government Employee Private Employee Self Employed Retiree Student Not Working Smoking Status Current Smoker Non Smoker Prevalence (%) 4.9 9.4 0.3 5.8 3.5 1.0 5.0 5.8 11.2 5.5 3.0 0.9 5.30 7.30 5.70 0.9 5.70 3.10 15.5 2.1 Estimated P