Electronic cigarettes use and parental factors among children and adolescents, Jeddah. A cross-sectional study

E-cigarettes are gaining popularity worldwide, necessitating their control. This study investigated the impact of parental factors on E-cigarette use among children-adolescents in Jeddah, Saudi Arabia. A cross-sectional survey involving 1,044 parents of children aged 10- to 21 was conducted in malls. A structured questionnaire assessed parental socio-economic status, smoking/vaping habits, and attitudes toward E-cigarette use.Data were analysed using chi-square, Mann-Whitney, and binary logistic regression (significance set at 0.05). Results showed 176 (16.9%) parents reported their children using E-cigarettes. Older adolescents (18-21 age group) were significantly more likely to use E-cigarettes compared to younger ones (adjusted odds ratio [AOR]:6.456, 95% CI:3.664-11.374). Parents with a permissive attitude were more likely to have children who vape. (AOR:1.643, 95% CI:1.149-2.348). While open parent-child communication about traditional smoking reduced E-cigarettes use (AOR:0.772, 95% CI:0.639-0.934). Parental attitudes and open communication are crucial for mitigating youth E-cigarette use.