Does the behaviour of using electronic cigarette correkates with respiratory disease symptoms?

There is a growing number of people who use an electronic cigarette in Surabaya, Indonesia. The use of electronic cigarettes can lead to breathing problems and cause toxicity in the respiratory tract as well as the worsening of airway obstruction. The study was carried out because there was a little study of electronic cigarettes. This study aimed to analyze the behavior of using an electronic cigarette and its effect on respiratory disease symptoms. The design of this study was descriptive correlational with a cross-sectional approach. The population was the electronic cigarette users in Surabaya. The sample was 100 respondents, recruited with snowball sampling. The independent variable was the behavior of using an electronic cigarette. The dependent variable was respiratory disease symptoms. The instrument was a questionnaire that has been tested the validity and reliability. The instrument used was a questionnaire. Data were analyzed using the Spearman rho test. The results showed that there was a correlation between the behavior of using an electronic cigarette and respiratory disease symptoms (p = 0.000), and the correlation level was moderate (r = 0.457). The behavior of using electronic cigarettes can cause respiratory disease symptoms.