Objective: To understand the current status and influencing factors of attempts to e cigarettes use among Macao teenager, and to provide evidence for strategies to prevent and control the use of e cigarettes among teenager. Methods: Research data was 2 683 valid questionnaires collected from the "Macao Youth Tobacco Use Survey 2021", representing 19 480 teenagers from grade 1 to 4 in junior middle schools in Macao after sample weighting. Multivariate Logistic regression analysis was used to analyze the factors that may influencing attempts to e cigarettes use. Results: The total percent of attempt using e cigarettes was 11.3%(95% C =10.2%-12.6%), and male(12.1%) was higher than female(10.5%), the difference was statistically significant ( χ 2= 11.01 , P <0.01). Older adolescents (14-16, ≥17 years old), having more pocket money per week, believing e cigarettes to be less harmful, having been taught about the hazards of e cigarettes within 12 months, definitely believing that e cigarettes maked teenager more attractive, having been exposed to second hand smoke at home within 7 days, having seen tobacco advertisements on the Internet within 30 days, smoking by either parent, smoking among best friends were positively associated with attempts to e cigarettes use ( OR=1.48, 3.01, 1.79, 1.34, 1.67, 1.27, 1.33, 1.34, 1.58, 3.53, P <0.01). Conclusion Attempts to e cigarettes use is common among Macao teenagers, and there are many complex influencing factors. It is recommended to strengthen whole society cooperation and promote the prevention and control of teenager s use of e cigarettes through more targeted comprehensive measures.