Exposure to tobacco secondhand smoke and its associated factors among non-smoking adults in smoking-restricted and non-restricted areas: findings from a nationwide study in Malaysia

Lim, Kuang Hock; Teh, Chien Huey; Mohamed, Mohamad Haniki Nik; Pan, Sayan; Ling, Miaw Yn Jane; Yusoff, Muhammad Fadhli Mohd; Hassan, Noraryana; Baharom, Nizam; Dawam, Netty Darwina; Ismail, Nurhuda; Ghazali, Sumarni Mohd; Kee, Chee Cheong; Chong, Kar H; Lim, Hui Li

doi:10.1136/bmjopen-2017-017203

Cited by 16 publications

(21 citation statements)

References 38 publications

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“…However, as those studies were conducted in 2009 and 2012, the findings generated might not reflect the current scenario of ‘smoking susceptibility’ among Malaysian youth. Many new tobacco control policies and legislations have been introduced since 2011, including the expansion of smoke-free areas,25–27 increasing the price of cigarettes,28 community interventions focusing on ‘smoke free homes’29 and the introduction of e-cigarettes in the market,30 which might conceivably change the prevalence of smoking susceptibility among adolescents and its associated factors.…”

Section: Introductionmentioning

confidence: 99%

Smoking susceptibility among non-smoking school-going adolescents in Malaysia: findings from a national school-based survey

et al. 2019

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ObjectiveThe identification of susceptible non-smoking adolescents is an essential step in reducing smoking initiation among adolescents. The aim of this study was to examine the prevalence and factors associated with smoking susceptibility among non-smoking school-going adolescents in Malaysia.DesignCross-sectional study.SettingPrimary and secondary schools in Malaysia.Participants11 246 non-smoking school-going adolescents.Outcome measuresThe prevalence and factors associated with smoking susceptibility among non-smoking school-going adolescents in Malaysia.ResultsApproximately 14% of non-smokers were susceptible to smoking, and the prevalence of susceptibility was significantly higher among males, ever-smokers and e-cigarette users. The odds of susceptibility to smoking were higher among males, e-cigarette users, those aged 12 years and under and those who had ever smoked or tried cigarettes. Students from schools with educational programmes on the health effects of second-hand smoke (SHS) and who perceived smoking to be harmful were less likely to be susceptible to smoking.ConclusionSmoking susceptibility is prevalent among school-going adolescents. A comprehensive approach that enhances or reinforces health education programmes on the adverse health effects of smoking and SHS among school children, that considers multiple factors and that involves all stakeholders is urgently needed to reduce the prevalence of smoking susceptibility among vulnerable subgroups, as identified from the present findings.

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Section: Introductionmentioning

confidence: 99%

Smoking susceptibility among non-smoking school-going adolescents in Malaysia: findings from a national school-based survey

et al. 2019

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“…This effect might be because older parents have received little information on the harms of THS exposure. In addition, the major tobacco control strategies included little information on THS exposure in the promotion of tobacco control 10 .…”

Section: Discussionmentioning

confidence: 99%

Parental risk perceptions of child exposure to thirdhand smoke and related factors

Intarut

2020

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Background: Thirdhand smoke (THS) exposure is linked to lung cancer, asthma, and chronic diseases, especially in children. The parental risk perception of THS exposure in children has rarely been reported. The objective of this study was to test the association between sociodemographic factors and parental risk perceptions of child exposure to thirdhand smoke (PRPCETS) in residential homes with a child or children aged from one to five years old. Methods: This study used secondary data from the Smoke Free Home intervention trial. 336 participants were included and analyzed. PRPCETS was assessed by self-administered questionnaire. Multiple logistic regression was used to test the factors related to parental risk perception to the harm of thirdhand smoke. Results: The overall prevalence of disagreement that THS might be harmful to children was 22.02% (95% CI: 17.59%, 26.45%). Factors associated with PRPCETS were being over 50-years-old (OR: 2.15; 95%CI: 1.05, 4.41); attending school for more than six years (OR: 2.08; 95%CI: 1.07, 4.08); being unemployed (OR: 6.98; 95% CI, 1.41, 34.71); and the number of smokers in the home ≥2 persons (OR: 2.48; 95%CI: 1.41, 4.36). Conclusions: Our findings show the factors related to PRPCETS as follows; aged over 50, duration of school attendance less than six years, no job status, and having ≥2 smokers in the home. Further studies should investigate parental knowledge of and attitude towards thirdhand smoke exposure.

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“…Therefore, there is a need to increase the enforcement of existing laws governing smoking and exposure to secondhand smoke in public places. In addition, creating more smoke-free areas and educating the public about the dangers of secondhand smoke will have complementary effects in reducing SHS exposure among people who do not smoke, especially children and adolescents 37 .…”

Section: Shs Exposurementioning

confidence: 99%

Tobacco use and other aspects related to smoking among school-going adolescents aged 13–15 years in Malaysia: Analysis of three cross-sectional nationally representative surveys in 2003, 2009 and 2016

Lim¹,

Ghazali²,

Lim³

et al. 2020

Tob. Induc. Dis.

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disease having been a major contributor to mortality since 1980 3 , with a third of diseases due to smoking 4. Several nationwide studies have reported that more than 70% of smokers started to smoke before the age of 18 years; this is in line with other studies conducted ABSTRACT INTRODUCTION Periodic surveys on tobacco use patterns and other aspects of tobacco use among school-going adolescents in Malaysia provide information on the effectiveness of anti-smoking measures implemented. However, such information is limited in Malaysia. We investigated the prevalence of smoking and other related aspects among middle-secondary school students in Malaysia from the years 2003-2016 to fill this gap. METHODS We analyzed data from the Global Youth Tobacco Survey (GYTS) 2003, GYTS 2009, and the Tobacco and Electronic Cigarette Survey among Malaysia Adolescents (TECMA) 2016. The surveys employed multistage sampling to select representative samples of adolescents attending secondary school in Malaysia. Data were collected using a pre-validated self-administered anonymous questionnaire adopted from the GYTS. RESULTS Between 2003 and 2016, major changes occurred in which there were reductions in the prevalence of ever smoking, current smoking, and susceptibility to smoking. Reductions were also observed in exposure to SHS in public places and in the home. The proportion of school-going adolescents who support a ban on smoking in public places increased between 2013 to 2016, and there was a significant reduction in the proportion of respondents that were offered 'free' cigarettes by tobacco company representatives. However, there was no difference in the proportion of adolescents who initiated smoking before the age of 10 years and current smokers seeking advice to quit smoking across the time period. CONCLUSIONS Our study indicates that the smoking policies and measures have been effective in reducing smoking prevalence, secondhand smoke exposure, and access to cigarettes, among school-going adolescents in Malaysia. However, measures to reduce smoking initiation and increase smoking cessation need to be strengthened to reduce the burden of smoking-related diseases in Malaysia in the long-term.

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Exposure to tobacco secondhand smoke and its associated factors among non-smoking adults in smoking-restricted and non-restricted areas: findings from a nationwide study in Malaysia

Cited by 16 publications

References 38 publications

Smoking susceptibility among non-smoking school-going adolescents in Malaysia: findings from a national school-based survey

Smoking susceptibility among non-smoking school-going adolescents in Malaysia: findings from a national school-based survey

Parental risk perceptions of child exposure to thirdhand smoke and related factors

Tobacco use and other aspects related to smoking among school-going adolescents aged 13–15 years in Malaysia: Analysis of three cross-sectional nationally representative surveys in 2003, 2009 and 2016

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