Sources of cigarettes for youth smokers in Malaysia: Findings from the National Health and Morbidity Survey (NHMS) 2022: Adolescents Health Survey (AHS).

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Induced Diseases Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI:10.18332/tid/201987

Kuang Hock Lim, Yoon Ling Cheong, Kuang Kuay Lim, Jia Hui Lim, Hamizatul Akmal Abdul Hamid, Mohd Ruhaizie Riyadzi, Sumarni Mohd Ghazali, Chee Cheong Kee, Cheah Yong Kang, Chong Shao Hui, Ali Aman Marine, Mohd Hazilas Mat Hashim, Hui Li Lim

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引用次数: 0

Abstract

Introduction: Developing effective intervention programs to lower adolescent smoking requires a thorough understanding of the sources and methods of youth tobacco product acquisition. This study aimed to identify the sources of cigarettes and related variables among adolescent smokers in Malaysian schools using the latest national data from the National Health and Morbidity Survey: Adolescents Health (NHMS: AHS) 2022.

Methods: We conducted the NHMS 2022: AHS to obtain a representative sample of school-age teenagers via a cross-sectional study design and a multi-stage sampling approach. We selected 1934 school-going adolescents aged 13-17 years who have smoked at least once in the previous 30 days from a total of 33523 respondents in the study. Data were collected from the participants using a pre-validated self-administered questionnaire. The analysis involved calculating adjusted odds ratios (AORs) with 95% confidence intervals (95% CIs). Furthermore, we examined potential two-way interactions between the independent variables.

Results: The study found that 6.2% (95% CI: 5.9-6.6) of teenagers in schools are currently smoking, with a notably higher percentage of male to female current smokers (10.8% vs 1.6%). Approximately 23.1% of current smokers are frequent smokers. Almost three-quarters of current smokers obtained their cigarettes from fixed premises (38.9%), and that friends (34.9%) were the primary sources of cigarettes among adolescents. The data show that more than half (59.7%, 95% CI: 57.0-62.4) of current smokers obtained cigarettes from commercial sources.

Conclusions: The study found that a notably more significant proportion of adolescent smokers obtained their cigarettes from commercial vendors compared to their friends. These finding implies that increased law enforcement and health promotion programs are needed to lower the incidence of adolescent smoking in Malaysia.

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马来西亚青少年吸烟者的卷烟来源：2022年国家健康和发病率调查（NHMS）的结果：青少年健康调查（AHS）。

引言：制定有效的干预方案以降低青少年吸烟需要对青少年烟草产品获取的来源和方法有透彻的了解。本研究旨在利用2022年国家健康和发病率调查：青少年健康（NHMS: AHS）的最新国家数据，确定马来西亚学校青少年吸烟者的卷烟来源和相关变量。方法：通过横断面研究设计和多阶段抽样方法，我们进行了NHMS 2022: AHS，以获得具有代表性的学龄青少年样本。我们从33523名调查对象中选择了1934名13-17岁的在校青少年，他们在过去30天内至少吸过一次烟。使用预先验证的自我管理问卷从参与者收集数据。分析包括计算校正优势比（AORs）和95%置信区间（95% ci）。此外，我们检查了自变量之间潜在的双向相互作用。结果：研究发现，6.2% （95% CI: 5.9-6.6）的在校青少年目前吸烟，其中男性吸烟者比女性吸烟者的比例明显更高（10.8%比1.6%）。目前吸烟者中约有23.1%是经常吸烟者。近四分之三的现有吸烟者（38.9%）从固定场所获得香烟，青少年中朋友（34.9%）是香烟的主要来源。数据显示，超过一半（59.7%,95% CI: 57.0-62.4）的现有吸烟者从商业来源获得卷烟。结论：研究发现，与朋友相比，青少年吸烟者从商业小贩那里获得香烟的比例明显更高。这些发现表明，需要加强执法和健康促进计划，以降低马来西亚青少年吸烟的发生率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.