Prevalence, risk factors, and protective factors of tobacco use among school-going adolescents at drug-abuse hot-spots in Malaysia

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-08-21 DOI:10.1016/j.addbeh.2025.108455

Rozmi Ismail , Siti Aishah Hassan , Md Shafiin Shukor , Nurul Shafini Shafurdin , Norshafizah Hanafi , Musheer A. Aljaberi , Chung-Ying Lin , Mark D. Griffiths

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引用次数: 0

Abstract

The high prevalence rate of tobacco consumption among teenage school students has become a global issue with profound implications for their developmental trajectory. Research conducted at drug-abuse hot-spots as a proximal factor related to tobacco use has been limited. Therefore, the present study examined the prevalence, risk factors, and protective factors of tobacco use among adolescents at drug-abuse hot-spots in Malaysia. Through stratified random sampling, the nationwide sample comprised 3382 school-going adolescents (71.4% male; mean age = 15.35 years [SD = 2.79]). The prevalence of tobacco use was 19.0% for current use and 28.5% for lifetime use. Stepwise logistic regression analysis showed that being male, being an older adolescent, living in urban areas, living many years in the hot-spot area, parental divorce, and having a high external locus of control were significant risk factors for tobacco use. High internal locus of control and good problem-coping skills were protective factors for tobacco use. Policy implications and suggestions for future research are discussed for the prevention and intervention of tobacco use among school-going adolescents.

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马来西亚药物滥用热点地区在校青少年中烟草使用的流行程度、危险因素和保护因素

青少年学生烟草消费的高流行率已经成为一个全球性的问题，对青少年的发展轨迹有着深远的影响。在药物滥用热点作为与烟草使用有关的近端因素进行的研究有限。因此，本研究调查了马来西亚毒品滥用热点地区青少年吸烟的流行程度、危险因素和保护因素。通过分层随机抽样，在全国范围内共纳入学龄青少年3382人，其中男性71.4%，平均年龄15.35岁[SD = 2.79]。烟草使用流行率目前为19.0%，终生使用为28.5%。逐步logistic回归分析显示，男性、年龄较大、居住在城市、在热点地区居住多年、父母离异、外部控制点高是吸烟的显著危险因素。高内在控制点和良好的问题处理能力是烟草使用的保护因素。讨论了预防和干预学龄青少年吸烟的政策含义和对未来研究的建议。

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

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.