Implementation of Smoke-free Legislation in Malaysia: Are Adolescents Protected from Respiratory Health Effects?

Aziemah Zulkifli, Najihah Zainol Abidin, Emilia Zainal Abidin, Zailina Hashim, Anita Abd Rahman, Irniza Rasdi, Sharifah Norkhadijah Syed Ismail, Sean Semple

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: This study aimed to examine the relationship between respiratory health of Malaysian adolescents with secondhand smoke (SHS) exposure and smoke-free legislation (SFL) implementation. Materials and Methods: A total of 898 students from 21 schools across comprehensive- and partial-SFL states were recruited. SHS exposures and respiratory symptoms were assessed via questionnaire. Prenatal and postnatal SHS exposure information was obtained from parental-completed questionnaire. Results: The prevalence of respiratory symptoms was: 11.9% ever wheeze, 5.6% current wheeze, 22.3% exercise-induced wheeze, 12.4% nocturnal cough, and 13.1% self-reported asthma. SHS exposure was most frequently reported in restaurants. Hierarchical logistic regression indicates living in a comprehensive-SFL state was not associated with a lower risk of reporting asthma symptoms. SHS exposure in public transport was linked to increased risk for wheeze (Adjusted Odds Ratio (AOR) 16.6; 95%confidence interval (CI), 2.69-101.7) and current wheezing (AOR 24.6; 95%CI, 3.53-171.8). Conclusions: Adolescents continue to be exposed to SHS in a range of public venues in both comprehensive- and partial-SFL states. Respiratory symptoms are common among those reporting SHS exposure on public transportation. Non-compliance with SFL appears to be frequent in many venues across Malaysia and enforcement should be given priority in order to reduce exposure.

Original languageEnglish
Pages (from-to)4815-4821
Number of pages7
JournalAsian Pacific Journal of Cancer Prevention
Volume15
Issue number12
Publication statusPublished - 2014

Fingerprint

Tobacco Smoke Pollution
Malaysia
Legislation
Smoke
Health
Asthma
Odds Ratio
Confidence Intervals
Restaurants
Respiratory Sounds
Cough
Logistic Models
Exercise
Students

Keywords

  • environmental tobacco smoke
  • wheezing
  • youth
  • smoke restriction
  • smoking ban
  • Malaysia

Cite this

Zulkifli, A., Abidin, N. Z., Abidin, E. Z., Hashim, Z., Rahman, A. A., Rasdi, I., ... Semple, S. (2014). Implementation of Smoke-free Legislation in Malaysia: Are Adolescents Protected from Respiratory Health Effects? Asian Pacific Journal of Cancer Prevention, 15(12), 4815-4821.

Implementation of Smoke-free Legislation in Malaysia : Are Adolescents Protected from Respiratory Health Effects? / Zulkifli, Aziemah; Abidin, Najihah Zainol; Abidin, Emilia Zainal; Hashim, Zailina; Rahman, Anita Abd; Rasdi, Irniza; Syed Ismail, Sharifah Norkhadijah; Semple, Sean.

In: Asian Pacific Journal of Cancer Prevention, Vol. 15, No. 12, 2014, p. 4815-4821.

Research output: Contribution to journalArticle

Zulkifli, A, Abidin, NZ, Abidin, EZ, Hashim, Z, Rahman, AA, Rasdi, I, Syed Ismail, SN & Semple, S 2014, 'Implementation of Smoke-free Legislation in Malaysia: Are Adolescents Protected from Respiratory Health Effects?', Asian Pacific Journal of Cancer Prevention, vol. 15, no. 12, pp. 4815-4821.
Zulkifli, Aziemah ; Abidin, Najihah Zainol ; Abidin, Emilia Zainal ; Hashim, Zailina ; Rahman, Anita Abd ; Rasdi, Irniza ; Syed Ismail, Sharifah Norkhadijah ; Semple, Sean. / Implementation of Smoke-free Legislation in Malaysia : Are Adolescents Protected from Respiratory Health Effects?. In: Asian Pacific Journal of Cancer Prevention. 2014 ; Vol. 15, No. 12. pp. 4815-4821.
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AU - Hashim, Zailina

AU - Rahman, Anita Abd

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AU - Syed Ismail, Sharifah Norkhadijah

AU - Semple, Sean

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N2 - Background: This study aimed to examine the relationship between respiratory health of Malaysian adolescents with secondhand smoke (SHS) exposure and smoke-free legislation (SFL) implementation. Materials and Methods: A total of 898 students from 21 schools across comprehensive- and partial-SFL states were recruited. SHS exposures and respiratory symptoms were assessed via questionnaire. Prenatal and postnatal SHS exposure information was obtained from parental-completed questionnaire. Results: The prevalence of respiratory symptoms was: 11.9% ever wheeze, 5.6% current wheeze, 22.3% exercise-induced wheeze, 12.4% nocturnal cough, and 13.1% self-reported asthma. SHS exposure was most frequently reported in restaurants. Hierarchical logistic regression indicates living in a comprehensive-SFL state was not associated with a lower risk of reporting asthma symptoms. SHS exposure in public transport was linked to increased risk for wheeze (Adjusted Odds Ratio (AOR) 16.6; 95%confidence interval (CI), 2.69-101.7) and current wheezing (AOR 24.6; 95%CI, 3.53-171.8). Conclusions: Adolescents continue to be exposed to SHS in a range of public venues in both comprehensive- and partial-SFL states. Respiratory symptoms are common among those reporting SHS exposure on public transportation. Non-compliance with SFL appears to be frequent in many venues across Malaysia and enforcement should be given priority in order to reduce exposure.

AB - Background: This study aimed to examine the relationship between respiratory health of Malaysian adolescents with secondhand smoke (SHS) exposure and smoke-free legislation (SFL) implementation. Materials and Methods: A total of 898 students from 21 schools across comprehensive- and partial-SFL states were recruited. SHS exposures and respiratory symptoms were assessed via questionnaire. Prenatal and postnatal SHS exposure information was obtained from parental-completed questionnaire. Results: The prevalence of respiratory symptoms was: 11.9% ever wheeze, 5.6% current wheeze, 22.3% exercise-induced wheeze, 12.4% nocturnal cough, and 13.1% self-reported asthma. SHS exposure was most frequently reported in restaurants. Hierarchical logistic regression indicates living in a comprehensive-SFL state was not associated with a lower risk of reporting asthma symptoms. SHS exposure in public transport was linked to increased risk for wheeze (Adjusted Odds Ratio (AOR) 16.6; 95%confidence interval (CI), 2.69-101.7) and current wheezing (AOR 24.6; 95%CI, 3.53-171.8). Conclusions: Adolescents continue to be exposed to SHS in a range of public venues in both comprehensive- and partial-SFL states. Respiratory symptoms are common among those reporting SHS exposure on public transportation. Non-compliance with SFL appears to be frequent in many venues across Malaysia and enforcement should be given priority in order to reduce exposure.

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