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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