- Volume 14 Issue 11
DOI QR Code
Incidence of Adverse Transition in Smoking Stages among Adolescents of Kinta, Perak
- Jeganathan, Premila Devi (Department of Social and Preventive Medicine, University of Malaya) ;
- Hairi, Noran N. (Department of Social and Preventive Medicine, University of Malaya) ;
- Al Sadat, Nabilla (Department of Social and Preventive Medicine, University of Malaya) ;
- Chinna, Karuthan (Department of Social and Preventive Medicine, University of Malaya)
- Published : 2013.11.30
Background: Few local studies have explored the process of adverse transition of smoking stages among adolescents. The present investigation aimed to identify adverse transitions prospectively from the early stages till the escalation of the stages after one year. Materials and Methods: Data were collected in two waves from a cohort of 2,552 adolescents aged 12-13 years old studying in 15 secondary schools based in Kinta, Perak. A multistage sampling method was used to select the schools and a self-administered structured questionnaire was applied to help categorize the participants into five different smoking stages. Nonsmokers were divided into never smokers and susceptible never smokers. Ever-smokers were categorized as experimenters, current smokers or ex-smokers. Results: Among the participants 46.8% were Malay, 33.5% Chinese and 17.1% Indians. At baseline, we had 85.3% non-smokers and 14.6% ever smokers. Incidence of adverse transition among all our participants was 24.1%, with a higher value among male participants (16.8%). A higher proportion of susceptible never smokers and experimenters progressed to current smoking stage compared to never smokers. Conclusions: This study highlights the changes and patterns of adverse transition among adolescents. Male adolescents, those who are susceptible to smoking and those who had already tried experimenting with cigarettes have a higher chance of escalating to a higher smoking stage.
Adolescents;smoking stages;adverse transition;Perak,Malaysia
- Abdullah HSL (2003). Malaysian school counselor resilience. J Pendidikan, 23, 89-99.
- Al-Naggar RA, Al-Dubai SAR, Hamoud T, et al (2011). Prevalence and associated factors of smoking among Malaysian university students. Asian Pac J Cancer Prev, 12, 619-24.
- Benowitz NL, Jacob Iii P, Ahijevych K, et al (2002). Biochemical verification of tobacco use and cessation. Nicotine Tob Res, 4, 149-59. https://doi.org/10.1080/14622200210123581
- Binu V, Subba S, Menezes R, et al (2010). Smoking among Nepali youth.prevalence and predictors. Asian Pac J Cancer Prev, 11, 221-6.
- CDC (2000). Cigarette smoking among adults. United States. MMWR, 49, 881-4.
- Cheah YK, Naidu BM (2012). Exploring factors influencing smoking behaviour in Malaysia. Asian Pac J Cancer Prev, 13, 1125-30. https://doi.org/10.7314/APJCP.2012.13.4.1125
- Dolcini MM, Adler NE, Lee P, Bauman KE (2003). An assessment of the validity of adolescent self-reported smoking using three biological indicators. Nicotine Tob Res, 5, 473-83. https://doi.org/10.1080/1462220031000118586
- Ghani WMN, Doss JG, Jamaluddin M, et al (2013). Oral cancer awareness and its determinants among a selected Malaysian population. Asian Pac J Cancer Prev, 14, 1957-63. https://doi.org/10.7314/APJCP.2013.14.3.1957
- Guo Q (2008). Cognitive attributions for smoking and their roles on subsequent smoking progression and regression. Doctor of Philosophy, University of Southern California, California.
- Hampson SE, Tildesley E, Andrews JA, et al (2013). Smoking trajectories across high school: sensation seeking and hookah use. Nicotine Tob Res, 15, 1400-8. https://doi.org/10.1093/ntr/nts338
- Huang M, Hollis J, Polen M, et al (2005). Stages of smoking acquisition versus susceptibility as predictors of smoking initiation in adolescents in primary care. Addic Behaviors, 30, 1183-94. https://doi.org/10.1016/j.addbeh.2004.12.009
- Kaplan CP, Nguyen TT, Weinberg V (2008). Longitudinal study of smoking progression in Chinese and Vietnamese American adolescents. Asian Pac J Cancer Prev, 9, 335-42.
- Kim H, Clark PI (2006). Cigarette smoking transition in female of low socioeconomic status: impact of state, school, and individual factors. J Epidemiol and Community Health, 60, 13-9. https://doi.org/10.1136/jech.2005.038323
- Lee L, Paul C, Kam C, Jagmohni K (2005). Smoking among secondary school students in Negeri Sembilan, Malaysia. Asia Pac J Public Health, 17, 130-6. https://doi.org/10.1177/101053950501700212
- Leventhal H, Cleary PD (1980). The smoking problem: a review of the research and theory in behavioral risk modification. Psychol Bull, 88, 370. https://doi.org/10.1037/0033-2909.88.2.370
- Lloyd-Richardson EE, Papandonatos G, Kazura A, et al (2002). Differentiating stages of smoking intensity among adolescents: stage-specific psychological and social influences. J Consulting and Clin Psychol, 70, 998-1009. https://doi.org/10.1037/0022-006X.70.4.998
- Michell LandWest P. (1996). Peer pressure to smoke: the meaning depends on the method. Health Education Res, 11, 39-49. https://doi.org/10.1093/her/11.1.39
- Morrow M, Barraclough S (2003). Tobacco control and gender in Southeast Asia. Part I: Malaysia and the Philippines. Health Promotion Int, 18, 255-64. https://doi.org/10.1093/heapro/dag021
- Mosavi-Jarrahi A, Mohagheghi M, Yazdizadeh B, et al (2004). Analysis of smoking behaviour among Iranian population: a cohort and period analysis. Asian Pac J Cancer Prev, 5, 66-9.
- Naing NN, Ahmad Z, Musa R, et al (2004). Factors related to smoking habits of male adolescents. Tob Induced Diseases, 2, 133-40. https://doi.org/10.1186/1617-9625-2-3-133
- NHMS III. (2006). Malaysian Third National Health Morbidity Survey. (pp. 119-77): Institute for Public Health, Ministry of Health Malaysia.
- Ozawa M, Washio M, Kiyohara C (2008). Factors related to starting and continuing smoking among senior high school boys in Fukuoka, Japan. Asian Pac J Cancer Prev, 9, 239-45.
- Park S, Weaver TE, Romer D (2009). Predictors of the transition from experimental to daily smoking among adolescents in the United States. J Specialists in Pediatric Nur, 14, 102-11. https://doi.org/10.1111/j.1744-6155.2009.00183.x
- Pierce JP, Choi WS, Gilpin EA, et al (1996). Validation of susceptibility as a predictor of which adolescents take up smoking in the United States. Health Psychology, 15, 355. https://doi.org/10.1037/0278-6220.127.116.115
- Richmond R (1999). Teaching medical students about tobacco. Thorax, 54, 70-8. https://doi.org/10.1136/thx.54.1.70
- Spelman AR (2007). Predictors of smoking susceptibility and experimentation among Mexican-American Adolescents. The University of Texas School of Public Health.
- Thambypillai V (1985). Smoking among urban Malaysian school children. Social Science and Med, 21, 819-23. https://doi.org/10.1016/0277-9536(85)90130-3
- US Department of Health and Human Services (2012). Preventing Tobacco Use Among Youth and Young Adults: A report of the Surgeon: Public Health Service,Office of the Surgeon General, Rockville, MD.
- WHO (2012). Report on the global tobacco epidemic, 2008: The MPOWER package. Geneva: 2008.
- Yasin SM, Retneswari M, Moy FM, et al (2013). Testing the transtheoretical model in predicting smoking relapse among Malaysian adult smokers receiving assistance in quitting. Asian Pac J Cancer Prev, 14, 2317-23. https://doi.org/10.7314/APJCP.2013.14.4.2317