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Correlates of Susceptibility to Smoking among Secondary School Students in Kota Tinggi District, Johor, Malaysia

  • Hock, Lim Kuang (Institute of Public Health, Ministry of Health) ;
  • Ghazali, Sumarni Mohd (Institute for Medical Research, Ministry of Health) ;
  • Cheong, Kee Chee (Institute for Medical Research, Ministry of Health) ;
  • Kuay, Lim Kuang (Institute of Public Health, Ministry of Health) ;
  • Li, Lim Hui (Institute for Medical Research, Ministry of Health) ;
  • Ying, Chan Ying (Institute of Public Health, Ministry of Health) ;
  • Huey, Tay Chien (Institute of Public Health, Ministry of Health) ;
  • Yee, Lai Wai (Institute of Public Health, Ministry of Health) ;
  • Ying, Ong Shiau (Institute of Public Health, Ministry of Health) ;
  • Yen, Yeo Lay (Institute of Public Health, Ministry of Health) ;
  • Abdullah, Norhamimah (Kota Tinggi Health Department) ;
  • Wymen, Seet (Clinical Research Centre, Ministry of Health) ;
  • Ibrahim, Normala (Psychiatric Department, Faculty of Medical and Health Science, Universiti Putra Malaysia)
  • Published : 2013.11.30

Abstract

Background: Smoking among adolescents has been linked to a variety of adverse and long term health consequences. "Susceptibility to smoking" or the lack of cognitive commitment to abstain from smoking is an important predictor of adolescent smoking. In 2008, we conducted a study to determine the psycho-sociological factors associated with susceptibility to smoking among secondary school students in the district of Kota Tinggi, Johor. Materials and Methods: Two thousand seven hundred students were randomly selected by proportional stratified sampling. Analyses on 1,736 non-smoking students revealed that prevalence of adolescents susceptible to smoking was 16.3%. Results: Male gender (aOR=2.05, 95%CI= 1.23-3.39), poor academic achievement (aOR 1.60, 95%CI 1.05-2.44), ever-smoker (aOR 2.17, 95%CI 1.37-3.44) and having a smoking friend (aOR 1.76, 95%CI 1.10-2.83) were associated with susceptibility to smoking, while having the perception that smoking prohibition in school was strictly enforced (aOR 0.55, 95%CI 0.32-0.94), and had never seen friends smoking in a school compound (aOR 0.59, 95%CI 0.37-0.96) were considered protective factors Conclusions: These results indicate that follow-up programmes need to capitalise on the modifiable factors related to susceptibility to smoking by getting all stakeholders to be actively involved to stamp out smoking initiation among adolescents.

Keywords

Susceptibility;adolescents smoking;Kota Tinggi;Malaysia;psycho-socio factors

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