Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects?
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 stat...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Asian Pacific Organization for Cancer Prevetion
2014
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| Online Access: | http://psasir.upm.edu.my/id/eprint/37967/1/Implementation%20of%20smoke-free%20legislation%20in%20Malaysia.pdf |
| _version_ | 1796973251638853632 |
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| author | Zulkifli, Aziemah Zainol Abidin, Najihah Zainal Abidin, Emilia Hashim, Zailina Abdul Rahman, Anita Rasdi, Irniza Syed Ismail, Sharifah Norkhadijah Semple, Sean |
| author_facet | Zulkifli, Aziemah Zainol Abidin, Najihah Zainal Abidin, Emilia Hashim, Zailina Abdul Rahman, Anita Rasdi, Irniza Syed Ismail, Sharifah Norkhadijah Semple, Sean |
| author_sort | Zulkifli, Aziemah |
| collection | UPM |
| description | 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. |
| first_indexed | 2024-03-06T08:39:53Z |
| format | Article |
| id | upm.eprints-37967 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T08:39:53Z |
| publishDate | 2014 |
| publisher | Asian Pacific Organization for Cancer Prevetion |
| record_format | dspace |
| spelling | upm.eprints-379672015-12-29T09:34:44Z http://psasir.upm.edu.my/id/eprint/37967/ Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects? Zulkifli, Aziemah Zainol Abidin, Najihah Zainal Abidin, Emilia Hashim, Zailina Abdul Rahman, Anita Rasdi, Irniza Syed Ismail, Sharifah Norkhadijah Semple, Sean 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. Asian Pacific Organization for Cancer Prevetion 2014 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/37967/1/Implementation%20of%20smoke-free%20legislation%20in%20Malaysia.pdf Zulkifli, Aziemah and Zainol Abidin, Najihah and Zainal Abidin, Emilia and Hashim, Zailina and Abdul Rahman, Anita and Rasdi, Irniza and Syed Ismail, Sharifah Norkhadijah and Semple, Sean (2014) Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects? Asian Pacific Journal of Cancer Prevention, 15 (12). pp. 4815-4821. ISSN 1513-7368 http://www.apocpcontrol.org/page/apjcp_issues_view.php?sid=Entrez:PubMed&id=pmid:24998546&key=2014.15.12.4815 10.7314/APJCP.2014.15.12.4815 |
| spellingShingle | Zulkifli, Aziemah Zainol Abidin, Najihah Zainal Abidin, Emilia Hashim, Zailina Abdul Rahman, Anita Rasdi, Irniza Syed Ismail, Sharifah Norkhadijah Semple, Sean Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects? |
| title | Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects? |
| title_full | Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects? |
| title_fullStr | Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects? |
| title_full_unstemmed | Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects? |
| title_short | Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects? |
| title_sort | implementation of smoke free legislation in malaysia are adolescents protected from respiratory health effects |
| url | http://psasir.upm.edu.my/id/eprint/37967/1/Implementation%20of%20smoke-free%20legislation%20in%20Malaysia.pdf |
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