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Prevalence and Factors Associated with Smoking Intentions among Non-smoking and Smoking Adolescents in Kota Tinggi, Johor, Malaysia

  • Published : 2014.05.30

Abstract

Intention to smoke is a valid and reliable factor for predicting future smoking habits among adolescents. This factor, however, has received inadequate attention in Malaysia. The present paper elaborates the prevalence and factors associated with intent to initiate or to cease smoking, among adolescent nonsmokers and smokers in Kota Tinggi, Johor, Malaysia. A total of 2,300 secondary school students aged 13-16 years were selected through a two-stage stratified sampling method. A set of standardized questionnaires was used to assess the smoking behavior among adolescents and the inter-personal and intra-personal factors associated with smoking intention (intention to initiate smoking or to cease smoking). Multivariable logistic regression was used to identify factors related to smoking intention. The prevalence of intention to smoke in the future or to cease smoking among non-smoking adolescents and current smokers were 10.7% and 61.7% respectively. Having friends who smoke, social influence, and poor knowledge about the ill effects on health due to smoking showed significant relationships with intention to smoke in the future among non-smokers. Conversely, perceived lower prevalence of smoking among peers, weak contributory social influence, and greater awareness of the ill effects of smoking are factors associated with the intention to cease smoking sometime in the future. The study found that prevalence of intention to initiate smoking is low among non-smokers while the majority of current smokers intended to cease smoking in the future. Existing anti-smoking programmes that integrate the factors that have been identified in the current study should be put in motion to reduce the prevalence of intention to initiate smoking and increase the intention to cease smoking among adolescents.

Keywords

References

  1. Al Nohair (2011). Prevalence of smoking and its related behaviors and beliefs among secondary school students in Riyadh, Saudi Arabia. Int J Heal Sci, 5, 57-63.
  2. Alvarado GF, Breslau N (2005). Smoking and young people's mental health. Curr Opinion Psychiatry, 18, 397-400. https://doi.org/10.1097/01.yco.0000172058.48154.14
  3. Azjen I, Madden TJ (1986). Prediction of goal-directed behaviour: attitude, intentions, and perceived behavioural control. J Exp Soc Psychol, 22, 453-74. https://doi.org/10.1016/0022-1031(86)90045-4
  4. Bachmann, MS, Znoh H, Brodbeck J (2012). Smoking behaviour, former quit attempts and intention to quit in urban adolescents and young adults: A five-year longitudinal study, Public Health, 25, 1044-50.
  5. Barnett TA, Gauvin L, Lambert M, et al (2007). The influence of school smoking policies on student tobacco use. Arch Pediatr Adolesc Med, 161, 842-8. https://doi.org/10.1001/archpedi.161.9.842
  6. Binnai A, Rajesh G, Ahmad J, Denny C, Nayak SU (2013). Insight into smoking and its cessatiom among current smokers in India. Asian Pac J Cancer Prev, 14, 2811-8. https://doi.org/10.7314/APJCP.2013.14.5.2811
  7. Brown AK, Moodie C, Hastings G, et al (2010). The association of normative perceptions with adolescent smoking intentions. J Adolesc, 33, 603-14. https://doi.org/10.1016/j.adolescence.2009.12.003
  8. Cialdini RB, Kallgren CA, Reno RR (1991). A focus theory of normative conduct: a theoretical refinement and reevaluation of the role of norms in human behaviour. In L. Berkowitz (Ed.),Advances in experimental social psychology (pp. 201-234). New York: Academic Press.
  9. Conrad KM, Flay BR, Hill D (1992). Why children start smoking cigarettes: Predictors of onset. Br J Addic, 87, 1711-24. https://doi.org/10.1111/j.1360-0443.1992.tb02684.x
  10. Cremers HP, Oenema A, Mercken L, Candel M, Vries H (2014). Explaining socio-economic differences in intention to smoke among primary school children. BMC Public Health, 14, 191. https://doi.org/10.1186/1471-2458-14-191
  11. Eckhardt L, Woodruff SI, Elder JP (1994). A longitudinal analysis of adolescent smokingand it's correlates. J Sch Health, 64, 67-72. https://doi.org/10.1111/j.1746-1561.1994.tb06181.x
  12. Engel RCME, Knibbe RA, De Vries H, Drop MJ, Van Breukelen GJP (1999). Influences of parental ang best friends' smoking and drinking on adolescent use: a longitudinal study. J Appl Soc Psychol, 29, 337-61. https://doi.org/10.1111/j.1559-1816.1999.tb01390.x
  13. Ertas N (2007). Factors associated with stages of cigarette smoking among Turkish youth. Eur J Public Health, 17, 155-61. https://doi.org/10.1093/eurpub/ckl095
  14. Fagan P, Eisenberg M, Stoddard AM, Frazier L, Sorensen G (2001). Social influences, socialnorms, social support, and smoking behavior among adolescent workers. Am J Health Promot, 15, 414-21. https://doi.org/10.4278/0890-1171-15.6.414
  15. Fishbein M, Azjen I (1975). Belief, attitude, intention, and behaviour. An Introduction to theory and research. Reading, MA: Addison-Wesley.
  16. Girma E, Assefa T, Deribew A (2010). Cigarettes smokers' intention to quit smoking in Dire Dawa town Ethiopia: an assessment using the Transtheoretical Model. BMC Public Health, 10, 320. https://doi.org/10.1186/1471-2458-10-320
  17. Haddad LG, Petro-Nusras W (2006). Predictors of intention to quit smoking among Jordanian University students. Can J Public Health, 97, 9-13.
  18. Halpern-Flesher BL, Bichl M, Kropp RY, Rubinstein ML (2004). Perceived risks and benefits of smoking: differences between adolescents with different smoking experiences and intentions. Prev Med, 39, 559-67. https://doi.org/10.1016/j.ypmed.2004.02.017
  19. Hanjeet K, Wan Rozita WM, Amal NM (2001). Risk factors of smoking among secondary school adolescents in Kuala Lumpur. Int Med Res J, 5, 59-63.
  20. Institute of Public Health (1997). Ministry of Health Malaysia: National Health and Morbidity Survey Volume 17, Smoking. Kuala Lumpur: Malaysia.
  21. Institute for Public Health (2008). The Third National Health and Morbidity Survey (NHMSIII), Smoking. Ministry of Health, Malaysia.
  22. Jung HS, Kim Y, Son J, et al (2012). Can urinary cotinine predict Nicotine dependence level in smokers? Asian Pac J Cancer Prev, 13, 5483-8. https://doi.org/10.7314/APJCP.2012.13.11.5483
  23. Kleinjan M, Engels RC, van Leeuwe J, et al (2009). Mechanisms of adolescent smoking cessation: roles of readiness to quit, nicotine dependence, and smoking of parents and peers. Drug and Alcohol Dependence, 99, 204-14. https://doi.org/10.1016/j.drugalcdep.2008.08.002
  24. Leatherdale ST, Cameron R, Stephen-Brown K, Mcdonald PW (2005). Senior student smoking at school, student characteristics, and smoking onset among junior students: a multilevel analysis. Prev Med, 40, 853-9. https://doi.org/10.1016/j.ypmed.2004.09.033
  25. Lee E, Tak Y (2005). Peer and parental influences on adolescent smoking. Taehan Kanho Hakhoe Chi, 35, 694-700.
  26. Lee S, Yun JE, Lee JK, Kim IS, Jee SH (2010). The Korean prediction model for adolescents' futuresmoking intentions. J Prev Med Public Health, 43, 283-91. https://doi.org/10.3961/jpmph.2010.43.4.283
  27. Lim KH, Amal NM, Hanjeet K, et al (2006). Prevalence and factors related to smoking among secondary school students in Kota Tinggi District, Johor, Malaysia. Trop Biomed, 23, 75-84.
  28. Lim KH, Sumarni MG, Kee CC, et al (2013). Correlates of susceptibility to smoking among secondary school students in Kota Tinggi District, Johor, Malaysia. Asia Pac J Cancer Prev, 14, 6971-8. https://doi.org/10.7314/APJCP.2013.14.11.6971
  29. Lipperman-Kreda S, Grube JW (2009). Students' perception of community disapproval, perceived enforcement of school antismoking policies, personal beliefs, and their cigarette smoking behaviors: results from a structural equation modeling analysis. Nicotine Tob Res, 11, 531-9. https://doi.org/10.1093/ntr/ntp033
  30. Mak KK, Ho SY, Day JR (2012). Smoking of parents and best friend- independent and combined effects on adolescentsmoking and intention to initiate and quit smoking. Nicotine Tob Res, 14, 1057-64. https://doi.org/10.1093/ntr/nts008
  31. Manimaran K (2003). Report of the Global Youth Tobacco Survey, Malaysia. Ministry of Health, Malaysia, 2003.
  32. Mohammadpoorasi A, Nadjat S, Yazdani K, et al (2012). Intention to start smoking and its related factors in never smoked adolescents in Tabriz, 2010. Int J Prev Med, 3, 880-6. https://doi.org/10.4103/2008-7802.104860
  33. Myung SK, McDonnell DD, Kazinets G, Seo HG, Moskowitz JM (2010). Relationships between household smoking restrictions and intention to quit smoking among Korean American male smoker in California. J Korea Med Sci, 25, 245-50. https://doi.org/10.3346/jkms.2010.25.2.245
  34. Norsiah Ali (2013). Smoking Cessation: Bringing aspiration into reality. http://jknj. moh.gov.my/jsm/day2/Speciality%20Symposia/SS_13_Smoking%20Cessation %20Bringing%20Aspiration%20into%20Reality.pdf. (Accessed on 10 September 2013).
  35. Olds RS, Thombs DL, Tomasek JR (2005). Relations between normative beliefs and initiationintentions toward cigarette, alcohol and Marijuana. J Adolesc Health, 37, 7-13. https://doi.org/10.1016/j.jadohealth.2005.04.005
  36. Page RM, Huong NT, Chi HK, Tien TQ (2012). Social normative beliefs about smoking among Vietnamese adolescents. Asia Pac J Public Health, 24, 68-81. https://doi.org/10.1177/1010539510370993
  37. Reidpath DD, Davey TM, Kadirvelu A, Soyiri IN, Allotey P (2014). Does one cigarette make an adolescent smoker, and is it influenced by age and age of smoking initiation? Evidence of association from the U.S. Youth Risk Behavior Surveillance System (2011). Pred Med, 69, 37-41. https://doi.org/10.1016/j.ypmed.2014.07.009
  38. Saade G, Warren CW, Jones NR, Asma S, Mokdad A (2008). Linking Global Youth Tobacco Survey (GYTS) data to the WHO Framework Convention on Tobacco Control (FCTC): the case for Lebanon. Prev Med, 47, 15-9. https://doi.org/10.1016/j.ypmed.2008.06.003
  39. Sargent JD, Dalton M (2001). Does parenal disapproval of smoking prevent adolescents from becoming established smokers? Pediatrics, 108, 1256-62. https://doi.org/10.1542/peds.108.6.1256
  40. Sawyer TM, Stevenson JF (2008). Perceived parental and peer disapproval toward substances: Influences on adolescent decision-making. J Prim Prev, 29, 465-77. https://doi.org/10.1007/s10935-008-0156-6
  41. Sen U, Basu A (2000). Analysis of factors influencing an adolescent's intention to be a non smoker. Clinl Med Heal Res. http://intl clinmed.netprints.org/cgi/content/full/2000050006v1 (Accessed on 10 September 2013).
  42. Sussman S, Dent CW, Nezami E, et al (1998). Reasons for quitting and smoking temptation among adolescent smokers: gender differences. Subst Use Misuse, 33, 2703-20. https://doi.org/10.3109/10826089809059346
  43. Tyc VL, Hadley W, Allen D, et al (2004). Predictors of smoking intention and smoking status among non-smoking and smoking adolescents. Addict Behav, 29, 1143-7. https://doi.org/10.1016/j.addbeh.2004.03.007
  44. Victoria PD, Salgueiro MF, Silva AS, De Vries H (2011). The impact of social influence on adolescent intention to smoke: Combining types and referents of influence. Br J Health Psychol, 14, 681-99.
  45. Virtanen M, Pietikainen M, Kivimaki M, et al (2009). Contribution of parental and school personnel smoking to health risk behaviours among Finnish adolescents. BMC Public Health, 9, 382. https://doi.org/10.1186/1471-2458-9-382
  46. Viswanathan B, Warren CW, Jones NR, Asma S, Bovet P (2008). Linking Global Youth Tobacco Survey (GYTS) data to the WHO Framework Convention on Tobacco Control (FCTC): the case for the Seychelles. Prev Med, 47, 33-7. https://doi.org/10.1016/j.ypmed.2008.02.008
  47. Savvides ECG, Christophi CA, Paisi M, et al (2014). Factors associated with intent to quit tobacco use in Cyprus adolescents. Prev Med, 60, 83-7. https://doi.org/10.1016/j.ypmed.2013.12.016
  48. US Department of Health and Human Services. The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014 [accessed 2014 Feb 14].
  49. Wakefield M, Kloska DD, O'Malley PM, et al (2004). The role of smoking intention in predicting future smoking among youth: finding from monitoring the future data. Addict, 99, 914-22. https://doi.org/10.1111/j.1360-0443.2004.00742.x
  50. Wong CN, Chan SC, Ho SY, Fong YT, Lam TH (2012). Predictors of intention to quit smoking in Hong Kong secondary school children. J Public Health, 32, 360-71.
  51. Zhu C, Cai Y, Ma J, et al (2013). Predictors of intention to smoke among junior high school students in Shanghai, China: an empirical test of the Information-Motivation-Behavioral Skills (IMB) Model. Plos One [Epub ahead of print].

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