DOI QR코드

DOI QR Code

Prevalence of Cigarette Smoking and Associated Factors among Secondary School Teachers in Malaysia

  • Al-Naggar, Redhwan A. (Community Medicine Department, International Medical School, Management and Science University) ;
  • Jawad, Ammar A. (Community Medicine Department, International Medical School, Management and Science University) ;
  • Bobryshev, Yuri V. (Faculty of Medicine, School of Medical Sciences, University of New South Wales)
  • Published : 2012.11.30

Abstract

Objective: The smoking prevalence in Malaysia is high, especially among men and adolescents. This study aimed to determine the prevalence and associated factors towards cigarette smoking among school teachers in Malaysia. Methodology: This study was a school-based cross-sectional study conducted among 495 secondary school teachers. The questionnaire used in this study consisted of 29 questions categorized into two sections: socio-demographic characteristics and smoking behaviour. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) program 13.0. ANOVA; t-tests were used in univariate analysis; multiple linear regression was applied for multivariate analysis. Results: The majority of the participants were female (81.6%), in the age group ranged between 30-39 years (44%), Malay (90.1%), married (89.7%), degree holders (85.1%), with monthly income ranged between 3000-3999 Ringgit Malaysia (33.5%), from urban areas (94.7%), their specialty is social studies (33.9%) and with no family history of cancer (83.6%). The prevalence of smoking among school teachers in Malaysia was found to be 7.8%. Regarding reasons to start smoking among school teachers: the major reason was found to be relaxation (33.3%), followed by stress-relief (28.2%). Univariate analysis showed that sex, educational status, monthly income and residency were significantly associated with smoking among school teachers (p<0.001, p=0.004, p=0.031, p=0.010; respectively). Multivariate analysis showed that gender and marital status were significantly associated with smoking among school teachers (p<0.001, p=0.033; respectively). Conclusion: The prevalence of smoking among school teachers in Malaysia was found to be relatively low. Sex, marital status, educational status, monthly income and residency were significantly associated with smoking among school teachers.

Keywords

References

  1. Abdulah S (1999). National Health Morbiditi Survey: Health risk behaviour among adolescents. Ministry of Health Malaysia.
  2. Adetunji T, Toriola MT, Myllykangas, Noel CB (2008). Smoking behavior and attitudes regarding the role of physicians in tobacco control among medical students in Kuopio, Finland in 2006. CVD Prev Control, 3, 53-60. https://doi.org/10.1016/j.precon.2007.10.001
  3. Al-Naggar RA, Al-Dubai SA, Al-Naggar TH, Chen R, Al-Jashamy K (2011). Prevalence and of smoking and associated factors among Malaysian University students. Asian Pac J Cancer Prev, 12, 619-24.
  4. Alnasir FA (2004). Bahraini school teacher knowledge of the effects of smoking. Ann Saudi Med, 24, 448-52. https://doi.org/10.5144/0256-4947.2004.448
  5. Barrueco M, Hernandez-Mezquita MA, Jimenez-Ruiz C, et al (2000). Attitudes of teachers about tobacco prevention at school. Allergol Immunopathol, 28, 219-24.
  6. Bin YI, Bin Harun MH (1994). Smoking habits and attitudes among secondary school teachers. Southeast Asian J Trop Med Public Hlth, 25, 74-9.
  7. Blackford KA, Bailey PH, Coutu-Wakulczk GM (1994). Tobacco use in northeastern Ontario teenagers: Prevalence of use and associated factors. Can J Public Hlth, 85, 89-92.
  8. Choudhury K, Hanifi SMA, Mahmood SS, Bhuiya A (2007). Sociodemographic characteristics of tobacco consumers in a rural area of Bangladesh. J Health Population Nutrition, 25, 456-64.
  9. Coogan PF, Adams M, Geller AC, et al (1998). Factors associated with smoking among children and adolescents in Connecticut. Am J Prev Med, 15, 17-24.
  10. Djibuti M, Gotsadze G, Mataradze G, Zoidze A (2007). Influence of household demographic and socioeconomic factors on household expenditure on tobacco in six New Independent States. BMC Public Health, 7, 222. https://doi.org/10.1186/1471-2458-7-222
  11. Duaso M, Duncan D (2012). Health impact of smoking and smoking cessation strategies: current evidence. Br J Community Nurs, 17, 356-63. https://doi.org/10.12968/bjcn.2012.17.8.356
  12. Durkin S, Brennan E, Wakefield M (2012). Mass media campaigns to promote smoking cessation among adults: an integrative review. Tob Control, 21, 127-38. https://doi.org/10.1136/tobaccocontrol-2011-050345
  13. Frydman M, Lynn R. Smoking habits (1993). The prevention role of teachers and general practitioners. J Environ Pathol Toxicol Oncol, 12, 161-5.
  14. Hirayama T (1990). Life-style and Mortality. A Large-Scale Census-Based Study in Japan. Basel, Krager.
  15. Hymowitz N (2011). Smoking and cancer: a review of public health and clinical implications. J Natl Med Assoc, 103, 695-700. https://doi.org/10.1016/S0027-9684(15)30408-9
  16. Ismail Y, Mohammand H (1994). Smoking habit and attitudes among secondary school teachers. Southeast Asean J Trop Med Public Health, 25, 74-9.
  17. Jacobson B (1983). Smoking and health: A new generation of campaigners. BMJ, 287, 483-4. https://doi.org/10.1136/bmj.287.6390.483
  18. Jensen K, Afroze S, Munshi MK, Guerrier M, Glaser SS (2012). Mechanisms for nicotine in the development and progression of gastrointestinal cancers. Transl Gastrointest Cancer, 1, 81-87.
  19. Kumar A, Mohan U, Jain VC (1996). Academicians' attitudes and beliefs towards anti-smoking measures. Public Health, 110, 241-6. https://doi.org/10.1016/S0033-3506(96)80110-7
  20. Liu ZM, Li YJ, Li X, et al (2006). A survey of smoking behaviors in Liaoning province. Chinese Chronic Disease Prev Control, 14, 339-41.
  21. Mao WM, Zheng WH, Ling ZQ (2011). Epidemiologic risk factors for esophageal cancer development. Asian Pac J Cancer Prev, 12, 2461-6.
  22. Maziak W, Mzayek F, al-Moushareff M (2000). Smoking behavior among school teachers in the north of the Syrian Arab Republic. East Mediterr Health J, 6, 352-8.
  23. Mihaltan F, Ghiculete D, Enache G, et al (1994). Survey of the prevalence of smoking in Rumanian teachers. Pneumologie, 48, 481-3.
  24. Ministry of Health and Welfare. Smoking and Health: A Report on Smoking and Health Problems (1993).
  25. Ministry of Health Malaysia (2004). Tak Nak! Setiap sedutan membawa padah
  26. Ministry of Health Malaysia. Institute of Public Health. The second national health and morbidity survey (1997) Smoking.
  27. Ministry of Health Malaysia. Institute of Public Health. The third national health and morbidity survey (2006) Smoking.
  28. Minowa M (1995) Significance of measure to prevent and control smoking by juveniles. Jpn J Public Health, 42, 361-5.
  29. Mitchell P, Mok T, Barraclough H, et al (2012). Smoking history as a predictive factor of treatment response in advanced non-small-cell lung cancer: a systematic review. Clin Lung Cancer, 13, 239-51. https://doi.org/10.1016/j.cllc.2011.08.003
  30. Morrow M, Barraclough S (2003). Tobacco control and gender in Southeast Asia. Part 1: Malaysia and the Philippines. Hlth Promotion Int, 3, 255-63.
  31. Naing NN, Ahmad Z, Musa R, et al (2004). Factors related to smoking habits of male adolescents. Tobacco Induced Dis, 3, 133-40.
  32. Ohida T, Osaki Y, Mochizuki Y, et al (2000). Smoking behaviors and attitudes among school teachers in Mie, Japan. J Epidemiol, 10, 16-21. https://doi.org/10.2188/jea.10.16
  33. Osaki Y, Minowa M, Kimura H (1993). Correlates of cigarette smoking among junior and senior high school students in Japan. Jpn J Public Health, 40, 959-68.
  34. Pandey GK, Raut DK, Hazra S, et al (2001). Patterns of tobacco use amongst school teachers. Indian J Public Health, 45, 82-87.
  35. Rahman MM, Karim MJ, Ahmad SK, Suhaili MR, Ahmad SN (2011). Prevalence and determinants of smoking behaviour among the secondary school teachers in Bangladesh. Int J Public Health Res, (Special Issue), 25-32.
  36. Russo P, Nastrucci C, Alzetta G, Szalai C (2011). Tobacco habit: historical, cultural, neurobiological, and genetic features of people's relationship with an addictive drug. Perspect Biol Med, 54, 557-77. https://doi.org/10.1353/pbm.2011.0047
  37. Sah SK (2007). A study on patterns of tobacco use among school teachers in Mahottary district of Nepal. J Nepal Health Res Council, 5, 44-9.
  38. Schroeder SA (2012). An update about tobacco and cancer: what clinicians should know. J Cancer Educ, 27, 5-10. https://doi.org/10.1007/s13187-012-0327-2
  39. Sinha DN (2006). India Global School Personnel Survey (GSPS): Fact Sheet. World Health Organization.
  40. Sinha DN, Gupta PC, Pednekar MS (2003). Tobacco use among school personnel in eight North-eastern states of India. Indian J Cancer, 40, 3-14.
  41. Siziya S, Ntata PRT, Rudatsikira E, et al (2007). Sex differences in prevalence rates and predictors of cigarette smoking among in-school adolescents in Kilimanjaro, Tanzania. Tanzania Health Res Bull, 9, 190-5.
  42. Sorensen G, Gupta PC, Sinha DN, et al (2005). Teacher tobacco use and tobacco use prevention in two regions in India: results of the Global School Personnel Survey. Prev Med, 41, 417-23. https://doi.org/10.1016/j.ypmed.2004.09.048
  43. Sreeramareddy CT, Kishore PV, Paudel J, Menezes RG (2008). Prevalence and correlates of tobacco use amongst junior collegiates in twin cities of western Nepal- A cross-sectional, questionnaire-based survey. BMC Public Health, 8, 97. https://doi.org/10.1186/1471-2458-8-97
  44. The GTSS Collaborative Group, Tobacco Control 2006; 15(Suppl II):ii20-ii30. doi: 10.1136/tc.2006.015693.
  45. Trichopoulos D, Li F, Hunter D (1996). What causes cancer? Sci Am, 275, 80-7.
  46. Unger JB, Shakib S, Cruz TB, et al (2003). Smoking behavior among urban and rural Native American adolescents in California. Am J Prev Med, 25, 251-4. https://doi.org/10.1016/S0749-3797(03)00193-4
  47. WHO. (2003). Gender, Health and Tobacco. World Health Organization. Retrieved from: http://www.who.int/gender/documents/Ge nder_Tobacco_2.pdf.
  48. World Health Organization (2009). WHO report on the global tobacco epidemic.
  49. World Health Organization: Tobacco or Health (1997). A global status report, Geneva, WHO.
  50. Yang T, Huang H (2003). An epidemiological study on stress among urban residents in social transition period. Zhonghua Liu Xing Bing Xue Za Zhi, 24, 760-4.
  51. Yang T, Li F, Yang X, et al (2008) Smoking patterns and sociodemographic factors associated with tobacco use among Chinese rural male residents: A descriptive analysis. BMC Public Health, 8, 248. https://doi.org/10.1186/1471-2458-8-248
  52. Zhang L, Wang W, Zhao Q, Vartiainen E (2000) Psychosocial predictors of smoking among secondary school students in Henan, China. Health Educ Res, 15, 415-22. https://doi.org/10.1093/her/15.4.415

Cited by

  1. Insights into Smoking and its Cessation among Current Smokers in India vol.14, pp.5, 2013, https://doi.org/10.7314/APJCP.2013.14.5.2811
  2. Prevalence of tobacco smoking among school teachers in Botswana vol.11, pp.1, 2013, https://doi.org/10.1186/1617-9625-11-24