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http://dx.doi.org/10.7314/APJCP.2014.15.10.4359

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

Hock, Lim Kuang (Institute of Public Health)
Ghazali, Sumarni Mohamad (Institutes for Medical Research)
Cheong, Kee Chee (Institutes for Medical Research)
Kuay, Lim Kuang (Institute of Public Health)
Li, Lim Hui (Institutes for Medical Research)
Huey, Teh Chien (Institute of Public Health)
Ying, Chan Ying (Institute of Public Health)
Yen, Yeo Lay (Institute of Public Health)
Ching, Fiona Goh Swee (Faculty of Health life Sciences, Management and Science University)
Yi, Khoo Yi (Institute of Public Health)
Lin, Chong Zhuo (Institute of Public Health)
Ibrahim, Normala (Psychiatric Department, University Putra Malaysia)
Mustafa, Amal Nasir (Institutes for Medical Research)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.15, no.10, 2014 , pp. 4359-4366 More about this Journal
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
Intention to smoke; adolescents; interpersonal; intrapersonal;
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1 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.
2 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.   DOI   ScienceOn
3 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.   DOI   ScienceOn
4 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.   DOI   ScienceOn
5 Haddad LG, Petro-Nusras W (2006). Predictors of intention to quit smoking among Jordanian University students. Can J Public Health, 97, 9-13.
6 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.   DOI   ScienceOn
7 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.
8 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.
9 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.
10 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.   DOI   ScienceOn
11 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).
12 Olds RS, Thombs DL, Tomasek JR (2005). Relations between normative beliefs and initiationintentions toward cigarette, alcohol and Marijuana. J Adolesc Health, 37, 7-13.   DOI   ScienceOn
13 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.   DOI   ScienceOn
14 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].
15 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].
16 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.   DOI   ScienceOn
17 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.
18 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.   DOI   ScienceOn
19 Alvarado GF, Breslau N (2005). Smoking and young people's mental health. Curr Opinion Psychiatry, 18, 397-400.   DOI   ScienceOn
20 Azjen I, Madden TJ (1986). Prediction of goal-directed behaviour: attitude, intentions, and perceived behavioural control. J Exp Soc Psychol, 22, 453-74.   DOI
21 Sargent JD, Dalton M (2001). Does parenal disapproval of smoking prevent adolescents from becoming established smokers? Pediatrics, 108, 1256-62.   DOI   ScienceOn
22 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.   DOI   ScienceOn
23 Brown AK, Moodie C, Hastings G, et al (2010). The association of normative perceptions with adolescent smoking intentions. J Adolesc, 33, 603-14.   DOI   ScienceOn
24 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.
25 Conrad KM, Flay BR, Hill D (1992). Why children start smoking cigarettes: Predictors of onset. Br J Addic, 87, 1711-24.   DOI
26 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.
27 Lee E, Tak Y (2005). Peer and parental influences on adolescent smoking. Taehan Kanho Hakhoe Chi, 35, 694-700.
28 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.   DOI
29 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.   과학기술학회마을   DOI   ScienceOn
30 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.   DOI   ScienceOn
31 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.   DOI   ScienceOn
32 Manimaran K (2003). Report of the Global Youth Tobacco Survey, Malaysia. Ministry of Health, Malaysia, 2003.
33 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.   DOI
34 Institute of Public Health (1997). Ministry of Health Malaysia: National Health and Morbidity Survey Volume 17, Smoking. Kuala Lumpur: Malaysia.
35 Institute for Public Health (2008). The Third National Health and Morbidity Survey (NHMSIII), Smoking. Ministry of Health, Malaysia.
36 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.   과학기술학회마을   DOI   ScienceOn
37 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.   DOI   ScienceOn
38 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.   DOI   ScienceOn
39 Sawyer TM, Stevenson JF (2008). Perceived parental and peer disapproval toward substances: Influences on adolescent decision-making. J Prim Prev, 29, 465-77.   DOI
40 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).
41 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.   DOI   ScienceOn
42 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.   DOI
43 Eckhardt L, Woodruff SI, Elder JP (1994). A longitudinal analysis of adolescent smokingand it's correlates. J Sch Health, 64, 67-72.   DOI   ScienceOn
44 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.   DOI   ScienceOn
45 Ertas N (2007). Factors associated with stages of cigarette smoking among Turkish youth. Eur J Public Health, 17, 155-61.   DOI   ScienceOn
46 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.   DOI   ScienceOn
47 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.   DOI   ScienceOn
48 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.   DOI   ScienceOn
49 Fishbein M, Azjen I (1975). Belief, attitude, intention, and behaviour. An Introduction to theory and research. Reading, MA: Addison-Wesley.
50 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.   DOI
51 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.   DOI   ScienceOn