1. Correlates of dual/poly tobacco use among school-going adolescents in Malaysia: Findings from a nationwide school-based study.
- Author
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Kuang Hock Lim, Yoon Ling Cheong, Hui Li Lim, Sumarni Mohd Ghazali, Chee Cheong Kee, Yong Kang Cheah, Pei Pei Heng, Mohd Hazilas Mat Hashim, Cia Vei Tan, and Jia Hui Lim
- Subjects
ELECTRONIC cigarettes ,CONFIDENCE intervals ,CROSS-sectional method ,MULTIPLE regression analysis ,RISK assessment ,COMPARATIVE studies ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,CHI-squared test ,TOBACCO products ,SMOKING ,DATA analysis software ,CLUSTER analysis (Statistics) ,STATISTICAL sampling ,ODDS ratio ,ADOLESCENCE - Abstract
INTRODUCTION Dual/poly tobacco use is common among youths globally. However, in Malaysia information on dual/poly tobacco use is scarce, thus the present study examines the prevalence and factors associated with dual/poly tobacco users among school-going adolescents in Malaysia. METHODS We derived data on tobacco and e-cigarette use among Malaysian adolescents from a nationwide school-based study conducted in 2016. A total of 13135 adolescents responded in the cross-sectional survey which used multistage sampling to select a representative sample of school-going adolescents aged 11-19 years. A standard validated questionnaire was used to obtain the data and multiple logistic regression was conducted to assess factors associated with dual/ poly tobacco use. RESULTS The prevalence of dual/poly tobacco use was 6.5%, more than half of which were both conventional and e-cigarette users. Multivariable logistic regression revealed that the likelihood of dual tobacco use was significantly higher among males (AOR=14.73; 95% CI: 9.11-23.81), secondary school students, those aged 16-19 years (AOR=5.99; 95% CI: 4.04-8.87), natives of Sabah (AOR=7.41; 95% CI: 3.48-15.79), and those never been taught on the health hazards of tobacco at school, exposed to secondhand smoke (SHS) at home, school or other public areas, and had a positive perception of e-cigarettes and lower perception of the harms of tobacco smoking. CONCLUSIONS Although the prevalence of dual/poly users was still low among Malaysian school-going adolescents, proactive measures should be taken to reduce dual tobacco use among youth in Malaysia with focus on the factors identified in this study. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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