5A's and 3A's Adolescent Smoking Interventions as Nicotine Dependence Endgame Initiatives in Sarawak, Malaysia

Anti-smoking initiatives in Malaysia have the potential to reduce adolescent smoking, but their effectiveness and the need for research support remain important considerations. This study aimed to examine the efficacy of two smoking cessation interventions, the 5A's and 3A's, in reduc...

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Main Authors: Muhammad Siddiq, Daud, Md Mizanur, Rahman, Sabrina, Lukas, Kamarudin, Kana, Merikan, Aren, Rudy Ngau, Ajeng, Mohd Faiz, Gahamat
Format: Article
Language:English
Published: Horizon Research Publishing Corporation 2023
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Online Access:http://ir.unimas.my/id/eprint/43259/3/5A%27s.pdf
http://ir.unimas.my/id/eprint/43259/
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spelling my.unimas.ir.432592023-11-01T00:49:18Z http://ir.unimas.my/id/eprint/43259/ 5A's and 3A's Adolescent Smoking Interventions as Nicotine Dependence Endgame Initiatives in Sarawak, Malaysia Muhammad Siddiq, Daud Md Mizanur, Rahman Sabrina, Lukas Kamarudin, Kana Merikan, Aren Rudy Ngau, Ajeng Mohd Faiz, Gahamat RA Public aspects of medicine RA0421 Public health. Hygiene. Preventive Medicine Anti-smoking initiatives in Malaysia have the potential to reduce adolescent smoking, but their effectiveness and the need for research support remain important considerations. This study aimed to examine the efficacy of two smoking cessation interventions, the 5A's and 3A's, in reducing smoking among male adolescents in Samarahan, Sarawak. From September 2020 to June 2021, twelve communities were randomly assigned to the 5A's, 3A's, or control groups. A total of 519 participants aged 13-17 years provided data on demographics, smoking habits, nicotine dependency, motivation, carbon monoxide levels, and monthly cigarette consumption. The interventions' effectiveness was evaluated at 1, 3, 6 and 9 months. Analysis of covariance revealed no significant main effects of time or group on nicotine dependence, although age had a significant effect. Post hoc analyses showed significant group differences at multiple time points. For motivation, there was a significant main effect of time, with Group 5A consistently demonstrating higher means. Significant group differences were observed at specific time points. Analysis of carbon monoxide levels indicated significant main effects for group and time, with Group 5A consistently exhibiting the lowest mean levels. Significant group differences emerged by the 6th month. Regarding the number of cigarettes smoked, significant group differences were found, with both Group 5A and Group 3A reporting lower levels compared to the control group. Our findings add to the existing body of knowledge on the success of initiatives aimed at reducing smoking rates among young people. However, there is still a need for additional investigations in this field to further advance our understanding. Horizon Research Publishing Corporation 2023-10-12 Article PeerReviewed text en http://ir.unimas.my/id/eprint/43259/3/5A%27s.pdf Muhammad Siddiq, Daud and Md Mizanur, Rahman and Sabrina, Lukas and Kamarudin, Kana and Merikan, Aren and Rudy Ngau, Ajeng and Mohd Faiz, Gahamat (2023) 5A's and 3A's Adolescent Smoking Interventions as Nicotine Dependence Endgame Initiatives in Sarawak, Malaysia. Universal Journal of Public Health, 11 (5). pp. 698-707. ISSN 2331-8945 http://www.hrpub.org DOI: 10.13189/ujph.2023.110519
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic RA Public aspects of medicine
RA0421 Public health. Hygiene. Preventive Medicine
spellingShingle RA Public aspects of medicine
RA0421 Public health. Hygiene. Preventive Medicine
Muhammad Siddiq, Daud
Md Mizanur, Rahman
Sabrina, Lukas
Kamarudin, Kana
Merikan, Aren
Rudy Ngau, Ajeng
Mohd Faiz, Gahamat
5A's and 3A's Adolescent Smoking Interventions as Nicotine Dependence Endgame Initiatives in Sarawak, Malaysia
description Anti-smoking initiatives in Malaysia have the potential to reduce adolescent smoking, but their effectiveness and the need for research support remain important considerations. This study aimed to examine the efficacy of two smoking cessation interventions, the 5A's and 3A's, in reducing smoking among male adolescents in Samarahan, Sarawak. From September 2020 to June 2021, twelve communities were randomly assigned to the 5A's, 3A's, or control groups. A total of 519 participants aged 13-17 years provided data on demographics, smoking habits, nicotine dependency, motivation, carbon monoxide levels, and monthly cigarette consumption. The interventions' effectiveness was evaluated at 1, 3, 6 and 9 months. Analysis of covariance revealed no significant main effects of time or group on nicotine dependence, although age had a significant effect. Post hoc analyses showed significant group differences at multiple time points. For motivation, there was a significant main effect of time, with Group 5A consistently demonstrating higher means. Significant group differences were observed at specific time points. Analysis of carbon monoxide levels indicated significant main effects for group and time, with Group 5A consistently exhibiting the lowest mean levels. Significant group differences emerged by the 6th month. Regarding the number of cigarettes smoked, significant group differences were found, with both Group 5A and Group 3A reporting lower levels compared to the control group. Our findings add to the existing body of knowledge on the success of initiatives aimed at reducing smoking rates among young people. However, there is still a need for additional investigations in this field to further advance our understanding.
format Article
author Muhammad Siddiq, Daud
Md Mizanur, Rahman
Sabrina, Lukas
Kamarudin, Kana
Merikan, Aren
Rudy Ngau, Ajeng
Mohd Faiz, Gahamat
author_facet Muhammad Siddiq, Daud
Md Mizanur, Rahman
Sabrina, Lukas
Kamarudin, Kana
Merikan, Aren
Rudy Ngau, Ajeng
Mohd Faiz, Gahamat
author_sort Muhammad Siddiq, Daud
title 5A's and 3A's Adolescent Smoking Interventions as Nicotine Dependence Endgame Initiatives in Sarawak, Malaysia
title_short 5A's and 3A's Adolescent Smoking Interventions as Nicotine Dependence Endgame Initiatives in Sarawak, Malaysia
title_full 5A's and 3A's Adolescent Smoking Interventions as Nicotine Dependence Endgame Initiatives in Sarawak, Malaysia
title_fullStr 5A's and 3A's Adolescent Smoking Interventions as Nicotine Dependence Endgame Initiatives in Sarawak, Malaysia
title_full_unstemmed 5A's and 3A's Adolescent Smoking Interventions as Nicotine Dependence Endgame Initiatives in Sarawak, Malaysia
title_sort 5a's and 3a's adolescent smoking interventions as nicotine dependence endgame initiatives in sarawak, malaysia
publisher Horizon Research Publishing Corporation
publishDate 2023
url http://ir.unimas.my/id/eprint/43259/3/5A%27s.pdf
http://ir.unimas.my/id/eprint/43259/
http://www.hrpub.org
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score 13.211869