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Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects?

Background: This study aimed to examine the relationship between respiratory health of Malaysian adolescents with secondhand smoke (SHS) exposure and smoke-free legislation (SFL) implementation. Materials and Methods: A total of 898 students from 21 schools across comprehensive- and partial-SFL stat...

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Main Authors: Zulkifli, Aziemah, Zainol Abidin, Najihah, Zainal Abidin, Emilia, Hashim, Zailina, Abdul Rahman, Anita, Rasdi, Irniza, Syed Ismail, Sharifah Norkhadijah, Semple, Sean
Format: Article
Language:English
Published: Asian Pacific Organization for Cancer Prevetion 2014
Online Access:http://psasir.upm.edu.my/id/eprint/37967/1/Implementation%20of%20smoke-free%20legislation%20in%20Malaysia.pdf
http://psasir.upm.edu.my/id/eprint/37967/
http://www.apocpcontrol.org/page/apjcp_issues_view.php?sid=Entrez:PubMed&id=pmid:24998546&key=2014.15.12.4815
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spelling my.upm.eprints.379672015-12-29T09:34:44Z http://psasir.upm.edu.my/id/eprint/37967/ Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects? Zulkifli, Aziemah Zainol Abidin, Najihah Zainal Abidin, Emilia Hashim, Zailina Abdul Rahman, Anita Rasdi, Irniza Syed Ismail, Sharifah Norkhadijah Semple, Sean Background: This study aimed to examine the relationship between respiratory health of Malaysian adolescents with secondhand smoke (SHS) exposure and smoke-free legislation (SFL) implementation. Materials and Methods: A total of 898 students from 21 schools across comprehensive- and partial-SFL states were recruited. SHS exposures and respiratory symptoms were assessed via questionnaire. Prenatal and postnatal SHS exposure information was obtained from parental-completed questionnaire. Results: The prevalence of respiratory symptoms was: 11.9% ever wheeze, 5.6% current wheeze, 22.3% exercise-induced wheeze, 12.4% nocturnal cough, and 13.1% self-reported asthma. SHS exposure was most frequently reported in restaurants. Hierarchical logistic regression indicates living in a comprehensive-SFL state was not associated with a lower risk of reporting asthma symptoms. SHS exposure in public transport was linked to increased risk for wheeze (Adjusted Odds Ratio (AOR) 16.6; 95%confidence interval (CI), 2.69-101.7) and current wheezing (AOR 24.6; 95%CI, 3.53-171.8). Conclusions: Adolescents continue to be exposed to SHS in a range of public venues in both comprehensive- and partial-SFL states. Respiratory symptoms are common among those reporting SHS exposure on public transportation. Non-compliance with SFL appears to be frequent in many venues across Malaysia and enforcement should be given priority in order to reduce exposure. Asian Pacific Organization for Cancer Prevetion 2014 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/37967/1/Implementation%20of%20smoke-free%20legislation%20in%20Malaysia.pdf Zulkifli, Aziemah and Zainol Abidin, Najihah and Zainal Abidin, Emilia and Hashim, Zailina and Abdul Rahman, Anita and Rasdi, Irniza and Syed Ismail, Sharifah Norkhadijah and Semple, Sean (2014) Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects? Asian Pacific Journal of Cancer Prevention, 15 (12). pp. 4815-4821. ISSN 1513-7368 http://www.apocpcontrol.org/page/apjcp_issues_view.php?sid=Entrez:PubMed&id=pmid:24998546&key=2014.15.12.4815 10.7314/APJCP.2014.15.12.4815
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background: This study aimed to examine the relationship between respiratory health of Malaysian adolescents with secondhand smoke (SHS) exposure and smoke-free legislation (SFL) implementation. Materials and Methods: A total of 898 students from 21 schools across comprehensive- and partial-SFL states were recruited. SHS exposures and respiratory symptoms were assessed via questionnaire. Prenatal and postnatal SHS exposure information was obtained from parental-completed questionnaire. Results: The prevalence of respiratory symptoms was: 11.9% ever wheeze, 5.6% current wheeze, 22.3% exercise-induced wheeze, 12.4% nocturnal cough, and 13.1% self-reported asthma. SHS exposure was most frequently reported in restaurants. Hierarchical logistic regression indicates living in a comprehensive-SFL state was not associated with a lower risk of reporting asthma symptoms. SHS exposure in public transport was linked to increased risk for wheeze (Adjusted Odds Ratio (AOR) 16.6; 95%confidence interval (CI), 2.69-101.7) and current wheezing (AOR 24.6; 95%CI, 3.53-171.8). Conclusions: Adolescents continue to be exposed to SHS in a range of public venues in both comprehensive- and partial-SFL states. Respiratory symptoms are common among those reporting SHS exposure on public transportation. Non-compliance with SFL appears to be frequent in many venues across Malaysia and enforcement should be given priority in order to reduce exposure.
format Article
author Zulkifli, Aziemah
Zainol Abidin, Najihah
Zainal Abidin, Emilia
Hashim, Zailina
Abdul Rahman, Anita
Rasdi, Irniza
Syed Ismail, Sharifah Norkhadijah
Semple, Sean
spellingShingle Zulkifli, Aziemah
Zainol Abidin, Najihah
Zainal Abidin, Emilia
Hashim, Zailina
Abdul Rahman, Anita
Rasdi, Irniza
Syed Ismail, Sharifah Norkhadijah
Semple, Sean
Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects?
author_facet Zulkifli, Aziemah
Zainol Abidin, Najihah
Zainal Abidin, Emilia
Hashim, Zailina
Abdul Rahman, Anita
Rasdi, Irniza
Syed Ismail, Sharifah Norkhadijah
Semple, Sean
author_sort Zulkifli, Aziemah
title Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects?
title_short Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects?
title_full Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects?
title_fullStr Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects?
title_full_unstemmed Implementation of smoke-free legislation in Malaysia: are adolescents protected from respiratory health effects?
title_sort implementation of smoke-free legislation in malaysia: are adolescents protected from respiratory health effects?
publisher Asian Pacific Organization for Cancer Prevetion
publishDate 2014
url http://psasir.upm.edu.my/id/eprint/37967/1/Implementation%20of%20smoke-free%20legislation%20in%20Malaysia.pdf
http://psasir.upm.edu.my/id/eprint/37967/
http://www.apocpcontrol.org/page/apjcp_issues_view.php?sid=Entrez:PubMed&id=pmid:24998546&key=2014.15.12.4815
_version_ 1643832111329705984
score 13.211869

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