Prevalence, risk factors, and protective factors of tobacco use among school-going adolescents at drug-abuse hot-spots in Malaysia

The high prevalence rate of tobacco consumption among teenage school students has become a global issue with profound implications for their developmental trajectory. Research conducted at drug-abuse hot-spots as a proximal factor related to tobacco use has been limited. Therefore, the present study...

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Main Authors: Ismail, Rozmi, Hassan, Siti Aishah, Shukor, Md Shafiin, Shafurdin, Nurul Shafini, Hanafi, Norshafizah, Aljaberi, Musheer A., Lin, Chung Ying, Griffiths, Mark D.
Format: Article
Language:en
Published: Elsevier 2025
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Online Access:http://psasir.upm.edu.my/id/eprint/122575/1/122575.pdf
http://psasir.upm.edu.my/id/eprint/122575/
https://linkinghub.elsevier.com/retrieve/pii/S0306460325002163
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Summary:The high prevalence rate of tobacco consumption among teenage school students has become a global issue with profound implications for their developmental trajectory. Research conducted at drug-abuse hot-spots as a proximal factor related to tobacco use has been limited. Therefore, the present study examined the prevalence, risk factors, and protective factors of tobacco use among adolescents at drug-abuse hot-spots in Malaysia. Through stratified random sampling, the nationwide sample comprised 3382 school-going adolescents (71.4% male; mean age = 15.35 years [SD = 2.79]). The prevalence of tobacco use was 19.0% for current use and 28.5% for lifetime use. Stepwise logistic regression analysis showed that being male, being an older adolescent, living in urban areas, living many years in the hot-spot area, parental divorce, and having a high external locus of control were significant risk factors for tobacco use. High internal locus of control and good problem-coping skills were protective factors for tobacco use. Policy implications and suggestions for future research are discussed for the prevention and intervention of tobacco use among school-going adolescents.