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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Implementation of smoke-free legislation in Malaysia: Are adolescents protected from respiratory health effects?
Author(s): Zulkifli, Aziemah
Abidin, Najihah Zainol
Abidin, Emilia Zainal
Hashim, Zailina
Rahman, Anita Abd
Rasdi, Irniza
Ismail, Sharifah Norkhadijah Syed
Semple, Sean
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Keywords: Environmental tobacco smoke
smoke restriction
smoking ban
Issue Date: Dec-2014
Date Deposited: 4-Apr-2018
Citation: Zulkifli A, Abidin NZ, Abidin EZ, Hashim Z, Rahman AA, Rasdi I, Ismail SNS & Semple S (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.
Abstract: 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.
DOI Link: 10.7314/APJCP.2014.15.12.4815
Rights: All manuscripts published in the Asia Pacific Journal of Cancer Biology, are under the terms of the Creative Commons Attribution License. This permits anyone to copy, distribute, transmit and adapt the published work, provided the original work and source are appropriately cited.
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