Parental Smoking Status, Stress, Anxiety, and Depression Are Associated With Susceptibility to Smoking Among Non-Smoking School Adolescents in Malaysia

Susceptibility to smoking is a reliable predictor of smoking initiation. This article describes its prevalence and associated factors among Malaysian school adolescents. Data were obtained from the Global School-Based Student Health Survey (GSHS) 2012, a nationwide representative sample of school ad...

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Bibliographic Details
Published in:Asia-Pacific journal of public health 2014-09, Vol.26 (5), p.81S-90S
Main Authors: Lim, Kuang Hock, Chong, Zhuolin, Khoo, Yi Yi, Kaur, Jasvindar
Format: Article
Language:English
Subjects:
Adolescent
Anxiety - epidemiology
Child
Cross-Sectional Studies
Depression - epidemiology
Female
Health Surveys
Humans
Malaysia - epidemiology
Male
Multivariate Analysis
Parents - psychology
Prevalence
Risk Factors
Sex Distribution
Smoking - epidemiology
Stress, Psychological - epidemiology
Students - psychology
Students - statistics & numerical data
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Summary:Susceptibility to smoking is a reliable predictor of smoking initiation. This article describes its prevalence and associated factors among Malaysian school adolescents. Data were obtained from the Global School-Based Student Health Survey (GSHS) 2012, a nationwide representative sample of school adolescents. The overall prevalence of susceptibility to smoking was 6.0% and significantly higher among males (9.5%) compared with females (3.6%). Multivariable analyses revealed that males (adjusted odds ratio [aOR] 3.34, 95% confidence interval [CI] 2.70-4.18) and school adolescents of indigenous Sabahan or Sarawakian descents (aOR 1.62, 95%CI 1.21-2.18) were significantly more likely to be susceptible to smoking. Susceptible school adolescents had a slightly higher likelihood to have symptoms of stress (aOR 1.31, 95% CI 1.02-1.70), anxiety (aOR 1.19, 95% CI 1.01-1.40), depression (aOR 1.56, 95% CI 1.25-1.96), including those whose one or both parents/guardians were smokers (aOR 1.48, 95% CI 1.21-1.82; aOR 2.33, 95% CI 1.22-4.44, respectively). The findings from this study point out the need for proactive measures to reduce smoking initiation among Malaysian adolescents with particular attention toward factors associated with susceptibility to smoking,
ISSN:1010-5395
1941-2479
DOI:10.1177/1010539514542426