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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA



Thursday, July 13, 2006 - 1:30 PM
22-1

A National Study on the Prevalence and Factors Associated with Smoking among 17,246 Malaysians Aged 18 Years and above

Lekhraj Rampal, MBBS, MPH, DRPH, Department of Community Medicine, Faculty of Medicine and Health Science, Universiti Putra Malaysia, 43400 UPM, SERDANG, SELANGOR, MALAYSIA, Serdang, Malaysia, Sanjay Rampal, MBBS, MPH, Department of Social an Preventive Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Kuala Lumpur, Malaysia, and Azhar Md Zain, MD, MPsychiatry, Faculty of Medicine and Health Sciences, University Putra Malaysia, 43400 UPM, Serdang, Malaysia.

Objective: Determine the prevalence of smoking among the community aged 18 years and above and determine the association between smoking and age, sex, educational level, family and peer influence.

Methods: A cross sectional study was conducted in Malaysia. All residents aged 18 years and above from selected households were included in this study. A standardized pre-tested structured questionnaire was used in this study.

Results: Out of 17,246 respondents, majority were Malays(55.5%) followed by Chinese(21.2%) and Indians(11%). The national age, sex and race adjusted prevalence of ever and current smokers were 31.4% and 24.4% respectively. The prevalence of ever and current smokers for males was significantly higher(59.3% and 47.2% respectively) as compared to the females (4.7% and 2.6% respectively). Amongst the males respondents, the prevalence of current smokers was highest amongst the Malays (55.6%), followed by the Bumiputra Sarawak(50.9%), Bumiputra Sabah(50.2%), Chinese (34.2%) and Indians (33.4%). Amongst the females respondents the prevalence of current smokers was highest among the Bumiputra Sarawak (5.2%) followed by the Chinese (2.8%), Malay and Bumiputra Sabah (2.6%) and Indians (0.5%). There was a significant association between smoking and race (p<0.001) and between current smoking status and education level (p<0.001). Multivariate logistic regression analysis showed that ever smoking was associated with race, age, sex, educational level and peer and family influence. Conclusion: the overall prevalence of ever and current smokers were 31.4% and 24.4% respectively. Smoking was associated with race, age, sex, educational level and peer and family influence.

Key words: Smoking, Prevalence, Peer Influence, Malaysia