Knowledge, attitude and perception of second-hand smoke and factors promoting smoking in Malaysian adolescents

N. Zainol Abidin, A. Zulkifli, E. Zainal Abidin*, I. Rasdi, S. N. Syed Ismail, A. Abd Rahman, Z. Hashim, S. Semple

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


OBJECTIVE: To identify the relationship between knowledge, attitude and perception regarding environmental tobacco smoke (ETS) and smoking among Malaysian adolescents living in states with complete or partial smoke-free legislation (SFL).

METHODS: A total of 898 respondents aged 13-14 years were randomly selected from 21 secondary schools. The Malay version of the modified Global Youth Tobacco Survey questionnaire was used. Hierarchical logistic regression was performed in examining predictors of smoking attempt among adolescents.

RESULTS: Participants exposed to ETS >5 h/day were more likely to have smoked compared to those exposed to ETS

CONCLUSIONS: Adolescents with limited ETS exposure who lived in a state with complete SFL were less likely to attempt smoking compared to those exposed more regularly to ETS and living in a state with partial SFL. Preventing adolescents from becoming smokers is the key to reducing national prevalence rates in smoking. There is a need to implement comprehensive smoke-free legislation nationally across Malaysia.

Original languageEnglish
Pages (from-to)856-861
Number of pages6
JournalInternational Journal of Tuberculosis and Lung Disease
Issue number7
Publication statusPublished - 1 Jul 2014

Bibliographical note

This study was supported by the Universiti Putra Malaysia’s
Research University Grant Scheme (Project number UPM/700-1/2/
RUGS/04-02-12-1777RU, vote number 9334700).


  • environmental tobacco smoke
  • smoking initiation
  • smoking restriction
  • youth


Dive into the research topics of 'Knowledge, attitude and perception of second-hand smoke and factors promoting smoking in Malaysian adolescents'. Together they form a unique fingerprint.

Cite this