Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Implementation of Smoke-free Legislation in Malaysia: Are Adolescents Protected from Respiratory Health Effects?

  • Zulkifli, Aziemah (Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, UPM Serdang) ;
  • Abidin, Najihah Zainol (Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, UPM Serdang) ;
  • Abidin, Emilia Zainal (Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, UPM Serdang) ;
  • Hashim, Zailina (Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, UPM Serdang) ;
  • Rahman, Anita Abd (Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, UPM Serdang) ;
  • Rasdi, Irniza (Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, UPM Serdang) ;
  • Syed Ismail, Sharifah Norkhadijah (Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, UPM Serdang) ;
  • Semple, Sean (Scottish Centre for Indoor Air, Division of Applied Health Sciences, University of Aberdeen, Child Health, Royal Aberdeen Children's Hospital)
  • Published : 2014.06.30
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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.

Keywords

References

  1. Abidin EZ, Hashim Z, Semple S, (2013). Second-hand smoke in public spaces: how effective has partial smoke-free legislation been in Malaysia? Asian Pac J Cancer Prev, 14, 6845-50. https://doi.org/10.7314/APJCP.2013.14.11.6845
  2. Akhtar PC, Currie DB, Currie CE, Haw SJ, (2007). Changes in child exposure to environmental tobacco smoke (CHETS) study after implementation of smoke-free legislation in Scotland: national cross sectional survey. BMJ, 335, 545-52. https://doi.org/10.1136/bmj.39311.550197.AE
  3. Allwright S, Paul G, Greiner B, et al (2005). Legislation for smoke-free workplaces and health of bar workers in Ireland: before and after study. BMJ, 331, 1117. https://doi.org/10.1136/bmj.38636.499225.55
  4. Asher M, Keil U, Anderson HR, et al (1995). International Study of Asthma and Allergies in Childhood (ISAAC): rationale and methods. Eur Respir J, 8, 483-91. https://doi.org/10.1183/09031936.95.08030483
  5. Chan NL, Yasui Y, Thompson B, et al (2007). Secondhand smoke in the home and Pap testing among Vietnamese American women. Asian Pac J Cancer Prev, 8, 178.
  6. Centers for Disease Control and Prevention, (2013). The GTSS Atlas; Global Youth Tobacco Survey (GYTS); Part Three. Available at www.cdc.gov/tobacco/global/gtss/tobacco_ atlas/pdfs/part3.pdf. Accessed on 15 January 2013.
  7. Csaikainyi Z, Czinner A, Spangler J, Rogers T, Katona Gb, (2012). Relationship of environmental tobacco smoke to otitis media (OM) in children. Int J Pediatr Otorhi, 76, 989-93. https://doi.org/10.1016/j.ijporl.2012.03.017
  8. Dinas PC, Metsios GS, Jamurtas AZ, et al (2014). Acute effects of second-hand smoke on complete blood count. Int J Environ Heal R, 24, 62-56.
  9. Educational Research Application System (2012), Available at http://eras.moe.gov.my/eras/PanduanM.aspx, Accessed on 21 December 2012.
  10. Eisner MD, Smith AK, Blanc PD, (1998). Bartenders' respiratory health after establishment of smoke-free bars and taverns. JAMA, 280, 1909-14. https://doi.org/10.1001/jama.280.22.1909
  11. Gilliland FD, Li Y-F, Peters JM, (2001). Effects of maternal smoking during pregnancy and environmental tobacco smoke on asthma and wheezing in children. Am J Respir Crit Care Med, 163, 429-36. https://doi.org/10.1164/ajrccm.163.2.2006009
  12. Gorini G, Moshammer H, Sbrogio L, et al (2008). Italy and Austria before and after study: second-hand smoke exposure in hospitality premises before and after 2 years from the introduction of the Italian smoking ban. Indoor Air, 18, 328-34. https://doi.org/10.1111/j.1600-0668.2008.00534.x
  13. Hajnal BL, Braun FC, Grize, L, et al (1999). Effect of environmental tobacco smoke exposure on respiratory symptoms in children. SCARPOL Team. Swiss study on childhood allergy and respiratory symptoms with respect to air pollution, climate and pollen. Schweiz Med Wochenschr, 15, 723-30.
  14. Halken S, Hast A, Nilsson L, Taudorf E, (1995). Passive smoking as a risk factor for development of obstructive respiratory disease and allergic sensitization. Allergy, 50,105-97.
  15. Heffernan TM, O'Neill TS, (2012). Exposure to second-hand smoke damages everyday prospective memory. Addiction, 108, 420-6.
  16. Hughes SC, Corcos IA, Hofstetter CR, et al (2008a). Children's exposure to secondhand smoke at home in Seoul, Korea. Asian Pac J Cancer Prev, 9, 491-5.
  17. Hughes SC, Corcos IA, Hofstetter CR, et al (2008b). Secondhand smoke exposure among nonsmoking adults in Seoul, Korea. Asian Pac J Cancer Prev, 9, 247-52.
  18. Institute for Public Health (2008). The Third National Health and Morbidity Survey (NHMS III) 2006: Smoking, Ministry of Health, Malaysia.
  19. International Study of Asthma and Allergies in Childhood, (2012). Available at http://isaac.auckland.ac.nz/. Accessed on 5th January 2012.
  20. James RC, Savitri A, (2005). Statistical analysis of survey data In: Brogan D. Household sample surveys in developing and transition countries. United Nations Publications, 8.
  21. Jones A, (1999). Indoor air quality and health. Atmos Environ, 33, 4535-64. https://doi.org/10.1016/S1352-2310(99)00272-1
  22. Kallio K, Jokinen E, Hamalainen M, et al (2009). Decreased aortic elasticity in healthy 11-year-old children exposed to tobacco smoke. Paediatrics, 123, 267-73.
  23. Kashiwabara M, Armada F, Yoshimi I (2011). Kanagawa, Japan's tobacco control legislation: a breakthrough. Asian Pac J Cancer Prev, 12, 1909-16.
  24. King BA, Dube SR, Ko JY (2011). Secondhand smoke concentrations in hospitality venues in the Pacific Basin: findings from American Samoa, Commonwealth of the Northern Mariana Islands, and Guam. Asian Pac J Cancer Prev, 12, 2881-5.
  25. Leech JA, Wilby K, McMullen E (1999). Environmental tobacco smoke exposure patterns: a sub-analysis of the Canadian human time-activity pattern survey. C J Public Health, 90, 244.
  26. Malaysia Food Act 1983 (Act 281) & Regulations, (2013). Control of Tobacco Product Regulations 2004, Part IV: Prohibition on Smoking; International Law Book Services, 335-348.
  27. Martin-Pujol A, Fernandez E, Schiaffino A, et al (2013). Tobacco smoking, exposure to second-hand smoke, and asthma and wheezing in schoolchildren: a cross-sectional study. Acta Paediatrica, 102, 305-9. https://doi.org/10.1111/apa.12232
  28. Matt GE, Hovell MF, Zakarian JM, et al (2000). Measuring secondhand smoke exposure in babies: the reliability and validity of mother reports in a sample of low-income families. J Health Psycho, 19, 232. https://doi.org/10.1037/0278-6133.19.3.232
  29. Menzies D, Nair A, Williamson PA, et al (2006). Respiratory symptoms, pulmonary function, and markers of inflammation among bar workers before and after a legislative ban on smoking in public places. JAMA, 296, 1742-8. https://doi.org/10.1001/jama.296.14.1742
  30. Oh BYJ, Hong SY, Lee D-H, Tamplin S, (2013). Policy effects of secondhand smoke exposure in public places in the republic of Korea: evidence from PM2.5 levels and air nicotine concentrations. Asian Pac J Cancer Prev, 14, 7725-30. https://doi.org/10.7314/APJCP.2013.14.12.7725
  31. International Study of Asthma and Allergies in Childhood (ISAAC), (2012). Available at http://isaac.auckland.ac.nz/phases/phasethree/videoquestionnaire.html, Accessed on 4 February 2013.
  32. Melaka Smoke Free Zones. (2013) http://www.mbar.gov.my/versionBI/images/5strategi/PerundangandanPenguatkuasaan.pdf, Accessed on 26th August 2013.
  33. Panda B, Rout A, Pati S, et al (2012). Tobacco control law enforcement and compliance in Odisha, India-Implications for tobacco control policy and practice. Asian Pac J Cancer Prev, 13, 4631-7. https://doi.org/10.7314/APJCP.2012.13.9.4631
  34. Picazani BA, Martin DP, Stark MJ, et al (2003). Household smoking ban; which household have them and do they? Prev Med, 36,107-99.
  35. Tee GH, Gurpreet K, Hairi NN, Zarihah Z, Fadzilah K, (2013). Smoking behaviours and attitudes toward tobacco control among assistant environmental health officer trainees. Int J Tuberc Lung Dis, 17, 1652-5. https://doi.org/10.5588/ijtld.12.0241
  36. The Global Tobacco Smoke Survey (GTSS) Collaborative Group, (2006). A cross country comparison of exposure to secondhand smoke among youth. Tob Control, 15, ii4-ii19.
  37. Therese M, (2004). Rhrc Consortium monitoring and evaluation toolkit; survey sampling technique example, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University.
  38. Weitzman M, Gortmaker S, Walker DK, Sobol A, (1990). Maternal smoking and childhood asthma. Paediatrics, 85, 505-11.
  39. World Health Organization (WHO), (2014). About WHO Framework Convention on Tobacco Control. Available at http://www.who.int/fctc/about/en/. Accessed on 24 April 2014.
  40. Yolton K, Dietrich K, Auinger P, Lanphear BP, Hornung R, (2005). Exposure to environmental tobacco smoke and cognitive abilities among US children and adolescents. Environ Health Persp, 113, 103-98.

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