Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

EPIDEMIOLOGY OF SMOKING AMONG MALAYSIAN MALE ADULTS: PREVALENCE AND ASSOCIATED FACTORS

Author

Lim KH 1 , Sumarni MG 2 , Kee CC 2 , Lim KK 1 , Chan YY 1 , Teh CH 1 , Gurpreet K 1 , Ahmad Faudzi Y 2 , , Zarihah Z 3 , Mohamad Haniki NM 4 , Sallehuddin AB 5

Institution

1 Institute For Public Health, Jalan Bangsar, Kuala Lumpur
2 Institute For Medical Research, Jalan Pahang, Kuala Lumpur
3 Disease Division, Ministry of Health, Kuala Lumpur, Malaysia
4 Pharmacy Practice Department, International Islamic University Malaysia, Pahang
5 Health Division, Kuala Lumpur City Hall

Abstract

Objectives: In Malaysia, smoking is a growing problem especially among males. Objective: To examine the prevalence of smoking among adult males in Malaysia based on the Third National Health and Morbidity Survey in 2006 and to identify the social and demographic factors associated with smoking.

Methods: A cross-sectional study among 15,639 adult Malaysian males aged 18 and above was conducted using proportionate to size stratified sampling. The socio-demographic variables examined were level of education attainment, occupation, marital status, residential area, age group and monthly household income.

Results: The prevalence of smoking among adult males in Malaysia was 46.5% (95% CI 45.5-47.4%), 3% lower than a decade ago. Mean age of smoking initiation was 18.3 years, and mean number of cigarettes smoked daily 11.3. Prevalence of smoking was highest among ethnic Malays (55.9%) and those aged 21-30 years (59.3%). Smoking was significantly associated with level of education (no education OR 2.09 95%CI (1.67-2.60, tertiary education as reference), Age group (18-20 years OR 2.36, 95% CI (1.90-2.94); 60 years old and above as reference

Conclusion: The prevalence of smoking among Malaysian males remained high in spite of several population level interventions over the past decade. Tobacco will likely remain a primary cause of premature mortality and morbidity in Malaysia.