ArticleTobacco induced diseases2025
Sources of cigarettes for youth smokers in Malaysia: Findings from the National Health and Morbidity Survey (NHMS) 2022: Adolescents Health Survey (AHS).
Article in Tobacco induced diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Sources of electronic cigarette acquisition among school-going adolescents: A cross-sectional analysis of the 2022 National Health and Morbidity Survey - Adolescent Health Survey, Malaysia.Tobacco induced diseases · 2026Article
- Prevalence of adolescent dual tobacco use and its associated factors: findings from a cross-sectional study.BMJ open · 2025Article
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Abstract
introductionDeveloping effective intervention programs to lower adolescent smoking requires a thorough understanding of the sources and methods of youth tobacco product acquisition. This study aimed to identify the sources of cigarettes and related variables among adolescent smokers in Malaysian schools using the latest national data from the National Health and Morbidity Survey: Adolescents Health (NHMS: AHS) 2022.
methodsWe conducted the NHMS 2022: AHS to obtain a representative sample of school-age teenagers via a cross-sectional study design and a multi-stage sampling approach. We selected 1934 school-going adolescents aged 13-17 years who have smoked at least once in the previous 30 days from a total of 33523 respondents in the study. Data were collected from the participants using a pre-validated self-administered questionnaire. The analysis involved calculating adjusted odds ratios (AORs) with 95% confidence intervals (95% CIs). Furthermore, we examined potential two-way interactions between the independent variables.
resultsThe study found that 6.2% (95% CI: 5.9-6.6) of teenagers in schools are currently smoking, with a notably higher percentage of male to female current smokers (10.8% vs 1.6%). Approximately 23.1% of current smokers are frequent smokers. Almost three-quarters of current smokers obtained their cigarettes from fixed premises (38.9%), and that friends (34.9%) were the primary sources of cigarettes among adolescents. The data show that more than half (59.7%, 95% CI: 57.0-62.4) of current smokers obtained cigarettes from commercial sources.
conclusionsThe study found that a notably more significant proportion of adolescent smokers obtained their cigarettes from commercial vendors compared to their friends. These finding implies that increased law enforcement and health promotion programs are needed to lower the incidence of adolescent smoking in Malaysia.
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