Effectiveness of antismoking media messages and education among adolescents in Malaysia and Thailand: findings from the international tobacco control southeast Asia project

Zawahir, Shukry, Omar, Maizurah, Awang, Rahmat, Yong, Hua-Hie, Borland, Ron, Sirirassamee, Buppha, Fong, Geoffrey T and Hammond, David 2013, Effectiveness of antismoking media messages and education among adolescents in Malaysia and Thailand: findings from the international tobacco control southeast Asia project, Nicotine and tobacco research, vol. 15, no. 2, pp. 482-491, doi: 10.1093/ntr/nts161.

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Title Effectiveness of antismoking media messages and education among adolescents in Malaysia and Thailand: findings from the international tobacco control southeast Asia project
Author(s) Zawahir, Shukry
Omar, Maizurah
Awang, Rahmat
Yong, Hua-HieORCID iD for Yong, Hua-Hie orcid.org/0000-0001-8167-6173
Borland, Ron
Sirirassamee, Buppha
Fong, Geoffrey T
Hammond, David
Journal name Nicotine and tobacco research
Volume number 15
Issue number 2
Start page 482
End page 491
Total pages 10
Publisher Oxford Academic
Place of publication Oxford, Eng.
Publication date 2013-02-01
ISSN 1469-994X
Keyword(s) health education
Malaysia
adolescent
Asia
southeastern
gender
communication
smoking
Thailand
tobacco control
Summary INTRODUCTION: Finding ways to discourage adolescents from taking up smoking is important because those who begin smoking at an earlier age are more likely to become addicted and have greater difficulty in quitting. This article examined whether anti smoking messages and education could help to reduce smoking susceptibility among adolescents in two Southeast Asian countries and to explore the possible moderating effect of country and gender. METHODS: Data came from Wave 1 of the International Tobacco Control Southeast Asia Project (ITC-SEA) survey conducted in Malaysia (n = 1,008) and Thailand (n = 1,000) where adolescents were asked about receiving antismoking advice from nurses or doctors, being taught at schools about the danger of smoking, noticing antismoking messages, knowledge of health effects of smoking, beliefs about the health risks of smoking, smoking susceptibility, and demographic information. Data were analyzed using chi-square tests and logistic regression models. RESULTS: Overall, significantly more Thai adolescents reported receiving advice from their nurses or doctors about the danger of smoking (p < .001), but no country difference was observed for reported antismoking education in schools and exposure to antismoking messages. Multivariate analyses revealed that only provision of antismoking education at schools was significantly associated with reduced susceptibility to smoking among female Malaysian adolescents (OR = 0.26). Higher knowledge of smoking harm and higher perceived health risk of smoking were associated with reduced smoking susceptibility among Thai female (OR = 0.52) and Malaysian male adolescents (OR = 0.63), respectively. CONCLUSIONS: Educating adolescents about the dangers of smoking in schools appears to be the most effective means of reducing adolescents' smoking susceptibility in both countries, although different prevention strategies may be necessary to ensure effectiveness for male and female adolescents.
Language eng
DOI 10.1093/ntr/nts161
Field of Research 1117 Public Health And Health Services
1103 Clinical Sciences
1505 Marketing
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30108381

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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