Tobacco induced diseases · 2026
Cigarette smoking, e-cigarette, and heated tobacco product use and associated factors among a nationally representative sample of adult Malaysians: An online survey.
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Sreeramareddy Chandrashekhar T, Parlan Fateen-Izzah Haziqah, Sivanandy Palanisamy, Shankar Pathiyil R
Аннотация
INTRODUCTION: We aimed to estimate the prevalence of cigarette smoking, e-cigarette, and heated tobacco product use behaviors and their associated factors among adult Malaysians.
METHODS: A cross-sectional online survey was conducted in December 2024 among a nationally representative sample of 1000 adult Malaysians (≥18 years). We used a questionnaire adapted from the Global Adult Tobacco Survey. Binary logistic regression analyses were performed to identify factors associated with tobacco and nicotine product use.
RESULTS: The overall prevalence of current smoking was 28.6% (95% CI: 25.8-31.4), with a mean age of smoking initiation of 21.5 years. Awareness of e-cigarettes was high (92.4%), with 14.6% (95% CI: 12.5-17.0) and 13.4% (95% CI: 11.4-15.8) reporting current daily and non-daily use, respectively. Fewer respondents were aware of heated tobacco products (HTPs, 548.5%), with 4.5% (95% CI: 3.4-6.1) and 10.0% (95% CI: 8.2-12.1) reporting current daily and non-daily use, respectively. Current smoking (AOR=44.19; 95% CI: 24.78-78.81 for e-cigarettes; AOR=31.0; 95% CI: 13.58-73.57 for HTPs), male sex, younger age, and exposure to advertisements were significantly associated with e-cigarette and HTP use. A smoke-free home environment was a protective factor against e-cigarette (AOR=0.44; 95% CI: 0.24-0.80) and HTP use (AOR=0.27; 95% CI: 0.13-0.55).
CONCLUSIONS: Continued surveillance of nicotine product use is essential. Tobacco control measures under the new Public Health Act should include specific regulations for e-cigarettes and heated tobacco products, particularly targeting younger populations.
METHODS: A cross-sectional online survey was conducted in December 2024 among a nationally representative sample of 1000 adult Malaysians (≥18 years). We used a questionnaire adapted from the Global Adult Tobacco Survey. Binary logistic regression analyses were performed to identify factors associated with tobacco and nicotine product use.
RESULTS: The overall prevalence of current smoking was 28.6% (95% CI: 25.8-31.4), with a mean age of smoking initiation of 21.5 years. Awareness of e-cigarettes was high (92.4%), with 14.6% (95% CI: 12.5-17.0) and 13.4% (95% CI: 11.4-15.8) reporting current daily and non-daily use, respectively. Fewer respondents were aware of heated tobacco products (HTPs, 548.5%), with 4.5% (95% CI: 3.4-6.1) and 10.0% (95% CI: 8.2-12.1) reporting current daily and non-daily use, respectively. Current smoking (AOR=44.19; 95% CI: 24.78-78.81 for e-cigarettes; AOR=31.0; 95% CI: 13.58-73.57 for HTPs), male sex, younger age, and exposure to advertisements were significantly associated with e-cigarette and HTP use. A smoke-free home environment was a protective factor against e-cigarette (AOR=0.44; 95% CI: 0.24-0.80) and HTP use (AOR=0.27; 95% CI: 0.13-0.55).
CONCLUSIONS: Continued surveillance of nicotine product use is essential. Tobacco control measures under the new Public Health Act should include specific regulations for e-cigarettes and heated tobacco products, particularly targeting younger populations.