Perceived effects of the Malaysian national tobacco control programme on adolescent smoking cessation: A qualitative study

Hizlinda Tohid, Noriah Mohd. Ishak, Noor Azimah Muhammad, Farah Naaz Momtaz Ahmad, Anis Ezdiana Abdul Aziz, Khairani Omar

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: The prevalence of teenage smoking has decreased over the past decade following the implementation of the national tobacco control programme. However, the effect of the programme on smoking cessation in teenagers has not been determined. Methods: Twenty-eight participants (12 teenagers, 8 teachers, and 8 doctors) were interviewed using 4 in-depth interviews and 3 group discussions. Social cognitive theory (SCT) was applied as the theoretical framework. Semi-structured interview protocols were used, and thematic analysis and theoretical generalisation utilising SCT were performed. Results: The current national tobacco control programme was found to be ineffective in promoting smoking cessation among teenagers. The participants attributed the ineffective campaign to the followings: inadequacy of message content, lack of exposure to the programme, and poor presentation and execution. In addition, the participants perceived the developed tobacco control policies to be a failure based on poor law enforcement, failure of retailers to comply with the law, social availability of cigarettes to teenagers, and easy availability of cheap, smuggled cigarettes. This study highlighted that the programme-related problems (environmental factors) were not the only factors contributing to its perceived ineffectiveness. The cunning behaviour of the teenagers (personal factor) and poor self-efficacy to overcome nicotine addiction (behavioural factor) were also found to hinder cessation. Conclusion: Tobacco control programmes should include strategies beyond educating teenagers about smoking and restricting their access to cigarettes. Strategies to manage the cunning behaviour of teenagers and strategies to improve their self-efficacy should also be implemented. These comprehensive programmes should have a foundation in SCT, as this theory demonstrates the complex interactions among the environmental, personal, and behavioural factors that influence teenage smoking.

Original languageEnglish
Pages (from-to)35-47
Number of pages13
JournalMalaysian Journal of Medical Sciences
Volume19
Issue number2
Publication statusPublished - Apr 2012

Fingerprint

Smoking Cessation
Tobacco
Tobacco Products
Smoking
Self Efficacy
Interviews
Law Enforcement
Nicotine
Social Theory

Keywords

  • Adolescent
  • Health campaigns
  • Qualitative research
  • Tobacco cessation
  • Tobacco smoking

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Perceived effects of the Malaysian national tobacco control programme on adolescent smoking cessation : A qualitative study. / Tohid, Hizlinda; Mohd. Ishak, Noriah; Muhammad, Noor Azimah; Ahmad, Farah Naaz Momtaz; Aziz, Anis Ezdiana Abdul; Omar, Khairani.

In: Malaysian Journal of Medical Sciences, Vol. 19, No. 2, 04.2012, p. 35-47.

Research output: Contribution to journalArticle

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