Mohd Radzi Nawwal Alwani, Saub Roslan, Mohd Yusof Zamros Yuzadi, Dahlui Maznah, Sujak Sharol Lail
Department of Community Oral Health and Clinical Prevention, Faculty of Dentistry, University of Malaya, Kuala Lumpur 50603, Malaysia.
Centre of Population Oral Health and Clinical Prevention Studies, Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor 47000, Malaysia.
Children (Basel). 2021 Feb 14;8(2):144. doi: 10.3390/children8020144.
The prevalence of concurrent use of combustible and electronic cigarettes (dual-use) is on the rise among Malaysian adolescents. This study compares nicotine dependence among exclusive cigarette users, e-cigarette users, and dual adolescent users. A total of 227 adolescent smokers completed a self-administrated questionnaire with items based on Hooked on Nicotine Checklist (HONC) incorporated. Endorsement of at least one HONC item indicates nicotine dependence. Exhaled carbon monoxide readings and salivary cotinine data were also collected. Over half (52.9%) of the participants were exclusive e-cigarette users (EC). The prevalence of exclusive conventional cigarette smokers (CC) and dual users was 11.9% and 35.2%, respectively. Adolescents who have mothers with secondary school education were more likely to become addicted to nicotine (Adjusted Odd Ratio (aOR) = 2.72; 95% CI = 1.17-6.32). Adolescents' "mother's education" level predicted nicotine dependence. This highlighted the need to target families within the identified demography with a more supportive anti-tobacco program.
在马来西亚青少年中，同时使用可燃香烟和电子烟（双重使用）的比例正在上升。本研究比较了只吸卷烟者、电子烟使用者和青少年双重使用者的尼古丁依赖情况。共有227名青少年吸烟者完成了一份自我管理问卷，问卷中的项目基于纳入的尼古丁成瘾清单（HONC）。认可至少一项HONC项目表明存在尼古丁依赖。还收集了呼出一氧化碳读数和唾液可替宁数据。超过一半（52.9%）的参与者是只吸电子烟的人（EC）。只吸传统卷烟者（CC）和双重使用者的比例分别为11.9%和35.2%。母亲受中学教育的青少年更有可能对尼古丁上瘾（调整后的优势比（aOR）=2.72；95%置信区间=1.17-6.32）。青少年的“母亲教育程度”水平可预测尼古丁依赖情况。这凸显了有必要针对特定人口统计学中的家庭开展更具支持性的反烟草项目。
