Lim Kuang Hock, Cheong Yoon Ling, Lim Jia Hui, Kee Chee Cheong, Ghazali Sumarni Mohd, Cheah Yong Kang, Heng Pei Pei, Marine Ali Aman, Hashim Mohd Hazilas Mat, Goh Wei Wen, Lim Hui Li
Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia.
School of Pharmacy, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Malaysia.
Tob Induc Dis. 2025 Jul 4;23. doi: 10.18332/tid/204789. eCollection 2025.
The emergence of novel tobacco products has led to an increase in the consumption of diverse tobacco items among adolescents. The smoking habits of adolescents adversely affect their physical and emotional health. This study aimed to ascertain the prevalence of polytobacco use among Malaysian teenagers and to identify the mental health issues associated with dual or polytobacco use.
This is a secondary dataset analysis of cross-sectional data from 27479 secondary school adolescents who participated in the 2017 Malaysian Adolescent School Health survey. The primary outcome of our study pertained to self-reported mental health characteristics (stress and depressive symptoms). The research used multivariable logistic regression analysis to assess the associations between the use of tobacco products and mental wellness.
Of the respondents, 79.9% were non-tobacco users, 9.2% were single tobacco users, 4.7% were dual tobacco users, and 7.3% were polytobacco users. Individuals engaged in polytobacco use exhibited elevated levels of stress (16.7%; p<0.001) and depression (33.7%; p<0.001) relative to those utilizing fewer tobacco products. Polytobacco product users exhibited a 1.64-fold (95% CI: 1.30-2.06) increased likelihood of reporting stress symptoms and a 1.75-fold (95% CI: 1.46-2.09) increased likelihood of reporting depression symptoms in comparison to non-tobacco users.
Adolescents who engage in dual or polytobacco use frequently experience internalized mental health issues, including symptoms of stress and despair. It is essential to perform early assessments of high-risk individuals, provide them with information regarding the importance of cessation, and implement proactive interventions for these groups' psychological challenges.
新型烟草产品的出现导致青少年中各类烟草制品的消费量增加。青少年的吸烟习惯对其身心健康产生不利影响。本研究旨在确定马来西亚青少年中多种烟草使用的流行情况，并识别与双重或多种烟草使用相关的心理健康问题。
这是一项对参与2017年马来西亚青少年学校健康调查的27479名中学生横断面数据的二次数据集分析。我们研究的主要结果涉及自我报告的心理健康特征（压力和抑郁症状）。该研究使用多变量逻辑回归分析来评估烟草制品使用与心理健康之间的关联。
在受访者中，79.9%为非烟草使用者，9.2%为单一烟草使用者，4.7%为双重烟草使用者，7.3%为多种烟草使用者。与使用较少烟草制品的人相比，使用多种烟草的个体表现出更高水平的压力（16.7%；p<0.001）和抑郁（33.7%；p<0.001）。与非烟草使用者相比，多种烟草制品使用者报告压力症状的可能性增加了1.64倍（95%置信区间：1.30 - 2.06），报告抑郁症状的可能性增加了1.75倍（95%置信区间：1.46 - 2.09）。
双重或多种烟草使用者的青少年经常经历内化的心理健康问题，包括压力和绝望症状。对高危个体进行早期评估、向他们提供戒烟重要性的信息以及针对这些群体的心理挑战实施积极干预至关重要。
