Smoking Stage Relations to Peer, School and Parental Factors among Secondary School Students in Kinta, Perak


Background: To identify the prevalence of different stages of smoking and differences in associated riskfactors. Materials and
Methods: Thos longitudinal study started in February 2011 and the subjects were2552 form one students aged between twelve to thirteen years of from 15 government secondary schools ofKinta, Perak. Data on demographic, parental, school and peer factors were collected using a self-administeredquestionnaire. We examined the effects of peer, school and parental factors on the five stages of smoking; neversmokers, susceptible never smokers, experimenters, current smokers and ex-smokers, at baseline.
Results: Inthe sample, 19.3% were susceptible never smokers, 5.5% were current smokers 6% were experimenters and3.1% were ex-smokers. Gender, ethnicity, best friends’ smoking status, high peer pressure, higher number ofrelatives who smoked and parental monitoring were found to be associated with smoking stages. Presence ofparent-teen conflict was only associated with susceptible never smokers and experimenters whereas absenceof home discussion on smoking hazards was associated with susceptible never smokers and current smokers.
Conclusions: We identified variations in the factors associated with the different stages of smoking. Our resultshighlight that anti-smoking strategies should be tailored according to the different smoking stages.