Publication:
PUBLIC OPINIONS ABOUT THE IMPLEMENTATION OF TOBACCO CONTROL STRATEGIES IN MALAYSIA: A MIXED METHODS STUDY AMONG MALAYSIAN ADULTS

Date
2025
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IMU University
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Abstract
Introduction: Malaysia has implemented various tobacco control measures to reduce smoking prevalence and its associated health risks. Despite the implementation of anti-smoking programs, high rates of smoking still exist, requiring innovative approaches. The exclusion of the Generational End Game policy and nicotine liquid from the Poison List has sparked debate. Hence, the study aimed to analyze the public's support and opinion for tobacco control strategies in Malaysia. Methods: The mixed-method study was conducted nationwide through an online survey using Rakuten Insight with a representative sample of 1000 adult Malaysians to assess their support for the current and new policies on tobacco control. Semi-structured interviews were done among nine samples to gather qualitative data about their opinion on the implementation of these policies. Result: Most of the participants supported all 15 tobacco control strategies. Support was higher among those who do not smoke and use tobacco products. By multiple linear regression, Malay (B=-3.7408, 95% CI –5.468, -1.949, p<0.001), primary educational level (B=-4.185, 95%CI –5.911, -2.459, p<0.001) and knowledge score (B=0.916, 95% CI 0.696, 1.137, p<0.001) were the factors that significantly associated with the support. Qualitative findings showed that most participants agreed with tobacco control policies. They disagreed with the removal of nicotine liquid from the Poison List. The major challenge was the lack of enforcement. They suggested stricter enforcement, public education, and monitoring of contraband cigarettes as possible solutions. Conclusion: There is strong public support for tobacco control strategies in Malaysia. A well-structured implementation is needed to curb the growing number of smokers in the country. Keywords: Support, Tobacco, Policy, Cigarette, E-cigarette, HTPs, Smoker, Nonsmoker
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Keywords
Public Opinion, Tobacco Control, Malaysia, Smoking Prevention, Policy, Tobacco Products, Electronic Nicotine Delivery Systems, Smokers, Non-Smoker
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