Support and Practice of Smoke-Free Eating Places in Sarawak, Malaysia: A Structural Path Analysis

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نوع سند: مقاله ژورنالی
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شناسه ملی سند علمی:

JR_IJHLS-8-3_007

تاریخ نمایه سازی: 28 تیر 1402

Abstract:

Background: Smoke-free eating places are effective in reducing exposure to secondhand smoke (SHS). Eateries should comply with implementing smoke-free eating-places under the Control of Tobacco Products Regulations ۲۰۱۸ in all open-air eating-places to reduce tobacco consumption to achieve the plan of having Malaysia free of tobacco by ۲۰۴۵. Objectives: To determine the impact of perceived knowledge on tobacco control law and SHS and attitude to support and practice smoke-free eating-places. Methods: A total of ۶۲۰ respondents participated in this cross-sectional study. The eating-places were selected randomly from ۵ administrative divisions of Sarawak. Data on perceived tobacco control law, knowledge of the effects of SHS on health and environment, attitude and support towards smoke-free eating-places, and current smoke-free eating-places were collected by face-to-face interview using a structured questionnaire. A partial least squares model was developed to examine the impact of knowledge, attitude, and support towards the smoke-free eating-places with the current practice of smoke-free eating-places. WarpPLS version ۷.۰ was used to examine the structural path and to test the hypothesis. Results: The structural path analysis revealed that perceived knowledge of tobacco control lawhad no impact on practicing smokefree eating-places (P > ۰.۰۵). However, the knowledge of the health and environmental effects of SHS had direct and indirect effects on attitude and support for smoke-free eating-places (P < ۰.۰۰۱). In addition, attitude towards smoke-free eating-places had a significant mediating effect on practicing smoke-free eating-places (P < ۰.۰۰۱). Besides that, supporting smoke-free eating-places had a significant direct impact on the practice of smoke-free eating-places (P < ۰.۰۰۱). Conclusions: Legislation and implementation of smoke-free eating-places along with the antismoking program and education efforts could support the cessation of tobacco use in all public places, including all eateries.

Authors

Md Mizanur Rahmani

Department of Community Medicine and Public Health, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia

Mohd Taha Arif

Department of Community Medicine and Public Health, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia

Abdul Rahim Abdullah

Department of Community Medicine and Public Health, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia