Factors associated with practice of smoking cessation guidelines among primary care doctors in northern Malaysia: a cross sectional study

Introduction: Smoking prevalence is high in Malaysia, particularly in the state of Kedah, according to the National Health Morbidity Survey 2019. Strengthening primary care smoking cessation services is crucial. This study aimed to identify factors associated with adherence to the Malaysian Clinical...

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Main Authors: Abdul Rashid, Aneesa, Hashim, Norazila, Govadan, Premmla Devi, Surennaraina, Punitha, Zainuddin, Zarina Zakiah, Nadarajan, Yoggeswary, Poey, Ling Soo
Format: Article
Language:English
Published: Springer Nature 2025
Online Access:http://psasir.upm.edu.my/id/eprint/118807/
http://psasir.upm.edu.my/id/eprint/118807/1/118807.pdf
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author Abdul Rashid, Aneesa
Hashim, Norazila
Govadan, Premmla Devi
Surennaraina, Punitha
Zainuddin, Zarina Zakiah
Nadarajan, Yoggeswary
Poey, Ling Soo
author_facet Abdul Rashid, Aneesa
Hashim, Norazila
Govadan, Premmla Devi
Surennaraina, Punitha
Zainuddin, Zarina Zakiah
Nadarajan, Yoggeswary
Poey, Ling Soo
author_sort Abdul Rashid, Aneesa
building UPM Institutional Repository
collection Online Access
description Introduction: Smoking prevalence is high in Malaysia, particularly in the state of Kedah, according to the National Health Morbidity Survey 2019. Strengthening primary care smoking cessation services is crucial. This study aimed to identify factors associated with adherence to the Malaysian Clinical Practice Guideline on the Treatment of Tobacco Use Disorder among government primary care doctors in Kedah. Methods: A cross-sectional survey was conducted among 163 public primary care doctors in the Kulim and Kuala Muda districts of Kedah. Knowledge, attitude, and practice related to smoking cessation guidelines were assessed using a validated questionnaire. Scores were categorized as good or poor. Good knowledge and practice required full marks, while good attitude was defined as scoring five or more out of ten. Associations between knowledge, attitude, sociodemographic, and practice were analysed. Results: The majority of respondents were female (67.5%), Malay (65%), with a mean age of 35.4 ± 5.23 years. Most demonstrated good attitude (69.9%) but had poor knowledge (80.4%) and practice (86.5%) scores. Poor knowledge was significantly associated with poor practice (AOR = 3.331, p = 0.017). Conclusion: Primary care doctors in the Kedah state demonstrated a positive attitude toward smoking cessation but exhibited gaps in knowledge and practice, with lower knowledge scores linked to poor practice. Targeted interventions, including guideline-focused training for non-specialists, new medical officers, and those without prior training, are recommended to enhance smoking cessation management.
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spelling upm-1188072025-07-24T06:23:10Z http://psasir.upm.edu.my/id/eprint/118807/ Factors associated with practice of smoking cessation guidelines among primary care doctors in northern Malaysia: a cross sectional study Abdul Rashid, Aneesa Hashim, Norazila Govadan, Premmla Devi Surennaraina, Punitha Zainuddin, Zarina Zakiah Nadarajan, Yoggeswary Poey, Ling Soo Introduction: Smoking prevalence is high in Malaysia, particularly in the state of Kedah, according to the National Health Morbidity Survey 2019. Strengthening primary care smoking cessation services is crucial. This study aimed to identify factors associated with adherence to the Malaysian Clinical Practice Guideline on the Treatment of Tobacco Use Disorder among government primary care doctors in Kedah. Methods: A cross-sectional survey was conducted among 163 public primary care doctors in the Kulim and Kuala Muda districts of Kedah. Knowledge, attitude, and practice related to smoking cessation guidelines were assessed using a validated questionnaire. Scores were categorized as good or poor. Good knowledge and practice required full marks, while good attitude was defined as scoring five or more out of ten. Associations between knowledge, attitude, sociodemographic, and practice were analysed. Results: The majority of respondents were female (67.5%), Malay (65%), with a mean age of 35.4 ± 5.23 years. Most demonstrated good attitude (69.9%) but had poor knowledge (80.4%) and practice (86.5%) scores. Poor knowledge was significantly associated with poor practice (AOR = 3.331, p = 0.017). Conclusion: Primary care doctors in the Kedah state demonstrated a positive attitude toward smoking cessation but exhibited gaps in knowledge and practice, with lower knowledge scores linked to poor practice. Targeted interventions, including guideline-focused training for non-specialists, new medical officers, and those without prior training, are recommended to enhance smoking cessation management. Springer Nature 2025 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/118807/1/118807.pdf Abdul Rashid, Aneesa and Hashim, Norazila and Govadan, Premmla Devi and Surennaraina, Punitha and Zainuddin, Zarina Zakiah and Nadarajan, Yoggeswary and Poey, Ling Soo (2025) Factors associated with practice of smoking cessation guidelines among primary care doctors in northern Malaysia: a cross sectional study. Discover Social Science and Health, 5 (1). art. no. 18. pp. 1-9. ISSN 2731-0469 https://link.springer.com/article/10.1007/s44155-025-00165-w?error=cookies_not_supported&code=73500de0-e2d2-4985-a21d-772238f1544c 10.1007/s44155-025-00165-w
spellingShingle Abdul Rashid, Aneesa
Hashim, Norazila
Govadan, Premmla Devi
Surennaraina, Punitha
Zainuddin, Zarina Zakiah
Nadarajan, Yoggeswary
Poey, Ling Soo
Factors associated with practice of smoking cessation guidelines among primary care doctors in northern Malaysia: a cross sectional study
title Factors associated with practice of smoking cessation guidelines among primary care doctors in northern Malaysia: a cross sectional study
title_full Factors associated with practice of smoking cessation guidelines among primary care doctors in northern Malaysia: a cross sectional study
title_fullStr Factors associated with practice of smoking cessation guidelines among primary care doctors in northern Malaysia: a cross sectional study
title_full_unstemmed Factors associated with practice of smoking cessation guidelines among primary care doctors in northern Malaysia: a cross sectional study
title_short Factors associated with practice of smoking cessation guidelines among primary care doctors in northern Malaysia: a cross sectional study
title_sort factors associated with practice of smoking cessation guidelines among primary care doctors in northern malaysia: a cross sectional study
url http://psasir.upm.edu.my/id/eprint/118807/
http://psasir.upm.edu.my/id/eprint/118807/
http://psasir.upm.edu.my/id/eprint/118807/
http://psasir.upm.edu.my/id/eprint/118807/1/118807.pdf