Harmonizing to Mackay and Eriksen ( 2002 ) , planetary ingestion of coffin nails has been lifting steadily since manufactured coffin nails were introduced at the beginning of the twentieth century. While ingestion is levelling off and even diminishing in some states, worldwide more people are smoking, and tobacco users are smoking more coffin nails. The Numberss of tobacco users will increase chiefly due to enlargement of the universe ‘s population. By 2030 there will be at least another 2 billion people in the universe. Even if prevalence rates fall, the absolute figure of tobacco users will increase. The expected go oning lessening in male smoke prevalence will be offset by the addition in female smoke rates, particularly in developing states.
Harmonizing to Goddard ( 2008 ) , the prevalence of coffin nail smoke in Great Britain fell well in the 1970s and the early 1980s, from 45 % in 1974 to 35 % in 1982. The rate of diminution so slowed, with prevalence falling by merely about one per centum point every two old ages until 1994, after which it levelled out at approximately 27 % before restarting a slow diminution in the 2000s. The overall diminution in smoking prevalence since the mid 1970s has been due to a autumn in the proportions of both light tobacco users ( defined as fewer than 20 coffin nails per twenty-four hours ) and heavy tobacco users ( 20 coffin nails or more per twenty-four hours ) . The proportion of all grownups smoking on mean 20 or more coffin nails a twenty-four hours has fallen among work forces from 26 % in 1974 to 8 % in 2006 and from 13 % to 5 % of adult females over the same period.
Meanwhile, smoking tendencies in Mexico shows a decrease during the last decennary of the twentieth century in smoke exposure, day-to-day smoking prevalence and smoke strength. This decrease has either been more intense or occurred entirely in work forces, depending on the analyzed index. Additionally, the most important decrease both in the prevalence of day-to-day active tobacco users and in smoking strength occurred in older age groups in both genders. Womans, for their portion, during the latter portion of the analyzed period present a reversal in the downward tendency in these smoke indexs, and in 2002, day-to-day female tobacco users smoked a greater sum of coffin nails than work forces. Nevertheless, work forces still present a worse smoke state of affairs than adult females in footings of both prevalence of day-to-day tobacco users and per centum of day-to-day tobacco users ( Franco-Marina, 2007 ) .
Harmonizing to Shafey ( 2003 ) , the wellness load from smoking is non merely increasing, but it is besides switching to low-income and middle-income states ; whereas the prevalence of smoking continues to worsen in many Western markets, many Asiatic markets continue to turn ( as cited in Parkinson et al. , 2009 ) . This is true particularly when the ingestion of baccy has reached the proportions of a planetary epidemic. Tobacco companies are zigzaging out coffin nails at the rate of five and a half trillion a twelvemonth – about 1,000 coffin nails for every adult male, adult female, and kid on the planet. Asia, Australia and the Far East are by far the largest consumers ( 2,715 billion coffin nails ) , followed by the Americas ( 745 billion ) , Eastern Europe and Former Soviet Economies ( 631 billion ) and Western Europe ( 606 billion ) ( Mackay and Eriksen, 2002 ) .
Harmonizing to National Health Morbidity Survey ( 1986 and 1996 ) , the happening of smoking between Malaysian grownups has enlarged from 39 % to 49 % ( as cited in Shahidan et al. , 2002 ) . National Health and Morbidity Survey ( 1996 ) besides states the prevalence of baccy usage is about 24.8 % : 49.2 % of work forces smoke, compared with merely 3.5 % of adult females ( as cited in Parkinson et al. , 2009 ) . Meanwhile harmonizing to statistic in PROSTAR ( 2007 ) , Malaysia had 3.6 million tobacco users in 2000 and this figure is expected to increase to 4.6 million by 2025 ( as cited in Kim et al. , 2009 ) . Although there are no precise national estimations of young person smoke in Malaysia, findings from several studies suggest youth smoke may be on the rise ( Parkinson et al. , 2009 ) . However, harmonizing to Thambypillai ( 1985 ) ; Shamsuddin & A ; Haris ( 2000 ) ; Naing et Al. ( 2004 ) and Ahmad et Al. ( 1997 ) , the tendencies in smoking among striplings have non changed much. Studies conducted in assorted vicinities showed that the prevalence of smoke among male young persons were between 17-36 % and 1-5 % among females in the same group ( as cited in Lim et al. , 2006 ) .
Surprisingly, about one billion work forces in the universe smoke – approximately 35 % of work forces in developed states and 50 % of work forces in developing states. Tendencies in both developed and developing states show that male smoke rates have now peaked and, easy but certainly, are worsening. However, this is an highly slow tendency over decennaries, and in the interim work forces are deceasing in their 1000000s from baccy. In general, the educated adult male is giving up the wont foremost, so that smoke is going a wont of poorer, less educated males ( Mackay and Eriksen, 2002 ) .
2.1 Reasons for Smoking
Harmonizing to Baker et Al. ( 2002 ) , most tobacco users offer similar grounds for their smoke. Typically, they report that smoke is an habit-forming wont that they enjoy and that relieves stress. Most tobacco users besides see it as loosen uping and utilize it as a header mechanism. The power of nicotine to both provide good feelings and extenuate bad feelings is richly demonstrated. This is consistent with the research done by KaAYikci et Al. ( 2008 ) whereby people smoke to loosen up or alleviate their emphasis and to hold pleasance. Furthermore, British American Tobacco Malaysia ( 2010 ) states that the pharmacological consequence of nicotine – a mild stimulating consequence non unlike that of caffeine, and a mild loosen uping consequence – is an of import portion of the smoke experience. Baker et Al. ( 2002 ) besides stated that light tobacco users tend to smoke more for societal grounds while heavy tobacco users are more likely to describe that they smoke because of the habit-forming nature of baccy.
Meanwhile harmonizing to Jarvis ( 2004 ) , experimenting with smoking normally occurs in the early teenage old ages and is driven preponderantly by psychosocial motivations. For people who merely started smoke, a coffin nail is a symbolic manner of stating that they are no longer their female parent ‘s kid and a manner of demoing that they are mature. Childs who are attracted to this adolescent averment of sensed maturity or defiance tend to come from backgrounds that favour smoke ( for illustration, with high degrees of smoke in parents, siblings, and equals ; comparatively deprived vicinities ; schools where smoke is common ) . They besides tend non to be wining harmonizing to their ain or society ‘s footings ( for illustration, they have low ego regard, have impaired psychological well-being, are fleshy, or are hapless winners at school ) .
Harmonizing to Parkinson et Al. ( 2009 ) , males were more likely than females to believe that smoking makes immature work forces and immature adult females look more attractive and that smoke is a mark of being modern. However, males and females were merely every bit likely to believe that smoking helps command organic structure weight. This finding contradicts with Western surveies by Cavallo ( 2006 ) , which typically report that female young person worry more about their weight and are more likely to describe smoking to command their weight than are males ( as cited in Parkinson et al. , 2009 ) .
2.2 Review of Related Studies
The smoke rate for university pupils is lifting bit by bit in Turkey every bit good as the universe ( KaAYikci et al. , 2008 ) . A research by Cooper et Al. ( 2004 ) said that there is an addition for the rate of smoke in Turkey in which 64 % of the addition is among the work forces and 23 % of it is adult females. Abolfutuoh et Al. ( 1998 ) states 40 % of the pupils in Education Council are heavy tobacco users and merely 23 % of the Medicine Council pupils smoke. Meanwhile, Kader and Alsadi ( 2008 ) found that most of the pupils are light tobacco users ( 50.6 % ) . They besides said that pupils in the medical school tend to smoke less than their friends in other modules. Surprisingly, a survey by Kypri and Baxter ( 2004 ) said that the smoke form is higher among Maori adult females than work forces, in which the adult females tend to smoke daily.
Sharker ( 2005 ) in his survey about cognition, attitude and pattern on smoke among pupils and staff in Universiti Putra Malaysia states that 13.7 % from respondents who smoke comes from pupils while 9.9 % was comes from the staff. He besides found that Indians and Malays were among the highest per centum due to cultural groups which comprises of 12.7 % and 11.6 % severally ; meanwhile Hindus and Muslim were among the highest per centum due to spiritual group which equal to 13 % and 11.9 % severally.
Harmonizing to Azlan ( 2006 ) in his survey on smoke among secondary school pupils in Kuantan, the smoke per centum was 43 % ; with 63.5 % comes from males and 17.5 % comes female. This survey is rather similar to the survey done by Rapeah et Al. ( 2008 ) whereby about half of the respondents in her survey on factors act uponing smoke behaviors among male striplings in Kuantan were tobacco users ( 45.8 % ) and Malays were lend up to 53.1 % .
A cross-sectional survey of 16-year old secondary school pupils in Kota Tinggi territory reported that 29.7 % from the respondents were found to be smoking and the highest per centum of male tobacco users comes from FELDA ( Federal Land Development Authority ) countries which comprises of more than 50 % ( Lim et al. , 2006 ) . Meanwhile, the survey done by Shahidan et Al. ( 2002 ) on smoking wonts among secondary school pupils in Kedah reported that the mean age for smoke and non-smoking groups were 16 old ages old the research has reveal that the age of onset smoke among respondents began every bit early as 13 old ages old.
Harmonizing to KaAYikci et Al. ( 2008 ) , 40.2 % of the concluding class pupils at the AtatA©rk University smoked. 56.5 % from that said that they smoke to let go of tense while 24.6 % fume for pleasance. Abolfutuoh et Al. ( 1998 ) states that wonder was the chief ground for induction of smoke among pupils in medical pupils at the University College of Medicine and pupils of the College of Education. There are findings found in a research by Kader and Alsadi ( 2008 ) that say the pupils smoke because it helps them to concentrate every bit good as quiet them down. They besides said that pupils smoke because they besides want to get by with emphasis and societal anxiousnesss. Kypri and Baxter ( 2004 ) besides stated that pupils smoke because it helps them to loosen up.
Harmonizing to Shahidan et Al. ( 2002 ) , “ matured, attractive and posh ” are among the grounds pupils start smoking with per centum of 70.0 % , 62.2 % and 54.0 % severally. Meanwhile, Sharker ( 2005 ) found that the chief ground for the oncoming of smoke among pupils and staff in Universiti Putra Malaysia was “ merely for merriment ” and it was comprises of 54.2 % . In add-on, Azlan ( 2006 ) revealed that the chief ground for pupils to smoke is because of the influences of friends.
Rapeah et Al. ( 2008 ) states that the most common ground given by the respondents for get downing smoke was “ wanted to seek ” ( 68.9 % ) followed by “ equals influence ” ( 56.1 % ) . However, about 70 % of the tobacco users did non hold that they smoked because they wanted to be voguish. There are besides findings found in a research by Khairani et Al. ( 2007 ) that say the most frequent grounds for originating smoke were wonder ( 69.3 % ) and peer force per unit area ( 51 % ) while emphasis ( 70 % ) was reported as the commonest ground for go oning smoke followed by dependence ( 49 % ) .
KaAYikci et Al. ( 2008 ) stated that one of the factors that encourage the pupils to smoke is the parents of the pupils. Most of the pupils who smoke have male parents and brothers who smoke every bit good. Friends are besides one of the factors that lead to smoking wont among the pupils. These findings are rather similar with the survey by Shahidan et Al. ( 2002 ) which conducted in Kedah. Their research stated that influence of equals and household members who smoke played an of import function in act uponing pupils to smoke. Student whose household members are tobacco users are more than twice at higher hazard of smoking compared to those whose household members are non tobacco users meanwhile pupil whose equals smoke are about six times higher of smoke compared to those whose equals are non tobacco users. Lapp goes to the survey by Khairani et Al. ( 2007 ) , which found that there was a important association between adolescent smoke and smoke among household members.
Sharker ( 2005 ) reported that the prevalence of smoke was associated with age, economic position, race, spiritual, household and equal groups smoking wonts. These findings are consistent with the survey done by Azlan ( 2006 ) on the prevalence of smoke among secondary school pupils and its associated factors in the territory of Kuantan. Meanwhile, harmonizing to Lim et Al. ( 2006 ) , holding many close friends who smoke, sibling who fumes and low academic accomplishment were positively associated with smoke.
There are besides findings found that the type of category watercourse, equals ‘ smoke, and attitude towards smoking were significantly associated with the respondents smoking position ( Rapeah et al. , 2008 ) . Meanwhile wonder, desire to demo off and peer force per unit area are the chief factors that lead to the smoke wont of the pupils ( Abolfutuoh et al. , 1998 ) .