Background The rising prevalence of alternative tobacco and nicotine products (ATNPs) use among adolescents is a global concern that has been attributed to the reemergence of preexisting alternative tobacco products and emergence of new ones in the market. This study examined ATNP use among late adolescents. The association between ATNP use and reasons for using them was explored.
Methods This cross-sectional study conducted in 2016 involving 388 late adolescents from six government colleges in Kelantan, Malaysia, aged 18 to 19 years. They were requested to answer self-directed questionnaires with items on sociodemographic information and types of ATNP used. Other variables obtained include the environmental influence and reasons for using the products. Regression analyses between the dependent and independent variables were conducted using IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA).
Results The prevalence of ATNP use among late adolescents was 14.4%. The male sex, cigarette smoking status, and peer use were significantly associated with ATNP use. Several reasons for use were not significantly associated with ATNP use: perception of ATNP being less harmful and less addictive compared with cigarettes, curiosity, less expensive than cigarettes, to aid smoking cessation, and pleasurable flavors and taste.
Conclusion The prevalence of ATNP use among late adolescents studying in government colleges in Kelantan is significant. There is higher perception on ATNP being less harmful and addictive than the conventional cigarette among the users compared with non-users. Significant associations are seen for the male sex, peer use, and concurrent cigarette smoking.
Citations
Citations to this article as recorded by
Factors associated with e-cigarette initiation and transition to conventional cigarette among adolescents in Malaysia, a scoping review Muzzammil Mohdkhairi, David Mulenga Discover Public Health.2025;[Epub] CrossRef
Prevalence and Associated Factors Related to Tobacco Consumption Among University Students in Malaysia Chui Yi Chow, Md Zobaer Hasan, Anton Abdulbasah Kamil Health Psychology Research.2024; 12(1): 1. CrossRef
Factors Influencing the Use of Tobacco Among Youth in Low-Income, Lower-Middle-Income, and Upper-Middle-Income Countries: A Systematic Review Fahad Ali Mangrio, Penpaktr Uthis, Suwimon Rojnawee Journal of Research in Health Sciences.2024; 24(3): e00617. CrossRef
Prevalence and Associated Factors of E-Cigarette Use among Adolescents in Southeast Asia: A Systematic Review Miaw Yn Jane Ling, Ahmad Farid Nazmi Abdul Halim, Dzulfitree Ahmad, Norfazilah Ahmad, Nazarudin Safian, Azmawati Mohammed Nawi International Journal of Environmental Research and Public Health.2023; 20(5): 3883. CrossRef
Factors of e-cigarette use among Malaysian adolescents: A systematic review Vitalis Ronald Eden, Mohd Shahimi Mustapha, Saravanan Jaganathan, Hafiz Jaafar Journal of Health Science Research.2023; 9: 7. CrossRef
The Impact of Heated Tobacco Products on Smoking Cessation, Tobacco Use, and Tobacco Sales in South Korea Cheol Min Lee Korean Journal of Family Medicine.2020; 41(5): 273. CrossRef
Profound weight loss with painful symmetrical peripheral neuropathy in diabetic patients was first described as diabetic neuropathic cachexia more than 4 decades ago. It is a distinct type of diabetic peripheral neuropathy that occurs in the absence of other microvascular and autonomic complications of diabetes. The mechanism and precipitating cause are unknown. It was reported to have good prognosis with spontaneous recovery within months to 2 years. However, it was frequently missed by clinicians because the profound weight loss is the most outstanding complaint, rather than the pain, numbness, or weakness. This often leads to extensive investigation to exclude more sinister causes of weight loss, particularly malignancy. We report a case of a young woman with well-controlled diabetes who presented with profound unintentional weight loss (26 kg), symmetrical debilitating thigh pain, and clinical signs of peripheral neuropathy. As the disease entity may mimic an inflammatory demyelinating cause of neuropathy, she was treated with a trial of intravenous immunoglobulin, which failed to give any significant benefit. However, she recovered after 6 months without any specific treatment, other than an antidepressant for the neuropathic pain and ongoing rehabilitation.
Citations
Citations to this article as recorded by
Treatment‐induced neuropathy of diabetes in an adolescent with rapid reduction in HbA1c and weight loss: Persistent neuropathic findings at follow‐up after 1.5 years Vinni Faber Rasmussen, Mathilde Thrysøe, Hatice Tankisi, Páll Karlsson, Esben Thyssen Vestergaard, Kurt Kristensen, Jens Randel Nyengaard, Klaus Krogh, Christina Brock, Astrid Juhl Terkelsen Clinical Case Reports.2022;[Epub] CrossRef
Diabetic Neuropathic Cachexia: A Clinical Case and Review of Literature Alessio Bellelli, Daniele Santi, Manuela Simoni, Carla Greco Life.2022; 12(5): 680. CrossRef
Rare case of diabetic neuropathic cachexia along with diabetic amyotrophy Zahid Ullah Khan, Nasrullah Ghuman, KaHinKaren Mak BMJ Case Reports.2021; 14(5): e239869. CrossRef
A Compendium of Perspectives on Diabetes: A Challenge for Sustainable Health in the Modern Era Amit K Verma, Yamini Goyal, Deepti Bhatt, Kapil Dev, Mohammed A Alsahli, Arshad Husain Rahmani, Ahmad Almatroudi Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.2021; Volume 14: 2775. CrossRef
Rare diabetic neuropathies: It is not only distal symmetrical polyneuropathy Georgia Samakidou, Ioanna Eleftheriadou, Anastasios Tentolouris, Nikolaos Papanas, Nikolaos Tentolouris Diabetes Research and Clinical Practice.2021; 177: 108932. CrossRef
Paraneoplastic Neuropathies: What's New Since the 2004 Recommended Diagnostic Criteria Marco Zoccarato, Wolfgang Grisold, Anna Grisold, Valentina Poretto, Federica Boso, Bruno Giometto Frontiers in Neurology.2021;[Epub] CrossRef
First
Prev
