Page 123 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
rd
14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
th

INTRODUCTION: The prevalence of smoking in Malaysia among the age group of 15 years and
above is recorded as the highest prevalence. The implementation of the smoke-free campus
(KamBAR) policy at the university is said to be able to control smoking habits and create a
non-smoking social norm among university residents. The purpose of this study is to evaluate
the impact of KamBAR policy in public universities in Malaysia, the factors influenced it and
the challenges and obstacles in its implementation.
METHODS: The study location was at public universities in Malaysia; 2 universities have
implemented KamBAR policy (KamBAR) and 2 universities have not implemented KamBAR
policy (XKamBAR). Mixed method convergent was used. The quantitative study was
conducted using self administered questionnaire on respondents from KamBAR (n=1063) and
XKamBAR (n=1040) from September 2019-November 2019.
RESULTS: The prevalence of smoking KamBAR and XKamBAR was 5.2% and 6.7%, respectively.
The association between university type and knowledge of smoke free policy (p = <0.001),
smoking attitude (p = 0.02) and smoker’s behaviour in smoking cessation attempts (p = 0.04)
was significant. Males were more likely to smoke than females (KamBAR: 95% confidence
interval [CI] 3.2–16.04, p<0.001; XKamBAR: 95% CI 8.55-38.47, p<0.001); females were strong
predictor of good smoking knowledge in XKamBAR (95% CI 0.54-0.88, p=0.004, p<0.001),
negative smoking attitude (KamBAR: 95% CI 0.1–0.29, p<0.001; XKamBAR: 95% CI 0.16–0.55)
and negative smoking practice (KamBAR: 95% CI 0.14–0.33, p<0.001; XKamBAR; p<0.001; 95%
CI 0.17–0.36, p<0.001). Good knowledge of smoke free policy was strong predictor of
negative smoking practice (XKamBAR: 95% CI 1.3-3.24, p=0.002) and positive smoker’s
behaviour in smoking cessation attempts in XKamBAR (95% CI 3.46-50.65, p<0.001). Good
smoking knowledge was strong predictor of negative smoking attitude (KamBAR: 95% CI 1.73-
5.94, p <0.001; XKamBAR: 95% CI 1.89-5.39, p<0.001) and negative smoking practice in
XKamBAR (95% CI 1.02-2.51, p = 0.04). The results of the qualitative study (semi structured
interview, observation and document analysis) revealed the main obstacles and challenges in
the policy implementation were creation of smoking hotspot area and weaknesses in the
enforcement and smoking cessation services.
DISCUSSION/CONCLUSION: Overall, universities implementing the KamBAR policy had lower
smoking prevalence and better level of smoking KAP (knowledge, attitude, practice) than
XKamBAR. Awareness of KamBAR policy and the dangers of smoking needs to be emphasized
as it is a determining factor in policy compliance but different approaches between men and
women need to be point up so that the impact of KamBAR policy is balanced between the
gender. Strict enforcement, good smoking cessation services and continual health programs
are highly recommended to support and enhance the implementation of KamBAR policy in
order to establish and promote non-smoking social norms in universities.

ID 147 TIME-MOTION STUDY TO MEASURE TIME SPENT BY DIABETES EDUCATORS ON
DIABETES CARE

Nik Dewi Delina Nik Mohd Kamil¹, Nur Jihan Noris¹, Pangie Bakit¹, Ili Liyana Khairul Anuar¹, Ismail Saudi¹, Intan
Syafinaz Saimy¹, Norhayati Ibrahim²
¹Institute for Health Management, National Institutes of Health Malaysia
²Medical Development Division, Ministry of Health Malaysia

INTRODUCTION: The role of the diabetes educator (DE) in primary care must be optimised to
provide comprehensive diabetes care. Unlike in some other countries, DE in Malaysia is not a

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