Page 83 - Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022

Malaysian Journal of Health Promotion, Vol 4 (Supplementary 1) 2022
14 MOH-AMM Scientific Meeting 2022 in conjunction with 23 NIH Scientific Conference Abstract Book
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food consumption data from the MANS survey (2014). Risk characterisation through Margin
Of Exposure (MOE) was calculated to identify food types with high concern for carcinogenic
risk.
RESULTS: Overall, median occurrence level of 3-MCPD in the kuih-muih samples were 0.68 ±
0.41 mg/kg. Kuih denderam recorded the highest level of 3-MCPD content (1.27 mg/kg),
followed by cakoi (0.76 mg/kg), karipap and popia goreng (0.76mg/kg). Daily dietary exposure
was estimated to be 2.29 µg/kg BW/day, which is 57% of the provisional maximum tolerable
limit. The MOE estimates for all varieties were below 10000, ranging between 438 – 3709.
This indicates potential concern of carcinogenic risk on daily consumption.
DISCUSSION/CONCLUSION: Fried kuih-muih was found to have high levels of 3-MCPD,
warranting mitigation strategies in food preparation. However, the exposure of Malaysian
citizens to these compounds through consumption of kuih muih alone does not present a
significant health risk.

ID 74 LIFESTYLE PRACTICES AND MENTAL HEALTH IN ADOLESCENTS: EXPLORATIVE
ANALYSIS FROM NHMS 2017

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1
1
Irma Liyana Mushaddik , Karniza Khalid , Amalina Anuar , Siti Zulaiha Che Hat , Maznah Ibrahim , Ruzita
1,3
Jamaluddin
1 Clinical Research Centre (CRC), Hospital Tuanku Fauziah, Perlis, Ministry of Health Malaysia
2 Counselling Psychology Unit, Ministry of Health Malaysia
3 Department of Psychiatry and Mental Health, Hospital Tuanku Fauziah, Perlis, Ministry of Health Malaysia

INTRODUCTION: Many significant psychosocial problems may go undetected and untreated
in adolescents. This study aims to determine lifestyle practices, prevalence of high-risk
behaviour and mental health problems among Malaysian adolescents based on findings from
NHMS 2017.
METHODS: This secondary data analysis was performed from a publicly available NHMS 2017
reports. The datasets included a total of 27,497 responses from adolescents in Form 1 to Form
5 secondary school students. Sixteen Malaysian states/districts were further divided into five
zones based on topographic distribution: Northern peninsular (Perlis/Kedah/Penang/Perak),
east coast peninsular (Kelantan/Terengganu/Pahang), southern peninsular (Melaka/Negeri
Sembilan/Johor), central (Kuala Lumpur/Putrajaya/Selangor), and east Malaysia
(Sabah/Labuan/ Sarawak). Data were explored and presented descriptively.
RESULTS:Central region of Malaysia reported the highest prevalence of suicidal ideation
(24.6%), while adolescents in the northern peninsular region had the highest prevalence of
suicidal plan (25.6%) and suicidal attempt (27.1%). Northern peninsular had the highest
prevalence of active drug user (30.1%), current use of marijuana (31.1%), and
methamphetamine/amphetamine (30.8%). Northern peninsular reported the highest
prevalence of adolescents ever had sexual intercourse (SI) (27.2%), with first SI at less than
14 years old among 32.5%. East Malaysia reported the highest prevalence of current smokers
among adolescents (25.4%). Adolescents from northern peninsular region also reported the
highest prevalence of truancy (25.5%).
DISCUSSION/CONCLUSION: Overall poor lifestyle choices and high-risk practices among
adolescents were evident in the northern peninsular region. Regional breakdown by state will
enable a more definitive lifestyle interventional strategies for adolescents at risk, including
societal support and supervision along with family engagement.

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