Control of Tobacco Product (Amendment) Regulations 2018
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CONTROL OF TOBACCO PRODUCT (AMENDMENT) REGULATIONS 2018 A CROSS SECTIONAL STUDY IN THE FEDERAL TERRITORIES OF KUALA LUMPUR, PUTRAJAYA AND THE STATE OF SELANGOR NATIONAL CANCER SOCIETY MALAYSIA 2020 Published by National Cancer Society Malaysia 66 Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Wilayah Persekutuan Malaysia https://cancer.org.my/ Copyright © 2020 National Cancer Society Malaysia All rights reserved. Without limiting under copyright reserved above, no part of this publication may be reproduced, stored in, or introduced into a retrieval system or transmitted in any form by any means (electronic, mechanical, photocopying, recording, or otherwise) without the prior written consent of the publisher. eISBN 978-967-11028-1-7 Printed in Kuala Lumpur, Malaysia Editors: Dr Murallitharan M., Mandy Thoo SUGGESTED CITATION: Murallitharan M., Mandy Thoo. Compliance of Eateries to Control of Tobacco Product (Amendment) Regulations 2018: A Cross Sectional Study in the Federal Territories of Kuala Lumpur, Putrajaya and the state of Selangor. Kuala Lumpur (Wilayah Persekutuan Kuala Lumpur): The National Cancer Society of Malaysia; 2018 The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of The National Cancer Society of Malaysia concerning the legal status of any country, territory, city or area of its authorities, or concerning the delimitation of its frontiers or boundaries. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by The National Cancer Society of Malaysia in preference to others of a similar nature that are not mentioned. The National Cancer Society of Malaysia does not warrant that the information contained in this publication is complete and correct and shall not be liable for any damages incurred as a result of its use. The authors alone are responsible for the views expressed in this publication. Contents Page Acknowledgements................................................................................................................ 1 Foreword from Director General of Health, Malaysia...................................................... 2 Foreword from President, National Cancer Society Malaysia.......................................... 3 About National Cancer Society Malaysia............................................................................ 5 Executive Summary............................................................................................................... 7-10 1.0 Introduction & Objectives........................................................................................ 11-14 1.1 Introduction 1.2 Objectives 2.0 Study Methodology.................................................................................................... 15-25 2.1 Study Design 2.2 Study Area 2.3 Study Period 2.4 Study Population 2.5 Study Outcome 2.6 Sample and Sample Size 2.7 Sampling Technique 2.8 Inclusion and Exclusion Criteria 2.9 Data Collection Procedure 2.10 Research Instrument 2.11 Reliability and Validity 2.12 Ethical Approval 3.0 Results.......................................................................................................................... 26-108 3.1 The federal territories of Wilayah Persekutuan Kuala Lumpur and Putrajaya 3.1.1 Time of observation carried out in all types of eateries 3.1.2 Compliance 3.1.3 Toxicity 3.1.4 Rubbish bin and cigarette butts around eateries 3.1.5 Point prevalence 3.2 Selangor 3.2.1 Time of observation carried out in all types of eateries 3.2.2 Compliance 3.2.3 Toxicity 3.2.4 Rubbish bin and cigarette butts around eateries 3.2.5 Point prevalence 3.3 The federal territories of Wilayah Persekutuan Kuala Lumpur and Putrajaya, and the state of Selangor 3.3.1 Time of observation carried out in all types of eateries 3.3.2 Compliance 3.3.3 Toxicity 3.3.4 Rubbish bin and cigarette butts around eateries 3.3.5 Point prevalence 4.0 Discussion................................................................................................................. 109-116 5.0 Recommendations.................................................................................................... 117-121 5.0 Appendix.................................................................................................................. 121-134 5.1 Case Report Form 5.2 Study variables and definitions 5.3 Classification of eateries 5.4 Training sessions and content 5.5 Observational area of number of cigarette butts 5.6 Definition of a cigarette butt 5.7 Members of the Study Team List of Tables Table 01: The geographical stratification zones for federal territories of Wilayah Persekutuan Kuala Lumpur and Putrajaya Table 02: The geographical stratification zones for Selangor Table 03: Time of observation carried out in all types of eateries in the Cheras zone (n=58) Table 04: Time of observation carried out in all types of eateries in the Kepong zone (n=47) Table 05: Time of observation carried out in all types of eateries in the Lembah Pantai zone (n=19) Table 06: Time of observation carried out in all types of eateries in the Putrajaya zone (n=3) Table 07: Time of observation carried out in all types of eateries in the Titiwangsa zone (n=46) Table 08: Time of observation carried out in all types of eateries in the federal territories of Wilayah Persekutuan Kuala Lumpur and Putrajaya (n=173) Table 09: Compliance of eateries to four indicators in the Cheras zone (n= 58) Table 10: Compliance of eateries to four indicators in the Kepong zone (n= 47) Table 11: Compliance of eateries to four indicators in the Lembah Pantai zone (n=19) Table 12: Compliance of eateries to four indicators in the Putrajaya zone (n= 3) Table 13: Compliance of eateries to four indicators in the Titiwangsa zone (n= 46) Table 14: Compliance of eateries to four indicators in the federal territories of Wilayah Persekutuan Kuala Lumpur and Putrajaya (n= 173) Table 15: Environmental toxicity of eateries observed in the Cheras zone (n=58) Table 16: Environmental toxicity of eateries observed in the Kepong zone (n=47) Table 17: Environmental toxicity of eateries observed in the Lembah Pantai zone (n=19) Table 18: Environmental toxicity of eateries observed in the Putrajaya zone (n=3) Table 19: Environmental toxicity of eateries observed in the Titiwangsa zone (n=46) Table 20: Environmental toxicity of eateries observed in the federal territories of Wilayah Persekutuan Kuala Lumpur and Putrajaya (n=173) Table 21: Presence of rubbish bins and cigarette butts around the eateries in the Cheras zone (n=58) Table 22: Presence of rubbish bins and cigarette butts around the eatery in the Kepong zone (n=47) Table 23: Presence of rubbish bins and cigarette butts around the eatery in the Lembah Pantai zone (n=19) Table 24: Presence of rubbish bins and cigarette butts around the eatery in the Putrajaya zone (n=3) Table 25: Presence of rubbish bins and cigarette butts around the eatery in the Titiwangsa zone (n=46) Table 26: Presence of rubbish bins and cigarette butts around the eatery in the federal territories of Wilayah Persekutuan Kuala Lumpur and Putrajaya (n=173) Table 27: Number of people actively smoking in eateries in the Cheras zone at the time of observation (n = 58) Table 28: Number of people actively smoking in eateries in the Kepong zone at the time of observation (n=47) Table 29: Number of people actively smoking in eateries in the Lembah Pantai zone at the time of observation (n=19) Table 30: Number of people actively smoking in eateries in the Putrajaya zone at the time of observation (n=3) Table 31: Number of people actively smoking in eateries in the Titiwangsa zone at the time of observation (n=46) Table 32: Number of people actively smoking in eateries in the federal territories of Wilayah Persekutuan Kuala Lumpur and Putrajaya at the time of observation (n=173) Table 33: Time of observation carried out in all types of eateries in the Gombak district (n=56) Table 34: Time of observation carried out in all types of eateries in the Petaling district (n=50) Table 35: Time of observation carried out in all types of eateries in the Hulu Langat district (n=51) Table 36: Time of observation carried out in all types of eateries in the Hulu Selangor district (n=52) Table 37: Time of observation carried out in all types of eateries in the Kuala Langat district (n=33) Table 38: Time of observation carried out in all types of eateries in the state of Selangor (n=242) Table 39: Compliance of eateries to four indicators in the Gombak district (n= 56) Table 40: Compliance of eateries to four indicators in the Petaling district (n= 50) Table 41: Compliance of eateries to four indicators in the Hulu Langat district (n= 51) Table 42: Compliance of eateries to four indicators in the Hulu Selangor district (n= 52) Table 43: Compliance of eateries to four indicators in the Kuala Langat district (n= 33) Table 44: Compliance of eateries to four indicators in the state of Selangor (n= 242) Table 45: Environmental toxicity of eateries observed in the Gombak district (n=56) Table 46: Environmental toxicity of eateries observed in the Petaling district (n=50) Table 47: Environmental toxicity of eateries observed in the Hulu Langat district (n=51) Table 48: Environmental toxicity of eateries observed in the Hulu Selangor district (n=52) Table 49: Environmental toxicity of eateries observed in the Kuala Langat district (n=33) Table 50: Environmental toxicity of eateries