Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Infographic Booklet
April 2018
© 2018 Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia,
Kuala Lumpur.
ISBN 978-983-2387-76-3
MOH/S/IKU/108.18(BOT)
Disclaimer:
The views expressed in this infographic booklet are those of the authors alone and do not necessarily represent
the opinions of the other investigators participating in the survey, nor the view or policy of the Ministry of Health.
National Health and Morbidity Survey 2017: Adolescent Health and Nutrition Survey
Institute for Public Health
National Institutes of Health
Ministry of Health Malaysia
Jalan Bangsar, 50590 Kuala Lumpur
Federal Territories of Kuala Lumpur, Malaysia
Tel: +603-2297-9400
Fax: +603-2282-3114
National Health and Morbidity Survey 2017: Adolescent Health and Nutrition Survey
Institute for Public Health
National Institutes of Health
Ministry of Health Malaysia
Jalan Bangsar, 50590 Kuala Lumpur
Federal Territories of Kuala Lumpur, Malaysia
Tel: +603-2297-9400
Fax: +603-2282-3114
Published by the Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia.
Reviewers:
Dr Tahir Aris
Director, Institute for Public Health, MOH
Dr LeeAnn Tan
Medical Officer, Institute for Public Health, MOH
Mr Naziran Hasni
Public Relations Officer, Institute for Public Health, MOH
KEY FINDINGS
List of Infographics
10
Truancy among Malaysian adolescents
Faizah Paiwai, Nur Azna Mahmud, Norzawati Yeop, Mohd Amierul Fikri Mahmud, Faizul Akmal Abdul Rahim
Physical attacks and fights
Mohd Hazrin Hasim, Rajini Sooryanarayana, Shubash Shander Ganapathy, Thamil Arasu Saminathan, Mohd Fuad Mohd Anuar,
Fazila Haryati Ahmad, Azriman Rosman, LeeAnn Tan
11
Physical and verbal abuse at home among teenagers
Thamil Arasu Saminathan, Mohd Hazrin Hasim, Rajini Sooryanarayana, Shubash Shander Ganapathy, Mohd Fuad Mohd Anuar,
Fazila Haryati Ahmad, Azriman Rosman, LeeAnn Tan 12
Unintentional injury among Malaysian adolescents
Nazirah Alias, Chandrika Jeevananthan, Rajini Sooryanarayana, Shubash Shander Ganapathy, Thamil Arasu Saminathan, Mohd
Fuad Mohd Anuar, Fazila Haryati Ahmad, Azriman Rosman, LeeAnn Tan
13
Meal skipping behaviour among Malaysian adolescents
Mohamad Hasnan Ahmad, Ling Swee Nian, Nur Ili Mohamad Tarmizi, Ainan Nasrina Ismail, Mahenderan Appukutty, Rusidah
Selamat, Ruhaya Salleh 14
Dietary supplement consumption among adolescents in Malaysia
Fatimah Othman, Sam Azura Ahmad, Syafinaz Mohd Sallehuddin, Mohamad Ihsan Tahir, Safiah Mohd Yusof, Nur Azna Mahmud
15
16
Alarming facts on carbonated soft drinks consumption
among Malaysian adolescents
Syafinaz Mohd Sallehuddin, Rashidah Ambak, Ruhaya Salleh, Mohamad Hasnan Ahmad, Nur Shahida Abdul Aziz, Nor Azian
Mohd Zaki, Fatimah Othman, Azli Baharudin, Cheong Siew Man, Lalitha a/p Palaniveloo
17
Accuracy of body weight perception among adolescents
in Malaysia
Nur Shahida Abdul Aziz, Safiah Md Yusof, Rohana Yaakof, Ruby Zainureen, Norlida Zulkafly, Ruhaya Salleh, Noor Ani Ahmad
21
Dietary intake among Malaysian adolescents
Lalitha Palaniveloo, Noor Hasnani Ismail, Chin Kim Ling, Ruhaya Salleh, Rusidah Selamat, Mohd Azahadi Omar, Mohamad
Hasnan Ahmad
22
State of adolescents’ mental health in Malaysia
Mohamad Aznuddin Abd Razak, Fazly Azry Abd Aziz, Rasidah Jamaluddin, Noor Ani Ahmad, S Maria Awaluddin, Muslimah
Yusof, Nurashikin Ibrahim, Sherina Mohd Sidik
National Health and Morbidity Survey 2017 Overview Report
5.5M 02
The objectives of this study were to identify health
risk behaviors and protective factors among
secondary school students, and to determine
adolescents nutrition-related components among adolescents
in Malaysia. in Malaysia.
Methodology
www.nmrr.gov.my
MARCH MAY
2017 TO
2017
www.iku.gov.my
National Health and Morbidity Survey 2017 Overview Report
Study sample
212 secondary schools
212 secondary schools and
were randomly selected 99 primary schools
were randomly selected
(30,496 students) (40,087 students)
Response rate
89.2% 89.5%
www.iku.gov.my
National Health and Morbidity Survey 2017 Key Findings
Excessive online
gaming, gambling,
shopping, chatting
Viewing pornographic
Bumiputera websites
Sabah Internet addiction*
Strangers online, data
Bumiputera
31% was highest among
insecurity
Sarawak adolescents of
29% Cyber-bullying
Chinese ethnicity
environments
Chinese
Malay 34%
28%
30% 28% * Internet addiction among
adolescents was measured
Indian male female using Malay Version Internet
24%
addiction Test
Chong Guan, Ng, et al.
3.4%
Definition of
Drug use:
Taking of heroin,
morphine, glue,
amphetamine or 1 in 25 Are current drug users
methamphetamines secondary school students in Malaysia
(ecstasy, syabu, ice), claimed to have ever used drugs.
marijuana/ganja
(except prescribed
medicine).
17%
Initiated drug use at
2.4%
Ever used
2.8%
Ever used
age 7 years or amphetamines or marijuana
younger methamphetamines
Family 4.4
Friend 11.4
Stole 14.0
1 in 6
Boys were bullied more than girls,
most frequently among those of
Indian ethnicity
Pr evalence (%)
10.0 25.0
15%
13%
10%
1 in 10 smokes 22% 5%
15.3%
14.3% 14.1%
12.8% 12.6% 22.2% 19.8% 17.9%
W[Putrajaya
WP Putrajayarecorded
recordedthe
the
lowest prevalence
prevalencein
in
current cigarette
current cigarettesmoking
smoking
(7.8%)
(7.8 %)
DEFINITIONS
Ever drinkers:
Those who had a
history of alcohol
About 1 in 10 students are current drinkers consumption in their
life time.
Current drinkers:
Those who had at least a
“drink” of alcohol in the
reported past 30 days
drunkenness
Drunkenness:
had their first alcoholic When someone
demonstrates signs such
beverage before the
as staggering when
age of 14 years walking, not being able to
speak right and throwing
up after consuming
alcohol in a lifetime.
35%
Among surveyed 13-17-year-olds,
7.3%
27%
Ever had sex before
had already age 14 years old
had sex.
21%
Prevalence of ever having had sex by form
11%
9.3% Were having multiple
6.9% 7.3% 6.9% sexual partners
6.1%
6%
Remove Form 2
Class/
Form 3 Form 4 Form 5
5%
Form 1 Are currently still
having sex
9.5% 4.3%
12%
boys
said they
16 in 100
used girls
condoms
used condoms when they had sex
Prevalence of using (a) condoms and (b) other forms of birth control by state
10%
said they 7 in 100
used other girls
forms of
birth control used other forms of birth control
19.3% 17% 17.9% 13.7% 10.1% 10.7% 13.8% 10.1% 9.4% 10.8% 7.4% 9.4% 10.1% 7.5% 6.1% 7.8% 5.4% 4.6%
13.2%
Suicidal ideation
9.5%
Suicidal plan
9.3%
Suicidal attempt
highest in highest in highest in
WP Kuala Lumpur Selangor Perak
Only
1 in 3
adolescents
perceived that
their parents
understood
their problems
2012
vs Less than
2017 half
of adolescents had peer
support at school
2017 2012
Definition of
Truancy:
FORM 1 26.6%
FORM 2 27.8%
FORM 3 27.5%
FORM 4 34.5%
FORM 5 30.8%
Malay Indian
29% 33% Truancy rates were
highest among students
of ‘Other’* ethnicities,
Chinese
Others Bumiputera followed by Bumiputera
28%
37% Sabah
35% Sabah and Indian
25.5% 20.6%
Kedah National prevalence = 25.3%
rural 21.6%
PulauPinang
21.8%
kelantan
19.2%
Terengganu
27.4%
Perak
28.5%
27.7% Pahang
25.2% 19.3% 31.4% 30.0%
Selangor
WP Kuala Lumpur
urban 28.7%
24.6%
N. Sembilan
WP Putrajaya
21.9%
Melaka 26.1%
Johor
27.7%
WP Labuan 27.2%
Sabah
25.5%
Sarawak
36.2% 23.6% 22.0%
1 in 10 teenagers
are physically abused
4 in 10 teenagers
are verbally abused
Boys suffer more physical abuse Girls suffer more verbal abuse
45.1
42.8 43.6 42.7
42.0
The incidence of
physical abuse is
low and reduces as
18.1
14.3 teenagers grow but
10.3
verbal abuse is high
9.1
6.8
and remains
Form 1 Form 2 Form 3 Form 4 Form 5
constant with age
Physical abuse Verbal Abuse
30%
Unintentional
22% injury:
Cut / Stab Wound
A serious injury in
36% 14% the past 12 months
Broken bone / Dislocated joint which makes the
7% student miss at least
had been seriously Concussion, Head/Neck Injury, one full day of usual
injured in the past Knocked out activity (such as
12 months 24% 3% school, sports or a
Bad burn job) OR requires
treatment by a
doctor or medical
Prevalence of recent serious injury by state personnel
Pr evalence (%)
Per lis r ecor ded t he
25.0 35.0
highes t pr evalence r at e
f or s er ious head injur y
among s econday s chool
s t udent s (34.1 %)
Serious injuries
occured most
frequently in
Form 1, reducing
slightly with age
Malaysian school-based
30%
First food consumed 28% Student Health Survey, 2012
74% 32%
of obese adolescents adolescents skipped breakfast
skipped breakfast because they “had no time”
44% 9%
adolescents skipped adolescents skipped breakfast
breakfast because because “no food was available”
they had “no appetite”
Breakfast +
3% Lunch
Take 2 m
y ain
da me Breakfast +
na al 4%
si s
Dinner
27
l
in
ea
ad
m
%
ay
in
19% Lunch +
ma
Dinner
18
Take 3
Proportion of
main meal
intake
ay s
4% Breakfast
%
31
ad
% 24
Lunch
No
in
ma
ls
ea
in
ea Dinner 7% Lunch
m
m
ls a in
in
ad e 1m
ay Tak
13%
Dinner
Every 2 in 5 and 1 in 3
of adolescents consumed
01
vitamin/mineral and food
supplements respectively
WP Putrajaya showed
the highest prevalence 03
of dietary supplement
users
BMI
Thin adolescents
04 consumed higher dietary
supplements compared
to other BMI status
Rural
41%
Adolescents living in rural areas
Urban
34% 1 in 3 36%
of Malaysian students
consumed carbonated soft drinks more had carbonated soft
frequently than their urban counterparts drinks at least once daily
32%
Boys Girls
Lower secondary
school students
consumed carbonated
soft drinks more
Bumi Bumi
Others
Sabah
Indian frequently
Sarawak
Pr evalence (%)
20.0 60.0
50%
of adolescents with
NORMAL DEFINITION
body weight, correctly perceived their weight to be normal
70%
of adolescents with “underweight” or
“normal weight” or
THIN “overweight”,
body weight, correctly perceived their weight to be thin irrespective of actual
body mass index (BMI)
Urban Rural Primary Secondary
68% 71%
69% 71% 66% 72%
44%
of adolescents with
OVERWEIGHT
body weight, correctly perceived their weight to be overweight
35% 52%
46% 41% 28% 55%
14%
of adolescents with
OBESE
body weight, correctly perceived their weight to be obese
11% 17%
15% 12% 9% 17%
18 Do adolescents in Malaysia
read food labels?
DEFINITIONS
Always: 33%
always
Reads food labels every
time when buying or
receiving food/drinks
Sometimes:
51%
Occasionally or once in sometimes
a while reads food 16%
never
labels when buying or
receiving food/drink
Reasons for not reading food labels:
Never:
Not interesting 38
Does not read food
Do not understand 19.2
labels at all
Time constraint 17.7
Type of macronutrient
Type of information read from food labels
noted from labels (%):
Total fat 33 49
Saturated Fat ...g ...%
Trans Fat ...g
Cholestrol ...mg ...%
Sodium ...mg ...%
Total Carbohydrate ...g ...%
Dietary Fiber ...g ...%
Sugars ...g
Protein ...g
Vitamin A ...%
Total
Vitamin C ...%
18.2%
...%
Storage
Calcium
25 18
Iron ...%
*Percent Daily Values are based on a 2,000 calorie diet.
protein
Your Daily Values may be higer or lower depending on your
instructions
calorie needs.
Screen time more than 2 hours over weekends and on schooling days
Active students
57.0%
43.0%
54.4%
45.6%
Inactive students
23 in 25
adolescents ate inadequate vegetables daily
Primary Secondary
National
prevalence of
6.9% 6.1%
adolescents
having heavy
meals after
dinner* Rural Urban
*Meals taken after 10pm, consisting of ‘heavy food’ or high Girls Boys
calorie food such as nasi lemak, roti canai, fried noodles,
burger, fried chicken and etc. It does not include light snacks 5.1% 7.6%
for example 2 biscuits and/or one glass of milk.
Adolescents are
Dietary intake:
Median energy getting the
1848 intake per day of recommended Daily eating patterns
kcal adolescents in composition* of of an individual
nutrients from including the
Malaysia quantities and the
their diet
calories consumed
as well as the intake
of macronutrients
(nutrients that is
15% 52%
required in large
amounts) and
micronutrients
(nutrients that is
required in small
amounts)
Carbohydrate
Fat
*Recommended
Protein
Nutrient Intake
33% (RNI) 2017:
2012 2017
1 depressed
in 5
2 in 5
anxious 1in 10
stressed
2 1.0 22 .6 21 .9 21 .3 20 .7
16 .4 18 .8 18 .8 17 .9 18 .5
14 .6 1 6.0 15 .4 16 15 .4
13 .1 12 .5 12 .3 12 .1
10 .4 11 11 .4
9 .3 8 .5 8 .2 9 .2 8 .5 8 .3
6 .3 7.0 6 .6 7 .6
www.iku.gov.my