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This study examines cigarette smoking trends among Thai adolescents over three years, highlighting prevalence rates, smoking behaviors, and control measures. Findings suggest the need for targeted interventions to curb youth smoking.
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PATTERN OF CIGARETTE SMOKING AMONG THAI ADOLESCENTS : A LONGITUDINAL STUDY FROM INTERNATIONAL TOBACCO CONTROL POLICY. Tawima SirirassameeBuppha Sirirassamee Ron Borland Geoffrey T. Fong Presentation at the 11th International Congress of Behavioral Medicine At Washington, DC, USA. 5 August 2010
Background • Tobacco consumption is one of the major problem in Thailand. • In each year, 42,000 of Thai adult die from tobacco related diseases. • Thai government spent more than 46,000 million baht/year on tobacco related diseases. • Tobacco control policies have been implemented and lead to declining in adult smoking prevalence. • However, smoking prevalence among adolescents is gradually increased.
Objective To determine the pattern of cigarette smoking among Thai adolescents over a period of three years.
Materials and Methods • Sample : Adolescents 13-18 years old Wave 1 Wave 2 Wave 3 January to March 2005 July to September 2006 January to March 2008 1,000 adolescents 962 adolescents 1,096adolescents
P 1 D2 D3 D1 Sampling Design : Multistage Sampling Region North Central South Northeast Bangkok Province P 2 D1 – D13 District Sub-district SD1 – SD13 SD 1 SD 2 Village ED1 – ED13 V 1 V 2 V 3
Regions Chiang Mai Phare Nongkay North North East Nakornratchasema Central Nakornphatom Bangkok South Samutsakorn Bangkok N W E Nakornsethammarat S Songkla
Materials and methods • Self administered questionnaire • Demographic data • Smoking behaviors • Type of cigarette • Amount of cigarette use per day • Quit attempt • Data analysis : Descriptive statistics
Prevalence of smoking by gender 32.1 24.5 20.3 18.3 13.7 11.3 2.7 1.5 1.8
Prevalence of smoking by regions 29.8 27.8 23.8 21.6 16.7 16.5 17.0 15.1 12.2 10.3 15.1 10.8 10.3 11.3 6.3
Type of Cigarettes 78.8 76.2 70.4 21.7 18.1 13.1 7.8 8.0 5.7
Total amount of tobacco use per day 71.0 62.8 58.5 17.0 13.8 11.2 10.1 8.4 8.4 9.2 10.6 6.9 6.9 5.3 0
Sources of cigarettes 68.2 61.3 47.9 38.0 29.6 21.9 9.9 7.0 6.5 3.3 3.0 1.4 0.7 0.8 0.5
Quit attempt 53.7 51.7 51.4 20.7 20.9 19.7 19.7 17.4 13.2 12.4 9.2 10.0
Conclusion • Cigarette smoking among Thai youth remains an important problem and needs further tobacco control interventions to prevent and control Thai youth from tobacco consumption. • Factory made cigarette is commonly used by Thai adolescents and need to be targeted.
International Tobacco Control Policy Evaluation Projecthttp: / / www.itcproject.org http: / / www.roswelltturc.org ITC Project Research Support Core support provided by the U.S. National Cancer Institute to the Roswell Park TTURC (P50 CA111236) Additional major funding provided by the Canadian Institutes of Health Research