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Presentation at the 11th International Congress of Behavioral Medicine
At Washington, DC, USA. 5 August 2010
PATTERN OF CIGARETTE SMOKING AMONG PATTERN OF CIGARETTE SMOKING AMONG THAI ADOLESCENTS : THAI ADOLESCENTS :
A LONGITUDINAL STUDY FROM A LONGITUDINAL STUDY FROM INTERNATIONAL TOBACCO CONTROL POLICY.INTERNATIONAL TOBACCO CONTROL POLICY.
Tawima Sirirassamee Buppha Sirirassamee Ron Borland Geoffrey T. Fong
• 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.
Background
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 1January to
March 2005 1,000
adolescents
Wave 2July to
September 2006 January to March 2008
962 adolescents
1,096 adolescents
Wave 3
Sampling Design : Multistage Sampling
Region
Central
South
Northeast
Bangkok
ProvinceDistrict
P 1 P 2
D2 D3
SD 1 SD 2
V 1 V 2 V 3
D1
Sub-district
Village
D1 – D13
SD1 – SD13
ED1 – ED13
North
N
EW
S
Songkla
Nakornsethammarat
Samutsakorn
Nakornphatom
Nakornratchasema
NongkayPhare
Chiang Mai
Bangkok
North
North East
Bangkok
Central
South
Regions
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
ResultsResults
0
5
10
15
20
25
30
35
Wave 1 Wave 2 Wave 3
Male
Female
Total
Prevalence of smoking by gender
20.3
24.5
32.1
18.3
13.7
11.3
1.5 1.82.7
0
5
10
15
20
25
30
35
Wave 1 Wave 2 Wave 3
Bangkok
Central
North
Northeast
South
Prevalence of smoking by regions
29.8
23.8
27.8
16.716.5
10.3
6.3
15.1
21.6
10.3 11.3
15.1
10.8
12.2
17.0
Type of Cigarettes
0
10
20
30
40
50
60
70
80
Wave 1 Wave 2 Wave 3
Factory - made cigarette
Hand - rolled cigarette
No usual brand
70.4
21.7
7.8
78.8
8.0
13.1
5.7
18.1
76.2
Total amount of tobacco use per day
0
10
20
30
40
50
60
70
80
Wave 1 Wave 2 Wave 3
< 1 cigarette
1 cigarette
2- 10 cigarette
11- 20 cigarette
> 20 cigarette
17.013.8
10.6
58.5
0
8.48.4
71.0
5.3
11.2
6.9 9.2
62.8
10.16.9
Sources of cigarettes
0
10
20
30
40
50
60
70
Wave 1 Wave 2 Wave 3
Bye for myself
Get from friends
Someone buys for me
Get from home
Another way
38.0
9.9
47.9
3.30.8
61.3
29.6
7.01.4 0.7
68.2
6.53.0
0.5
21.9
Quit attempt
0
10
20
30
40
50
60
Wave 1 Wave 2 Wave 3
Within past month
Within past year
More than1 month
Never tried to quit
51.7
20.9
10.0
17.4
53.7
13.212.4
20.7
51.4
19.7
9.2
19.7
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
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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
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