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PREDICTORS OF SMOKING UPTAKE PREDICTORS OF SMOKING UPTAKE AMONG THAI YOUTH :AMONG THAI YOUTH :
Finding of Finding of International Tobacco Control Policy International Tobacco Control Policy Youth SurveysYouth Surveys
Tawima Sirirassamee, Tawima Sirirassamee, Buppha Sirirassamee, Ron Borland, Geoffrey T. Fong, David Hammond Buppha Sirirassamee, Ron Borland, Geoffrey T. Fong, David Hammond
Presentation at the Asia Pacific Conference on Tobacco or Health, 6-9 October 2010Sydney Convention & Exhibition Centre, Sydney, Australia
BackgroundBackground
Approximately 70,000 of adolescents in developing country initiating to smoke every day.
About 40 percents of experimental smoker developed to be regular smoker.
(Vathesatogkit, 2009)
Knowing the determinants of uptake smoking should help to prevent them from tobacco consumption.
The present study is the first prospective cohort study of tobacco uptake in Thai adolescents and based on large population, national representative samples.
ObjectiveObjective
To determine the factors that are prospectively associated with adoption of smoking in a cohort of Thai youth.
Method : Stratified Multistage Sampling Method : Stratified Multistage Sampling
Region
Province
District
P 1 P 2
D2 D3
SD 1 SD 2
V 1 V 2 V 3
D1
Sub-district
Village
North Central South Northeast Bangkok
Wave 1 Wave 1 (2005)(2005)
Wave 2 Wave 2 (2006)(2006)
1,000 adolescents
Recontact W2712 adolescents
(71.2%)
N
EW
S
Songkla
Province in each regionProvince in each region
Nakornsethammarat
Samutsakorn
Nakornphatom
Nakornratchasema
NongkayPhare
Chiang Mai
Bangkok
North
North East
Bangkok
Central
South
Tools : Self-administered questionnaire
Data analysis : Descriptive statistics Chi-Square test Logistic regression analysis.
Material & MethodMaterial & Method
Prevalence of smoking
0
5
10
15
20
25
30
Percent
Male Female Total
wave 1wave 2
18.2
27.8
1.7 2.3
9.9
15.0
Changing in smoking status
90.1
91.4
9.9
8.6
72.927.1
Percent of smoking status in wave 1
Percent of smoking status in wave 2
Predictors of youth uptake smoking
Variable Odd ratio
Sex : Female (reference = male) 0.11****
No of close friends smoker 1.24**
How often drank alcohol in last month
Never
1-5 times
More than 5 times
***
1.00
2.85***
2.52***
**** Significant at .001 level; ***- Significant at .01 level; **- Significant at .05 level; * -Significant at 0.10 level
Variable Odd ratio
Frequency of sadness in last two weeks
Not at all
Once in a while
Many times
Sad all the time
***
1.00
2.50***
0.91
8.23***
Religious beliefs affect behavior
Rarely
Sometimes
All the time
*
1.00
0.55
0.24****** Significant at .001 level; ***- Significant at .01 level; **- Significant at .05 level; * -Significant at 0.10 level
Predictors of youth uptake smoking
Conclusions Peer influences and alcohol consumption are
important predictors of initiating smoking in Thai adolescents.
Many of these factors are similar to determinants of uptake in other countries, suggesting that effective prevention programs from the west may be able to be adapted for successfully use in Thailand.
ITC Project Research Support
Core support provided by the U.S. National Cancer Institute to the Roswell
Park TTURC (P01 CA138389)
Additional major funding provided by the Canadian
Institutes of Health Research
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