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PREDICTORS OF SMOKING UPTAKE AMONG THAI YOUTH : Finding of International Tobacco Control Policy...

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PREDICTORS OF SMOKING UPTAKE PREDICTORS OF SMOKING UPTAKE AMONG THAI YOUTH : AMONG THAI YOUTH : Finding of Finding of International Tobacco International Tobacco Control Policy Control Policy Youth Surveys Youth Surveys Tawima Sirirassamee, Tawima Sirirassamee, Buppha Sirirassamee, Ron Borland, Geoffrey T. Fong, David Buppha Sirirassamee, Ron Borland, Geoffrey T. Fong, David Hammond Hammond Presentation at the Asia Pacific Conference on Tobacco or Health, 6-9 October 2010 Sydney Convention & Exhibition Centre, Sydney, Australia
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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

ResultResult

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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