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Impact of Tobacco Control Policy on Adolescent in Thailand over 3 years

This study examines the impact of tobacco control policies on adolescents in Thailand over a period of 3 years. The results suggest that while some policies have been successful in reducing smoking norms and increasing awareness of health dangers, others have not been as effective. The findings highlight the need for stronger enforcement of policies related to cigarette displays and sales to minors.

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Impact of Tobacco Control Policy on Adolescent in Thailand over 3 years

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  1. Poster Number ……. The Impact of Tobacco Control Policy on Adolescent in Thailand over period of 3 years: Results from ITC-SEA(Thailand) 3 Wave Surveys 1Institute for Population and Social Research, Mahidol University, Thailand 2Faculty of Medicine, Srinakarinwirot University, Thailand 3The Cancer Council Victoria, Melbourne, Australia 4University of Waterloo, Waterloo, Canada Buppha Sirirassamee1, Tawima Sirirassamee2, Ron Borland3, Geoffrey T. Fong4, David Hammond4 Supported by Canadian Institute of Health Research (CIHR), The US National Institutes of Health (NIH) through Transdisciplinary Tobacco Use Research Center (TTURC) and Tobacco Control Research and Knowledge Management Center (TRC), Thailand Presented at Asia Pacific Conference on Tobacco or Health6 - 9 October 2010Sydney Convention & Exhibition Centre, Australia

  2. Objectives : To assess the impact of tobacco control policy on adolescent in Thailand over period of 3 years To compare the results of the 3 wave surveys. Methods and Materials : A national probability sampling of 1,000 respondents aged 13-17 were samples in 2005 (Wave1). A self-administered questionnaire was used for data collection. At Wave 2 and Wave 3, the respondents were recontacted and replenishment sample were recruited. The total sample at Wave 2 was 968 and 1,096 at Wave 3. A longitudinal data were analyzed and compared using descriptive statistics and cross tabulation. We control for aging of the cohort in the results presented.

  3. Results: Pictorial warning labels on cigarette pack appear to have impact on making young people think about the health dangers of smoking with increased reactions at wave 2 following their introduction and further increases in the third wave. The policy of “Banning display of cigarette at point of sale” may have been less successful, the adolescent reported that they still see the cigarette showed on the shelf or counter. This has been reported by 48.3 percent of adolescent at Wave 2 and found to be increased to 54.6 percent in Wave 3. The longstanding prohibition on selling cigarette to children under 18 years does not seem to be working. Young people find it easy to buy cigarettes. About 44 percent of adolescent under 18 years reported that they have experience of buying cigarette and among these about half reported that they have never been refused by the cigarette seller.

  4. Results: (Cont.) The normativenessof smoking appears to be declining, smoking restriction in homes increased in every survey round. Most adolescents also favour banning smoking in pubs and bars. Conclusion: Thailand is considered to be success in health promotion and tobacco control and some of its innovative policies appear to be working well. However, there are some policies which are not working as well, particularly bans on displays of cigarettes and prohibition on selling cigarette to children under 18 years . Shopkeepers sometimes fail to close the cupboards or shelves in which cigarettes are stored and then they appear like old displays. Further, sales to minors are too easy. Government policies in these areas need to more strongly enforced.

  5. ITC Project Research Organizations ITC Project Research Support Core support provided by the U.S. National Cancer Institute (P01 CA138389) Additional major funding provided by the Canadian Institutes of Health Research

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