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Tawima Sirirassamee, Buppha Sirirassamee, Ron Borland, Geoffrey T. Fong, David Hammond

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

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Tawima Sirirassamee, Buppha Sirirassamee, Ron Borland, Geoffrey T. Fong, David Hammond

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

  2. Background • 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.

  3. Objective • To determine the factors that are prospectively associated with adoption of smoking in a cohort of Thai youth.

  4. P 1 D2 D1 D3 Method : Stratified Multistage Sampling North Central South Northeast Bangkok Region Province P 2 District Sub-district SD 1 SD 2 Village V 2 V 3 V 1 Wave 1 (2005) 1,000 adolescents Recontact W2 712 adolescents (71.2%) Wave 2 (2006)

  5. Province in each region Chiang Mai Phare Nongkay North North East Nakornratchasema Central Nakornphatom Bangkok Bangkok Samutsakorn South N W E Nakornsethammarat S Songkla

  6. Material & Method • Tools : • Self-administered questionnaire • Data analysis : • Descriptive statistics • Chi-Square test • Logistic regression analysis.

  7. Result

  8. Prevalence of smoking 27.8 18.2 15.0 9.9 2.3 1.7

  9. Changing in smoking status Percent of smoking status in wave 1 90.1 9.9 91.4 72.9 27.1 8.6 Percent of smoking status in wave 2

  10. Predictors of youth uptake smoking **** Significant at .001 level; ***- Significant at .01 level; **- Significant at .05 level; * -Significant at 0.10 level

  11. Predictors of youth uptake smoking **** Significant at .001 level; ***- Significant at .01 level; **- Significant at .05 level; * -Significant at 0.10 level

  12. 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.

  13. ITC Project Research Organizations 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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