Factors Related to Adolescent Smoking: A Nationally Representative Cross-Sectional Study in Thailand

Charin Suwanwong; Romtawan Kalapat; Siriwan Pitayarangsarit; Surasak Chaiyasong

doi:10.3889/oamjms.2021.7453

Authors

Charin Suwanwong Independent Researcher, Bangkok, Thailand https://orcid.org/0000-0002-0362-1342
Romtawan Kalapat International Health Policy Program (IHPP), Ministry of Public Health, Thailand; Social Pharmacy Research Unit, Mahasarakham University, Mahasarakham, Thailand https://orcid.org/0000-0003-3240-0474
Siriwan Pitayarangsarit Bureau of Non Communicable Disease, Ministry of Public Health, Nonthaburi, Thailand https://orcid.org/0000-0002-7299-5380
Surasak Chaiyasong Department of Social and Administrative Pharmacy, Faculty of Pharmacy, Mahasarakham University, Mahasarakham, Thailand https://orcid.org/0000-0002-0362-1342

DOI:

https://doi.org/10.3889/oamjms.2021.7453

Keywords:

Smoking, Adolescent, National survey

Abstract

Objective: This study aimed to explore the individual, familial, and social factors associated with different smoking status in Thai adolescents from the 2017 Cigarette Smoking and Alcohol Drinking Behavior Survey (CSAD)

Methods: The nationally representative sample of 6046 adolescents aged 15-19 years who took part in the 2017 CSAD in Thailand. Multinomial logistic regression analysis was conducted to explore the associations between the individual, familial, and social factors and different smoking status.

Results: The daily smoking and occasional smoking was 6.4% and 3.3%, respectively. Gender, alcohol use, substance use, attitudes toward smoking, exposure to secondhand smoke at home, anti-smoking social media campaign, and graphic warning labels were related to both daily and occasional smoking. Daily smoking was associated with exposure to secondhand smoke at school, restaurant, and public transport, and exposure to tobacco advertising.

Conclusion: These findings suggest that smoking prevention intervention should particularly focus on these factors and also need to develop the anti-smoking policies for smoking prevention among adolescents.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Tobacco Control Research and Knowledge Management Center. 2018 Tobacco Consumption Statistics Report in Thailand. Bangkok: Charoendee Munkong; 2018.

Department of Disease Control. Tobacco Control Plan 2017-2021. Nonthaburi: Ministry of Public Health; 2017.

McCool J, Freeman B, Tanielu H. Perceived social and media influences on tobacco use among Samoan youth. BMC Public Health. 2014;14:1100. https://doi.org/10.1186/1471-2458-14-1100 PMid:25342603 DOI: https://doi.org/10.1186/1471-2458-14-1100

Park S. Smoking and adolescent health. Korean J Pediatr 2011;54(10):401-4. https://doi.org/10.3345/kjp.2011.54.10.401 PMid:22232621 DOI: https://doi.org/10.3345/kjp.2011.54.10.401

Fidler JA, Wardle J, Broderson NH, Jarvis MJ, West R. Vulnerability to smoking after trying a single cigarette can lie dormant for three years or more. Tob Control. 2006;15(3):205-9. https://doi.org/10.1136/tc.2005.014894 PMid:16728751 DOI: https://doi.org/10.1136/tc.2005.014894

Stokols D. Translating social ecological theory into guidelines for community health promotion. Am J Health Promot. 1996;10(4):282-98. https://doi.org/10.4278/0890-1171-10.4.282 PMid:10159709 DOI: https://doi.org/10.4278/0890-1171-10.4.282

Joung KH, Chung SS. Factors affecting cigarette smoking among adolescents in South Korea, Vietnam, and Thailand. J Spec Pediatr Nurs. 2019;24(4):e12267. https://doi.org/10.1111/jspn.12267 PMid:31468713 DOI: https://doi.org/10.1111/jspn.12267

Chotbenjamaporn P, Haruhansapong V, Jumriangrit P, Pitayarangsarit S, Agarwal N, Garg R. Tobacco use among Thai students: Results from the 2015 global youth tobacco survey. Indian J Public Health 2017;61(Suppl 1):40-6. https://doi.org/10.4103/ijph.IJPH_234_17 PMid:28928318 DOI: https://doi.org/10.4103/ijph.IJPH_234_17

Chinwong D, Mookmanee N, Chongpornchai J, Chinwong S. A comparison of gender differences in smoking behaviors, intention to quit, and nicotine dependence among Thai university students. J Addict. 2018;2018:8081670. https://doi.org/10.1155/2018/8081670 PMid:30473903 DOI: https://doi.org/10.1155/2018/8081670

Bakar C, Gündogar D, Karaman HIO, Maral I. Prevalence and related risk factors of tobacco, alcohol and illicit substance use among university students. Eur J Psychiat. 2013;27(2):97-110. https://doi.org/10.4321/S0213-61632013000200003

Roche DJ, Bujarski S, Green R, Hartwell EE, Leventhal AM, Ray LA. Alcohol, tobacco, and marijuana consumption is associated with increased odds of same-day substance co-and tri-use. Drug Alcohol Depend. 2019;200:40-9. https://doi.org/10.1016/j.drugalcdep.2019.02.035 PMid:31085377 DOI: https://doi.org/10.1016/j.drugalcdep.2019.02.035

Nowak M, Papiernik M, Mikulska A, Czarkowska-Paczek B. Smoking, alcohol consumption, and illicit substances use among adolescents in Poland. Subst Abuse Treat Prev Policy. 2018;13:42. https://doi.org/10.1186/s13011-018-0179-9 DOI: https://doi.org/10.1186/s13011-018-0179-9

Albert-Lőrincz E, Paulik E, Szabo B, Foley K, Gasparik AI. Adolescent smoking and the social capital of local communities in three countries in Romania. Gac Sanit. 2019;33(6):547-53. https://doi.org/10.1016/j.gaceta.2018.05.009 PMid:30107939 DOI: https://doi.org/10.1016/j.gaceta.2018.05.009

Khubchandani J, Sharma M, Huston D, Tahiliani J. Tobacco use related attitudes and behaviors in Indian adolescents: Association with school-based prevention education. Health Promot Perspect. 2017;7(3):128-33. https://doi.org/10.15171/hpp.2017.24 PMid:28695100 DOI: https://doi.org/10.15171/hpp.2017.24

Garrett BE, Gardiner PS, Wright LT, Pechacek TF. The African American youth smoking experience: An overview. Nicotine Tob Res. 2016;18(Suppl 1):S11-5. https://doi.org/10.1093/ntr/ntv203 PMid:26980860 DOI: https://doi.org/10.1093/ntr/ntv203

Ling MY, Lim KH, Hasani WS, Rifin HM, Majid NL, Lourdes TG, et al. Exposure to secondhand smoke among school-going adolescents in Malaysia: Findings from the tobacco and e-cigarettes survey among Malaysian adolescents (TECMA). Tob Induc Dis. 2020;18:96. https://doi.org/10.18332/tid/128622 PMid:33262682 DOI: https://doi.org/10.18332/tid/128622

Xi B, Liang Y, Liu Y, Yan Y, Zhao M, Ma C, et al. Tobacco use and secondhand smoke exposure in young adolescents aged 12-15 years: Data from 68 low-income and middle-income countries. Lancet Glob Health. 2016;4(11):e795-805. https://doi.org/10.1016/S2214-109X(16)30187-5 PMid:27697484 DOI: https://doi.org/10.1016/S2214-109X(16)30187-5

Al-Zalabani AH, Amer SM, Kasim KA, Alqabshawi RI, Abdallah AR. Secondhand smoking among intermediate and secondary school students in Madinah, Saudi Arabia. Biomed Res Int 2015;2015:672393. DOI: https://doi.org/10.1155/2015/672393

Wang MP, Ho SY, Lam TH. Parental smoking, exposure to secondhand smoke at home, and smoking initiation among young children. Nicotine Tob Res. 2011;13(9):827-32. https://doi.org/10.1093/ntr/ntr083 PMid:21525153 DOI: https://doi.org/10.1093/ntr/ntr083

Wellman RJ, Dugas EN, Dutczak H, O’Loughlin EK, Datta GD, Lauzon B, et al. Predictors of the onset of cigarette smoking: A systematic review of longitudinal population-based studies in youth. Am J Prev Med. 2016;51(5):767-78. https://doi.org/10.1016/j.amepre.2016.04.003 PMid:27180028 DOI: https://doi.org/10.1016/j.amepre.2016.04.003

Mathur C, Stigler MH, Erickson DJ, Perry CL, Forster JL. Transitions in smoking behavior during emerging adulthood: A longitudinal analysis of the effect of home smoking bans. Am J Public Health. 2014;104(4):715-20. https://doi.org/10.2105/AJPH.2013.301642 PMid:24524528 DOI: https://doi.org/10.2105/AJPH.2013.301642

Lochbuehler K, Schuck K, Otten R, Ringlever L, Hiemstra M. Parental smoking and smoking cognitions among youth: A systematic review of the literature. Eur Addict Res. 2016;22:215-32. https://doi.org/10.1159/000446022 DOI: https://doi.org/10.1159/000446022

Ghazali SM, Huey TC, Cheong KC, Li LH, Fadhli M, Yusoff M, et al. Prevalence and factors associated with secondhand smoke exposure among Malaysian adolescents. Tob Induc Dis. 2019;17:22. https://doi.org/10.18332/tid/102728 PMid:31582933 DOI: https://doi.org/10.18332/tid/102728

Yang X, Yan Z, Xu G, Tan Y, Zhu J. How secondhand smoke exposure affects tobacco use and smoking susceptibility of adolescents: Sex and school differences. Tob Induc Dis. 2021;19:68. https://doi.org/10.18332/tid/140094 PMid:34539307 DOI: https://doi.org/10.18332/tid/140094

Hanewinkel R, Isensee B, Sargent JD, Morgenstern M. Cigarette advertising and adolescent smoking. Am J Prev Med. 2010;38(4):359-66. https://doi.org/10.1016/j.amepre.2009.12.036 PMid:20307803 DOI: https://doi.org/10.1016/j.amepre.2009.12.036

Madkour AS, Ledford EC, Andersen L, Johnson CC. Tobacco advertising/promotions and adolescents’ smoking risk in Northern Africa. Tob Control. 2014;23(3):244-52. https://doi.org/10.1136/tobaccocontrol-2012-050593 PMid:23303288 DOI: https://doi.org/10.1136/tobaccocontrol-2012-050593

Prabandari YS, Dewi A. How do Indonesian youth perceive cigarette advertising? A cross-sectional study among Indonesian high school students. Glob Health Action. 2016;9:30914. https://doi.org/10.3402/gha.v9.30914 PMid:27578600 DOI: https://doi.org/10.3402/gha.v9.30914

Li L, Yong H, Borland R, Fong GT, Thompson ME, Jiang Y, et al. Reported awareness of tobacco advertising and promotion in China compared to Thailand, Australia and the USA. Tob Control. 2009;18(3):222-27. https://doi.org/10.1136/tc.2008.027037 PMid:19332425 DOI: https://doi.org/10.1136/tc.2008.027037

Hefler M, Kerrigan V, Freeman B, Boot GR, Thomas DP. Using facebook to reduce smoking among australian aboriginal and torres strait islander people: A participatory grounded action study. BMC Public Health. 2019;19:615. https://doi.org/10.1186/s12889-019-6918-7 DOI: https://doi.org/10.1186/s12889-019-6918-7

Naslund JA, Kim SJ, Aschbrenner KA, McCulloch LJ, Brunette MF, Dallery J, et al. Systematic review of social media interventions for smoking cessation. Addict Behav. 2017;73:81-93. https://doi.org/10.1016/j.addbeh.2017.05.002 PMid:28499259 DOI: https://doi.org/10.1016/j.addbeh.2017.05.002

Kim SJ, Marsch LA, Brunette MF, Dallery J. Harnessing Facebook for smoking reduction and cessation interventions: Facebook user engagement and social support predict smoking reduction. J Med Internet Res. 2017;19(5):e168. https://doi.org/10.2196/jmir.6681 PMid:28536096 DOI: https://doi.org/10.2196/jmir.6681

Drovandi A, Teague P, Glass B, Malau-Aduli B. A systematic review of the perceptions of adolescents on graphic health warnings and plain packaging of cigarettes. Syst Rev. 2019;8(1):25. https://doi.org/10.1186/s13643-018-0933-0 PMid:30654833 DOI: https://doi.org/10.1186/s13643-018-0933-0

White V, Webster B, Wakefield M. Do graphic health warning labels have an impact on adolescents’ smoking-related beliefs and behaviours? Addiction. 2008;103(9):1562-71. https://doi.org/10.1111/j.1360-0443.2008.02294.x PMid:18783508 DOI: https://doi.org/10.1111/j.1360-0443.2008.02294.x

Hwang J, Cho S. The association between new graphic health warning labels on tobacco products and attitudes toward smoking among South Korean adolescents: A national crosssectional study. BMC Public Health. 2020;20(1):748. https://doi.org/10.1186/s12889-020-08638-0 PMid:32448193 DOI: https://doi.org/10.1186/s12889-020-08638-0

Sirichotiratana N, Sujirarat D, Sompopcharoen M, Viwatwongkasem C, Satitvipawee P, Auemaneekul N, et al. Effectiveness of 85% graphic health warning on cigarette packs on smoking behaviours of Thai teenagers. Tob Induc Dis. 2018;16(Suppl 1):A761. https://doi.org/10.18332/tid/83827 PMid:33553059 DOI: https://doi.org/10.18332/tid/83827