DiFranza JR. Article  Combined interventions resulted in a 4% reduction. Its Tobacco Regulations 2019 require that all tobacco products (including cigarettes, cigarillos, cigars, beedies, ang hoon and other roll-your-own tobacco products) must fully comply with standardized packaging starting 1 July 2020. Deaths from NCDs accounted for 74% of the total 539,000 deaths in Thailand in 2016 and are predicted to continue to increase rapidly [4]. The study was exempt from ethics approval as it only used secondary data from surveys that had followed conventional ethics guidelines and recorded no personal identifiers. Despite some successes, challenges remain; for example, the increasing smoking prevalence rates among youth, the high proportion of roll-your-own cigarettes in adults, an ineffective regulation of tobacco sales to underage youths, second hand smoking in households, increasing gaps in the smoking rates between males and females, emergence of electronic cigarette use among youth, and difficulties in eliminating the illicit tobacco trade [10,11,12,13]. Privacy New information technologies and social media allow for online transmission of short messages related to quitting and an info-graphic quit smoking program that might increase coverage to half of all target smokers. Tobacco cessation quitlines in North America: a descriptive study. Therefore I … This is a significant change that may catch … Our results were possibly underestimated because females, due to their low smoking prevalence, were excluded from the analysis. For example, the effect of cessation policies on increased cessation rate is equal to 1 + (intervention coverage rate × success rate). © 2020 BioMed Central Ltd unless otherwise stated. Thailand duty free Overview. While West Fusion White will … We have projected that preventing smoking onset in youth and young adults would reduce the male smoking prevalence in 2025 by 8%. 2018 Global progress report on implementation of the WHO framework convention on tobacco control. Our method has low precision in predicting the smoking prevalence because of the limitation in estimating initiation and cessation rates. Starting 10 September 2019 with a 90-day full phase-out of old cigarette stocks by 8 December 2019, all cigarettes in Thailand must be sold in drab brown-colored packs with cigarette brand names printed in a standardized font type, size, color, and location, without brand colors or logos. Geneva: World Health Organization; 2011. Other prices in Phuket (Thailand) The price of 500 gr (1 lb.) Indian J Public Health. Compare new cars, know specs and features, find car images and locate your nearest car dealer. NCDs have become a critical public health issue for Thailand. Comprehensive smoking cessation policy for all smokers: systems integration to save lives and money. Following price rises for cigarettes in 2017 as a result of a tax levy on all price segments (20% on THB60 pack and 40% on packs priced over THB60), a stronger switch towards economy cigarettes was noted in 2018, a trend which continued into 2019 with this price segment recording another year of … To plan and prioritize national tobacco control strategies, it is important for the Thai government to know whether or not the 30% target can be achieved and if not, what additional or enhanced policy interventions are needed to achieve the target [3]. When the quit-line and brief interventions fully cover all smokers, the prevalence reduced by 4 percentage points, although there was a 3.4 times increase in cessation rate (from 22 to 99.2%). Tob Control. Implementation of a comprehensive combination of all tobacco control policies would reduce the male smoking prevalence by 10.8% in 2025 and approximately 100,000 deaths could be averted, which is equivalent to a 4.5% reduction in all-cause mortality. The populations aged 15 years or more, based on the Thai census, were entered into the model annually and assigned as never smokers. Several forecasting models were constructed to predict the effect of different interventions on the prevalence of smoking and attributed mortality. In the smoking and alcohol consumption behavior survey, the prevalence of current smoking for those aged 15 years and over was 40.8% (95% confidence interval [CI]: 39.4–41.8) among males and 2.2% (95% CI: 1.9–2.5) among females. Outcomes included smoking prevalence and the number of smoking-attributable deaths. Regular price increases above the inflation rate and purchasing power are effective in curbing smoking demand [24]. Existing studies do not distinguish variation of impacts across population sub-groups. Tob Control. As shown in Table 3, rates increased with increasing age with the lowest cessation rate of 1.5% found in those aged 20–34 years. In the Markov model, death is the final absorbing state, a state in which people can enter but cannot leave. The relative risks for mortality from smoking were based on data from a US Cancer Prevention study. In this study, we used data from a study by Meeyai which reported a 12-month effectiveness of 19.5% for Thailand’s smoking cessation quit-line [32] and assumed effects remained constant over the projection period. Prevention of smoking initiation among youth is a key to ending the tobacco epidemic in Thailand. Contact: Burden of Disease Thailand. Complaint by the Philippines. Due to the low prevalence of female smokers, this study applied the model to estimate the smoking prevalence and attributable mortality among males only. The predicted prevalence of smoking for males in 2007, 2011, and 2014 were similar to the prevalence from the smoking and drinking behavior survey and showed a similar pattern of decline. The synergistic effects of the combined interventions would reduce the prevalence to 33.7% in 2025, which is equivalent to a 10.8% reduction against the 2025 baseline or a 19% relative reduction from 2010. Tobacco use is an important modifiable risk factor as available interventions have been proven to be effective and 1 in 6 deaths from NCDs are caused by tobacco [5]. 2004;13(2):167–74. Geneva: World Health Organization, Regional Office for South-East Asia; 2012. Subscribe Get 20% off at our online shop. Vathesatogkit P, Charoenca N. Tobacco control: lessons learnt in Thailand. The only way to achieve this 30% reduction would be to assume a 100% smoking cessation rate and a zero smoking initiation rate, both of which are implausible. The combined interventions can reduce the smoking prevalence by 19% relative to the 2010 level. We projected that combined tobacco control policies would lead to as much as a 19% relative reduction in the male smoking prevalence by 2025. Prices for tobacco in Thailand are not really cheap. Table 9.1 - Taxes and retail price for a pack of 20 cigarettes of the most sold brand xls, 751kb; Table 9.2 - Retail prices for a pack of 20 cigarettes of premium brand and cheapest brand of cigarettes xls, 401kb Addiction. Search. Tob Control. The 2015 Global Youth Tobacco Survey reported that half of the underage youth had no difficulty in buying cigarettes, reflecting weak regulatory environments and enforcement capacities [13]. Atlanta, Georgia, US Department of Health and Human Services, Centers for Disease Control and Prevention. At least 13 other countries are in varying stages of introducing standardized packaging laws. One of these targets is a 30% relative reduction in the prevalence of current tobacco use in persons aged 15 or more years between 2010 and 2025. Current smokers were those who reported smoking either regularly or occasionally. SA, SP, KB, CA, VC, RP and VT commented, revised, finalized, and approved the manuscript. Despite these guidelines and its cost-effectiveness, this intervention is largely neglected by health professionals in low- to middle-income countries. Such brand cigarettes as Kent, Marlboro, and Lucky costs about 150 Baht (USD 4.79, EUR 4.22, GBP 3.67). 2013;5. WHO global report on trends in tobacco smoking 2000–2025. National Center for Chronic Disease Prevention and Health Promotion, Office on smoking and health Google scholar. 11. American mortality risks and tobacco epidemiology may differ from that of the Thai population. It is well-known for its design as well as taste. A survey of tobacco dependence treatment services in 36 countries. 2013;8:CD002850. Price of Insignia cigarettes pack is around Rs.165. 2015;24(5):481–8. Tob Control. The new standardized packaging complements Thailand’s pictorial health warnings, which occupy the upper 85 per cent of the front and back panels of packs, currently the largest in ASEAN. Which interventions against the sale of tobacco to minors can be expected to reduce smoking? Smith KE, Savell E, Gilmore AB. Tob Control. Having been outlawed in Thailand since 2014, e-cigarettes remain a subject of controversy and debate. Table 2 shows estimates of the national prevalence of never, current, and former smokers stratified by age and sex. Tob Control. Starting September 12, 2019, with a 90-day full phase-out of old cigarette stocks by December 12, 2019, all cigarettes in Thailand must be sold in drab brown-coloured packs with cigarette brand names printed in a standardised font type, size, colour, and location, without brand colours or … Price … This study applied a Markov chain model to predict the smoking prevalence and attributed deaths in 2025 among males aged 15 years or more based on the impact of different tobacco control policies. This paper addresses this knowledge gap which will contribute to policy control measures on tobacco control. Part of From the baseline scenario, the annual 15% increase in cigarette tax would have the highest contribution (compared with other single interventions) to reducing the male smoking prevalence, with a reduction from 41.7% in 2010 to 36.1% in 2025, which is equivalent to a 4.5% reduction against the 2025 baseline prevalence or a 13.4% reduction compared to 2010. Geneva: World Health Organization;2018. 2007;16(Suppl 1):i9–15. SA and VT analyzed data and was a major contributor in writing the manuscript. For females the smoking prevalence was 2.4% in 2007, 2.1% in 2011, and 2.2% in 2014. Cigarettes usage in Great Britain 2014-2019, by cigarette type The most important statistics Leading brands of cigarettes in Great Britain 2018-2019, by number of users Contribution of six risk factors to achieving the 25x25 non-communicable disease mortality reduction target: a modelling study. Cite this article. Figure 3 shows the trend in smoking prevalence for males. Evidence suggests that a few minutes of brief advice given by health professionals at any clinical encounter can increase the smoking cessation rate [34]. International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand, Suchunya Aungkulanon, Siriwan Pitayarangsarit, Kanitta Bundhamcharoen, Chutima Akaleephan, Ratsida Phoncharoen & Viroj Tangcharoensathien, Tobacco Control Research and Knowledge Management Center, Mahidol University, Bangkok, Thailand, Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand, You can also search for this author in It was further assumed that the intervention can reach a maximum of 12% of current smokers. A discrete-time Markov chain is a stochastic process, which consists of a finite number of states and transition probabilities among the different states. The cumulative number of lives saved was defined as the difference between the 10-year cumulative number of smoking attributable deaths from the 2015 baseline scenario and that calculated from policy interventions. Tobacco taxes and prices Appendix IX: WHO report on the global tobacco epidemic 2017. Rockville: US Department of Health and Human Services; 2008. Standardized packaging reduces the attractiveness of tobacco products, eliminates tobacco packaging as a form of advertising, and increases the noticeability and effectiveness of pictorial health warnings. Thailand has recently introduced stricter smoking laws with offenders facing a fine of up to 5,000 Baht. The data that support the findings of this study are available from National Statistical Office but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Springer Nature. 2012;107(1):197–205. 2010;29(9):1656–60. DeCicca P, Kenkel D, Mathios A. Cessation assistance reported by smokers in 15 countries participating in the international tobacco control (ITC) policy evaluation surveys. Article  Article  Lee G, Lee J, Lee S. Risk factors of future smoking among Thai youth: a secondary analysis of the Thai global youth tobacco survey. 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