Investigation of the tobacco consumption situation and smoking cessation services over 5-year periods among the population living in health region 10, Thailand
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Abstract
Despite smoking cessation programs, the average smoking rate in health region 10 was around 22%, exceeding the Thai National Standard Goal of 18–20%. It was a secondary data survey from 2017 to 2021, collecting information on Thais aged 15 and older registered in the 43-folder Thai Healthcare System. Topics included demographics, smoking history, tobacco control policies, and factors involved in tobacco control. The majority of clients were current smokers (21.86%), and only 6.25 percent of clients were quitters. Overall findings indicated brief counseling (2A) has been widely used, compared to the other models including 5A counseling, and 5A counseling and medications (65.55%, 23.39%, and 11.06% consecutively). The quit rates were mainly notified after 1- and 3-month cessation periods (46.01% and 41.96%, respectively). There were statistically significant relations between types of cessation services and quit success at 6-month periods (p<0.05). The smoking rate among 15-year-old smokers in region 10 had exceeded the Thai National Standard Goal. Most current smokers received brief counseling (2A), which was statistically more effective than other cessation methods. These findings could help health policymakers in identifying target groups and enhancing access to cessation services nationwide.
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References
Augustine, J. M., Taylor, A. M., Pelger, M., Schiefer, D., & Warholak, T. L. (2016). Smoking quit rates among patients receiving pharmacist-provided pharmacotherapy and telephonic smoking cessation counseling. Journal of the American Pharmacists Association, 56(2), 129–136. https://doi.org/10.1016/j.japh.2016.02.001
Bhattacharyya, D., Rai, S. P., & Neog, L. S. (2008). Therapy for cessation of smoking. Medical Journal Armed Forces India, 64(3), 254–259. https://doi.org/10.1016/S0377-1237(08)80107-4
Bucheli, J. R., Manshad, A., Ehrhart, M. D., Camacho, J., & Burge, M. R. (2017). Association of passive and active smoking with pre-diabetes risk in a predominantly Hispanic population. Journal of Investigative Medicine, 65(2), 328–332. https://doi.org/10.1136/jim-2016-000246
Burden of Disease Thailand. (2018). Thailand burden of diseases attributable to risk factors 2014. BOD. http://bodthai.net/en/download/Thailand-burden-of-disease-attributable-to-risk-factors-2014
Carr, A. B., & Ebbert, J. (2012). Interventions for tobacco cessation in the dental setting. Cochrane Database of Systematic Reviews, 2012(6), Article CD005084. https://doi.org/10.1002/14651858.CD005084.pub3
Fiore, M. C., Jaen, C. R., Baker, T. R., Bailey, W. C., Bennett, G., & Benowitz, N. L. (2008). A clinical practice guideline for treating tobacco use and dependence: 2008 update. American Journal of Preventive Medicine, 35(2), 158–176. https://doi.org/10.1016/j.amepre.2008.04.009
Fritz, D. J., Wider, L. C., Hardin, S. B., & Horrocks, M. (2008). Program strategies for adolescent smoking cessation. The Journal of School Nursing, 24(1), 21–27. https://doi.org/10.1177/10598405080240010401
Global Action to End Smoking. (2024). State of smoking and health in Thailand. https://globalactiontoendsmoking.org/research/tobacco-around-the-world/thailand/
Gordon, J. S., Andrews, J. A., Crews, K. M., Payne, T. J., Severson, H. H., & Lichtenstein, E. (2010). Do faxed quitline referrals add value to dental office-based tobacco-use cessation interventions? The Journal of the American Dental Association, 141(8), 1000–1007. https://doi.org/10.14219/jada.archive.2010.0314
Haupala, A., Sangkaew, P., & Kongsakon, R. (2022). The study of prevalence and factors related to smoking of Thai families during the COVID-19 pandemic. Journal of the Medical Association of Thailand, 105(5), 372–380.
Health Region 10th Ubon Ratchathani. (2018). Summary report of NCD situation in health region 10th Ubon Ratchathani: Copy for health region 10th committee meeting. Ministry of Public Health. [in Thai]
Higgins, S. T., Kurti, A. N., Redner, R., White, T. J., Gaalema, D. E., Roberts, M. E., Doogan, N. J., Tidey, J. W., Miller, M. E., Stanton, C. A., Henningfield, J. E., & Atwood, G. S. (2015). A literature review on prevalence of gender differences and intersections with other vulnerabilities to tobacco use in the United States, 2004–2014. Preventive Medicine, 80, 89–100. https://doi.org/10.1016/j.ypmed.2015.06.009
Hitchman, S. C., Fong, G. T., Zanna, M. P., Thrasher, J. F., Chung-Hall, J., & Siahpush, M. (2014). Socioeconomic status and smokers’ number of smoking friends: Findings from the International Tobacco Control (ITC) four country survey. Drug and Alcohol Dependence, 143, 158–166. https://doi.org/10.1016/j.drugalcdep.2014.07.019
Information and Communication Technology Center, Office of the Permanent Secretary, Ministry of Public Health. (2017). eHealth strategy, Ministry of Public Health (2017–2026). Ministry of Public Health. https://ict.moph.go.th/upload_file/files/eHealth_Strategy_ENG_141117.pdf
Jamal, A., King, B. A., Neff, L. J., Whitmill, J., Babb, S. D., & Graffunder, C. M. (2016). Current cigarette smoking among adults—United States, 2005–2015. Morbidity and Mortality Weekly Report, 65(44), 1205–1211. https://doi.org/10.15585/mmwr.mm6544a2
Jiang, N., & Ling, P. M. (2011). Reinforcement of smoking and drinking: Tobacco marketing strategies linked with alcohol in the United States. American Journal of Public Health, 101(10), 1942–1954. https://doi.org/10.2105/AJPH.2011.300157
Kim, S.-H., Lee, J.-A., Kim, K.-U., & Cho, H.-J. (2015). Results of an inpatient smoking cessation program: 3-month cessation rate and predictors of success. Korean Journal of Family Medicine, 36(2), 50–59. https://doi.org/10.4082/kjfm.2015.36.2.50
Komonpaisarn, T. (2022). Economic cost of tobacco smoking and secondhand smoke exposure at home in Thailand. Tobacco Control, 31(6), 714–722. https://doi.org/10.1136/tobaccocontrol-2020-056320
Kongrukgreatiyos, K. (2021). COVID-19 crisis lowers Thailand’s growth, continued support for the poor needed. World Bank. https://www.worldbank.org/en/news/press-release/2021/07/15/covid-19-crisis-lowers-thailand-s-growth-continued-support-for-the-poor-needed
National Cancer Institute. (2017). Harms of cigarette smoking and health benefits of quitting. https://www.cancer.gov/about-cancer/causes-prevention/risk/tobacco/cessation-fact-sheet
Proctor, R. N. (2012). The history of the discovery of the cigarette–lung cancer link: Evidentiary traditions, corporate denial, global toll. Tobacco Control, 21(2), 87–91. https://doi.org/10.1136/tobaccocontrol-2011-050338
Puschel, K., Thompson, B., Coronado, G., Huang, Y., Gonzalez, L., & Rivera, S. (2008). Effectiveness of a brief intervention based on the ‘5A’ model for smoking cessation at the primary care level in Santiago, Chile. Health Promotion International, 23(3), 240–250. https://doi.org/10.1093/heapro/dan010
Rice, V. H., Heath, L., Livingstone-Banks, J., & Hartmann-Boyce, J. (2017). Nursing interventions for smoking cessation. Cochrane Database of Systematic Reviews, 2017(12), Article CD001188. https://doi.org/10.1002/14651858.CD001188.pub5
Rollnick, S., Miller, W. R., & Butler, C. C. (2008). Motivational interviewing in health care: Helping patients change behavior. Guilford Press.
Rose, J. E., Brauer, L. H., Behm, F. M., Cramblett, M., Calkins, K., & Lawhon, D. (2004). Psychopharmacological interactions between nicotine and ethanol. Nicotine & Tobacco Research, 6(1), 133–144. https://doi.org/10.1080/14622200310001656957
Santi, S. A., Conlon, M. S. C., Meigs, M. L., Davidson, S. M., Mispel-Beyer, K., & Saunders, D. P. (2022). Rates of smoking cessation at 6 and 12 months after a clinical tobacco smoking cessation intervention in head and neck cancer patients in Northern Ontario, Canada. Current Oncology, 29(3), 1544–1558. https://doi.org/10.3390/curroncol29030130
Schroeder, S. A. (2005). What to do with a patient who smokes. Journal of the American Medical Association, 294(4), 482–487. https://doi.org/10.1001/jama.294.4.482
Tobacco Control Research and Knowledge Management Center. (2019). Thailand tobacco consumption statistical report 2019. TRC. https://www.trc.or.th
WHO. (2018, September 24). Noncommunicable diseases country profiles 2018. https://www.who.int/publications/i/item/9789241514620
WHO. (2025, June 25). Tobacco. https://www.who.int/news-room/fact-sheets/detail/tobacco
