Trends and factors related smokeless tobacco use among Thai population
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Faculty of Public Health, Ramkamhaeng University, Bangkok, Thailand
Faculty of Public Health, Mahidol University, Bangkok, Thailand
Saroj Nakju   

Faculty of Public Health, Ramkamhaeng University, Bangkok, Thailand
Publication date: 2021-09-02
Tob. Induc. Dis. 2021;19(Suppl 1):A77
All types of tobacco products have not different the health hazards. However, the smokeless tobacco use has ignored from the scope of policy-making, provide information on smokeless tobacco use, and cessation service.

The retrospective study aimed to study the situation and trends of smokeless tobacco use and factors related smokeless tobacco use.

The samples were Thai population aged 15 years and over. Those were interviewed in the smoking and alcohol drinking survey conducted by National Statistical Offices in 2011 and 2018. A multi-stage, geographically clustered sampling design was used to collect data. Complex survey data analysis was performed to obtain the estimate data and their 95% CI. The multinomial logistic regression was used to explain the relationship between dependent variable and independent variables.

The results showed the prevalence of current smokeless tobacco use remained unchanged from 2.2% (95%CI: 2.0, 2.4) in 2001 to 2.1% in 2018 (95%CI: 1.9, 2.4). The average age at initiation decreased significantly, from 33.7 years (95%CI: 32.8, 34.7) to 30.9 years (95%CI: 29.6, 32.3). Six variables including sex, age, educational level, region, residence, and socioeconomic status in the 2018 survey were used to explain a smokeless tobacco use 40%. The first three groups with highest opportunity to use smokeless tobacco were those who aged 60 years and over (AOR 20.8, 95%CI: 13.0, 33.2), living in the northeastern region (AOR 5.1, 95%CI: 3.1, 8.3), and graduated at the highest level with less than the junior secondary school (AOR 4.6, 95%CI: 3.3, 6.5).

The findings indicated that smokeless tobacco users were the disadvantaged people and situation of smokeless tobacco use remained the same. Therefore, developing a policy, provide the right information, and help quitting should initiative seriously and well design for increasing accessible to the target group.