94.2 96.

3 ( 2552 2554)

50 45 40 35 30 25 20 15 10 5 0 2552 2554 9.1 27.2 26.9

80

70

60

50

68.8
40

46.4

47.2

68.4
30

69.3

55.6 30.5 27.2 21.6 25.6

20

10

7.6
0 2552 2554

50 45 40 35 30

16 14 12 10 8

25 20 15 10 5 0

45.6

46.6

14.3
6

29.6

30.1

27.0

28.1

10.0
4 2 0

10.5

9.6 4.9

2552 2554

30 25 20 15
24.5

70 60 50 40 30
49.8 16.8 11 6 6.7 5.5 60.6 42.6 47.5 35.4

10 5 0

18.2

20 10 0

36.7

2552

15 - 24 2554

25

2552

15 - 24 2554

25

: (1) (2) 15 (3) 15 (4)

(.) (.) 2554 The Bloomberg

GATS| GLOBAL ADULT TOBACCO SURVE Y

BACKGROUND

COMPARISON FACT SHEET

Thailand 2009 & 2011

In Thailand, the Global Adult Tobacco Survey (GATS) was rst conducted in 2009 and repeated in 2011. GATS is a global standard protocol for systema cally monitoring adult tobacco use (smoking and smokeless) and tracking key tobacco control indicators. This household survey collects data on persons 15 years of age and older. It was jointly implemented by the Department of Disease Control, Ministry of Public Health, Na onal Sta s cal Oce and Mahidol University. Both the 2009 and 2011 surveys used similar mul stage stra ed cluster sample designs to produce na onally representa ve data. The 2009 survey had 20,566 interviews with an overall response rate of 94.2%. The 2011 survey had 20,606 interviews with an overall response rate of 96.3%. For addi onal informa on, refer to the GATS 2009 and 2011 Thailand Factsheets. All comparisons present in this factsheet are signicant at p<.05 unless otherwise indicated as unchanged. GATS enhances countries capacity to design, implement and evaluate tobacco control programs. It will also assist countries to fulll their obliga ons under the World Health Organiza ons (WHO) Framework Conven on on Tobacco Control (FCTC) to generate comparable data within and across countries. WHO has developed MPOWER, a package of six evidence-based demand reduc on measures contained in the WHO FCTC:

Monitor tobacco use & prevention policies Protect people from tobacco smoke O Warn about the dangers of tobacco Enforce bans on tobacco advertising, promotion, & sponsorship Raise taxes on tobacco

HIGHLIGHTS
Overall tobacco use remained unchanged from 27.2% in 2009 to 26.9% in 2011. Quit a empt in the past 12 months declined from 49.8% in 2009 to 36.7% in 2011 among current smokers; however, the advice by the health care providers to quit increased from 51.9% in 2009 to 55.8% in 2011. The propor on of current smokers who thought of qui ng because of a pictorial health warning (PHW) on the packages decreased from 67.0% in 2009 to 62.6% in 2011 (8 in 10 PHWs have been used more than 5 years). Prevalence of exposure to secondhand smoke at home increased from 33.2% in 2009 to 36.0% in 2011. Propor on of adults who no ced tobacco adver sing, promo on and sponsorship increased from 17.8% in 2009 to 25.7% in 2011. Propor on of adults who no ced cigare e adver sing in stores increased from 6.7% in 2009 to 18.2% in 2011. Among current smokers of manufactured cigare es, 10.0% purchased the new inexpensive brands that were introduced in the market by the Thailand Tobacco Monopoly (TTM) following the 2009 tobacco tax increase. Percentage of current manufactured cigare e smokers aged 15-17 years who last purchased cigare es in s cks remained unchanged and was s ll high (84.3% vs 88.3%).

KEYMESSAGES
Tobacco use remains high. Thailand has strong tobacco control laws and needs to con nue to close legal loopholes and ensure strong enforcement of their current laws to ensure tobacco use goes down. Strong tobacco control policies must be applied to hand-rolled cigare es and reduce male smoking rates. Point of sale adver sing remains high and strong enforcement is needed. Exposure to second hand smoke at public places and workplaces remains high. Enforcement of the smoke-free laws in those places must be increased. New cheaper brands, which are more aordable to disadvantaged people (less educated and low income), must be prevented from entering the market and sales of single s cks banned.

GATS| GLOBAL ADULT TOBACCO SURVE Y

Prevalence of Current Tobacco Use by Gender, Thailand 2009 and 2011
50 45 40
Percentage (%) 80

COMPARISON FACT SHEET

Thailand 2009 & 2011

Exposure to Secondhand Smoke at Workplace and Public Places during the last 30 days, Thailand 2009 and 2011
70
Percentage (%)

46.4

47.2

60 50 40 30 20 27.2 30.5 21.6 25.6 55.6

68.4

69.3

68.8

35 30 25 20 15 10 5 0 Overall 2009 Male 2011 Female 27.2 26.9

9.1

7.6

10 0 Workplace Public Transportation 2009 2011 Bars Markets

Prevalence of Current Tobacco Smoking Among Men by type of Cigare e, Thailand 2009 and 2011
50 45 40 Percentage (%) 35 30 25 20 15 10 5 0 Overall Manufactured cigare es 2009 2011 Hand-rolled cigare es 29.6 30.1 27.0 28.1 45.6 46.6

Current Smokers Purchased the New Inexpensive Brand by Educa on, Thailand 2011
16 14 12
Percentage (%)

14.3 10.5

10 8 6 4 2 0 Overall <Primary Primary Educa on Secondary University 4.9 10.0 9.6

No ced Cigare e Adver sements in Stores where Cigare es are sold in the past 30 days by Age, Thailand 2009 and 2011

Quit A empts among Smokers in Past 12 Months by Age , Thailand 2009 and 2011

30 25
Percentage (%)

70 60
Percentage (%)

20 15 10 5 0 Overall 6.7 18.2 11.6

24.5 16.8

50 40 30 20 10 0 49.8

60.6 47.5 42.6 36.7 35.4

5.5 15-24 Age (Years) 2009 2011 25+

Overall

15-24 Age (Years) 2009 2011

25+

Top Three Inuen al Pictorial Health Warnings which Current Smokers to want to quit and Non-Smokers to not want to smoke, Thailand 2009 and 2011
Smoking causes oral cancer Smoking causes laryngeal cancer Smoking causes lung cancer

among current smokers and those who quit in past 12 months

NOTE: Current use refers to daily and less than daily use. Adults refer to persons age 15 years and older. Data have been weighted to be na onally representa ve of all nonins tu onalized men and women age 15 years and older. Percentages reect the prevalence of each indicator in each group, not the distribu on across groups. All comparisons present in this factsheet are signicant at p<.05 unless otherwise indicated as unchanged. Financial support is provided by the Ministry of Public Health and the Thai Health Promo on Founda on through the Department of Disease Control, Ministry of Public Health and Tobacco Control Research and Knowledge Management Center in 2011, and the Bloomberg Ini a ve to Reduce Tobacco Use, a program of the Bloomberg Philanthropies in 2009 and 2011. Technical assistance is provided by the Centers for Disease Control and Preven on (CDC), the World Health Organiza on (WHO), the Johns Hopkins Bloomberg School of Public Health, and RTI Interna onal. Program support is provided by the CDC Founda on.