National Tobacco Control Policies from the Perspectives of Singapore Young Male Adults

Lee, Jeong Kyu; Lin, Lavinia; Lim, Mervyn Jun Rui; Eijk, Yvette van der; Chia, Kee Seng; Tan, Clive

doi:10.1080/02791072.2019.1706792

Cited by 5 publications

(12 citation statements)

References 23 publications

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“…High tobacco prices have been shown as one of the most effective tools in motivating quit attempts and reducing tobacco use among young smokers. 25 At the interpersonal level, our findings indicate that peers and superiors play a significant role in influencing smoking and quitting behaviours. Consistent with previous research, [26][27][28] peer influence was reported as a strong factor in developing normative perceptions regarding tobacco use in which smoking was perceived as a 'social activity' and 'social norm' in the military.…”

Section: Discussionmentioning

confidence: 71%

“…In 2018, the Singapore government imposed a further 10% increase to tobacco taxes, which raised the cigarette tax incidence to 67.5% of the retail value. 25 The nation's high taxes on tobacco products and the low amount of military allowance received from NS could have made cigarettes unaffordable to the NSFs. High tobacco prices have been shown as one of the most effective tools in motivating quit attempts and reducing tobacco use among young smokers.…”

Section: Discussionmentioning

confidence: 99%

“…High tobacco prices have been shown as one of the most effective tools in motivating quit attempts and reducing tobacco use among young smokers. 25 …”

Section: Discussionmentioning

confidence: 99%

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Tobacco use patterns and attitudes in Singapore young male adults serving military national service: a qualitative study

et al. 2020

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ObjectivesTo explore tobacco use patterns and factors influencing tobacco use in young Singaporean men serving military national service.MethodsA qualitative study using in-depth telephone interviews and maximum variation sampling was conducted with 29 Singaporean men who have completed their national service in 2017–2018. Data were analysed using thematic analysis.ResultsMore than half (51.7%) of the participants started smoking before age 18, with a mean age of smoking initiation at 16 years. At the individual level, the two main contributing factors to tobacco use were smoking as a coping mechanism, and physical or psychological addiction. Financial concern was reported as the key motivation to quit smoking. At the interpersonal level, peers and superiors played an influential role in the smoking habits of the participants. When superiors took additional measures against smoking behaviours, it contributed to their decision to smoke less. At the organisation level, some unintended consequences were reported as a result of the strict tobacco control measures implemented by the military, such as the designated smoking areas within the camps become regarded as an area for socialisation.ConclusionInformed by the Socio-Ecological Model, this study has provided insights into the multifaceted and interactive effect of individual, interpersonal and organisational factors that influence tobacco use in young men serving military national service in the Singapore and Asian context. The study insights provided an understanding of the local context before designing programmes or changing regulations to further discourage tobacco usage in the military.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

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Tobacco use patterns and attitudes in Singapore young male adults serving military national service: a qualitative study

et al. 2020

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“…Existing research is divided into two streams. Studies on the demand side assess tobacco controls, such as smoking prevalence, risk perceptions, positive impacts of tobacco controls on health (Hoek & Smith, 2017;Lee et al, 2020;Sterling et al, 2016), and the impediments to and effectiveness of policy enforcement in reducing the number of smokers (Sangthong et al, 2012). On the supply side, studies are concerned with tobacco agriculture, focussing on agronomy (Kittiwatcharachareon, 2013), economic perspectives (Cholwatanapong, 1985) and sociocultural aspects (Promphakping et al, 2007).…”

Section: Contract Farming a Dependence Path And Tobacco Controlmentioning

confidence: 99%

“…The growing recognition of the negative impacts of tobacco consumption on health has been heightening over the last several decades. Consequently, national tobacco control policies have been instituted to reduce the number of smokers (Hoek & Smith, 2017;Lee et al, 2020;Sterling et al, 2016). In principle, the reduction or smokers (demand side) following the enforcement of tobacco control policy (Chantornvong & McCargo, 2001;Lee et al, 2009) would inevitably result in the reduction of tobacco agriculture (supply side), which would cause tobacco farmers to suffer (Roemer et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Why Does Tobacco Agriculture in Thailand Persist?

Promphakping

Chamaratana

Somaboot

et al. 2021

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The rigorous tobacco controls advocated by both international policy players and national government are foreseen to lowering demand in tobacco consumption, and consequently, the contraction of tobacco agriculture. This paper seeks to reveal why tobacco agriculture, albeit with the declining trend of tobacco farms, continues to persist. Theoretical guiding the investigation is based on the institutional arrangement of contract farming system, the idea that derived from New Institution Economics, and farmers’ striving to attain livelihoods. The study adopts qualitative methods, utilising purposive sampling, with 53 tobacco farmers recruited from four provinces, namely Phrae, Phetchabun, Roi-et and Nongkhai, who took part in four focus group discussions. In addition, in-depth interviews were conducted with two provincial agricultural promotion officers, three provincial excise officers and four staff members of the local office of the Thailand Tobacco Monopoly. The data was analysed using content analysis. This paper found that supportive institutional arrangements, the adaptation of communities and households creating a favourable environment and the emergence of new markets for roll-your-own cigarettes are contributing to the persistence of tobacco agriculture. In light of tobacco control, two policy measures are proposed. First, the regulations for roll-your-own cigarette industries – both smallholders and manufacturers – must be revised and instituted. Second, to encourage tobacco farmers to move away from tobacco growing, institutional support for alternative crops, such as price guarantees, inputs and technical support should be provided in the same manner that the tobacco growers currently receive.

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Smoking Is Associated With Lower Satisfaction in Nondiabetic Patients Undergoing Minimally Invasive Single-level Transforaminal Lumbar Interbody Fusion

Gatot

Liow

Goh

et al. 2021

Clinical Spine Surgery: A Spine Publication

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This was a retrospective review of prospectively collected registry data.Objective: The objective of this study was to investigate the effect of smoking on 2 years postoperative functional outcomes, satisfaction, and radiologic fusion in nondiabetic patients undergoing minimally invasive transforaminal lumbar interbody fusion (TLIF) for degenerative spine conditions. Summary of Background Data:There is conflicting data on the effect of smoking on long-term functional outcomes following lumbar fusion. Moreover, there remains a paucity of literature on the influence of smoking within the field of minimally invasive spine surgery.Methods: Prospectively collected registry data of nondiabetic patients who underwent primary single-level minimally invasive TLIF in a single institution was reviewed. Patients were stratified based on smoking history. All patients were assessed preoperatively and postoperatively using the Numerical Pain Rating Scale for back pain and leg pain, Oswestry Disability Index, Short-Form 36 Physical and Mental Component Scores. Satisfaction was assessed using the North American Spine Society questionnaire. Radiographic fusion rates were compared.Results: In total, 187 patients were included, of which 162 were nonsmokers, and 25 had a positive smoking history. In our multivariate analysis, smoking history was insignificant in predicting for minimal clinically important difference attainment rates in Physical Component Score and fusion grading outcomes. However, in terms of satisfaction score, positive smoking history remained a significant predictor (odds ratio = 4.7, 95% confidence interval: 1.10-20.09, P = 0.036).Conclusions: Nondiabetic patients with a positive smoking history had lower satisfaction scores but comparable functional outcomes and radiologic fusion 2 years after single-level TLIF. Thorough preoperative counseling and smoking cessation advice may help to improve patient satisfaction following minimally invasive spine surgery.

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National Tobacco Control Policies from the Perspectives of Singapore Young Male Adults

Cited by 5 publications

References 23 publications

Tobacco use patterns and attitudes in Singapore young male adults serving military national service: a qualitative study

Tobacco use patterns and attitudes in Singapore young male adults serving military national service: a qualitative study

Why Does Tobacco Agriculture in Thailand Persist?

Smoking Is Associated With Lower Satisfaction in Nondiabetic Patients Undergoing Minimally Invasive Single-level Transforaminal Lumbar Interbody Fusion

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