Tobacco use among young adolescents in Myanmar: Findings from global youth tobacco survey

Tun, Nyein Aye; Chittin, Thuzar; Agarwal, Naveen; New, Mya Lay; Thaung, Yamin; Phyo, Pyi Pyi

doi:10.4103/ijph.ijph_236_17

Cited by 11 publications

(7 citation statements)

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“…One study showed that youth (15–24 years) in Thailand were more likely than adults (≥25 years) to notice tobacco promotions in retail stores 66 . Research also identified that school boys (47.3%) were more likely than school girls (37.0%) to notice POS advertisements or promotions in Myanmar 76 . Two studies investigated the impact of POS advertisements or promotions on youth smoking attitudes and behaviors.…”

Section: Resultsmentioning

confidence: 99%

Commercial determinants of youth smoking in ASEAN countries: A narrative review of research investigating the influence of tobacco advertising, promotion, and sponsorship

Stubbs¹

2021

Tob. Induc. Dis.

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3 . The ASEAN region is home to approximately 10% of the world's one billion smokers 4 . The range of noncommunicable diseases and economic costs associated with tobacco use are a major burden to developing countries throughout this region [5][6][7][8][9][10] . One factor contributing to this issue is the continued uptake of smoking among youth, defined by the ABSTRACT INTRODUCTION Tobacco smoking is one of the leading causes of death and disability in the Association of Southeast Asian Nations (ASEAN). Despite implementation of some tobacco control measures, youth continue to initiate smoking. This narrative review outlines how tobacco advertising, promotion, and sponsorship (TAPS) may influence smoking attitudes and uptake among youth in the region. METHODS Nine electronic databases were searched on EBSCOhost to identify studies published up until December 2019. All studies published in English that investigated youth smoking and TAPS in ASEAN countries were included. Thematic analysis was used to investigate the influence of TAPS on youth smoking. RESULTS Thirty-seven studies were identified. This research showed that youth were exposed and receptive to tobacco advertising, which may contribute to positive attitudes towards tobacco brands and smoking. Studies also demonstrated that youth were exposed to point-of-sale (POS) advertisements or promotions and individual sales promotions. However, little research has explored how these strategies influence attitudes and consumption behaviors among youth, or, how online advertising and cigarette packet branding may influence youth smoking. CONCLUSIONS Youth in ASEAN countries continue to be exposed to TAPS, particularly through POS advertisements or promotions and individual sales promotions. There is also cause for concern about 'below-the-line' advertising and the increasing role of cigarette packaging as a promotional tool. These findings support calls for all ASEAN countries to ratify the Framework Convention on Tobacco Control (FCTC), introduce comprehensive bans on all forms of tobacco advertising, including POS advertising and cigarette pack displays, and implement plain packaging legislation for tobacco products.

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Section: Resultsmentioning

confidence: 99%

Commercial determinants of youth smoking in ASEAN countries: A narrative review of research investigating the influence of tobacco advertising, promotion, and sponsorship

Stubbs¹

2021

Tob. Induc. Dis.

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“…17 Likewise in Myanmar among students aged 13-15 years, with 13.6% of students currently using tobacco; 26.3% were among males and 3.7% among females. 18 The age of 13-15 years is vulnerable as adolescents are very easily influenced by the environment, such as peers. 19,20 Peers especially have a significant role in students because students spend more time with their peers, both at school and outside of school.…”

Section: Discussionmentioning

confidence: 99%

“…More than four of five students (83.4%) saw someone using tobacco on television, videos, or movies, and 42.3% paid attention to tobacco advertisements at the point of sale. 18 Ease of access to cigarettes for teenagers/students is also a motivating factor for smoking. Students in Southeast Asia Region reported buying cigarettes at shops/vendors in single sticks.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with smoking behaviour among Indonesian students: Analysis of the 2019 Global Youth Tobacco Survey

Faisal,

Putra,

Nadira

2022

PHPMA

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Background and purpose: The smoking prevalence in youths aged 10-18 years in Indonesia increased from 7.2% in 2013 to 9.1% in 2018. The aim of this study was to assess factors related to smoking behavior among students in Indonesia. Methods: This is a secondary analysis of the 2019 Global Youth Tobacco Survey (GYTS) Indonesia data. The sampling technique used was two-stage cluster sampling, classified by schools and classes. The samples included in this analysis were all students aged 13-15 years who participated in the survey and have complete data, accounted for 9,789 respondents. The data were analysed with the Chi-Square Test and Logistic Regression with a 95% confidence interval and p value of 0.05. Results: A total of 3,595 students (36.72%) had smoked. The number of respondents was the most in the age group of 13-15 years (51.43%). The number of male respondents was 44.01% and women 55.99%. Most students (90.29%) had seen cigarette advertisements, 55.88% of them saw people smoking in school areas and 46.88% saw teachers smoking at schools. The results of a multivariate analysis found factors affected smoking behaviour in students were the friend's offer to smoke (AOR=10.69; 95%CI: 7.37-15.50), male gender (AOR=13.94; 95%CI: 11.56–16.81) and presence of people smoking in the house (AOR=2.15; 95%CI: 1.88-2.45). Conclusion: Environmental cues and peer pressure are associated with smoking among students. Optimizing smoke free and health education about the dangers of cigarettes is essential to counteract the extensive exposure to environmental influence to smoking.

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“…The survey employed dichotomised core questionnaires that included a set of optional questions. These questionnaires addressed various aspects related to tobacco use, such as smoking and smokeless tobacco, smoking cessation, exposure to secondhand smoke (SHS), both pro and anti-tobacco media and advertising, access to and availability of tobacco products, as well as knowledge and attitudes regarding tobacco use [ 24 ]. We relied on the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines in preparing this paper.…”

Section: Methodsmentioning

confidence: 99%

Exposure to pro-tobacco and anti-tobacco media messages and events and smoking behaviour among adolescents in Gambia

Addo,

Acquah,

Nyarko

et al. 2024

BMC Public Health

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Background Despite the widespread prevalence of adolescent smoking in Gambia, a West African country, there is limited research exploring the relationships between exposure to pro-tobacco and anti-tobacco media messages and events and smoking behaviour among young people. This study investigates the interplay of these exposures and smoking behaviour among 11-17-year-old adolescents in Gambia. Methods Secondary data analysis was conducted using the 2017 Gambia Global Youth and Tobacco Survey (GYTS), which included a total of 9,127 respondents. Descriptive and inferential analyses, including proportions, Pearson’s chi-squared tests, and multivariable logistic regression models, were employed to estimate adjusted odds ratios (aOR) with 95% confidence intervals (CI). Results The final model revealed significant associations between exposure to anti-tobacco media messages and events and smoking behaviour. Adolescents exposed to anti-tobacco media messages had a 29% increased odds of smoking (aOR 1.29,CI = 1.08,1.53) compared to those unexposed, while exposure to anti-tobacco media events showed a 31% increased odds (aOR 1.31,CI = 1.09,1.59) compared to those unexposed. Exposure to pro-tobacco messages, such as witnessing tobacco use on TV (aOR 1.41, CI = 1.17,1.69) and owning objects with tobacco brand logos (aOR 1.49,CI = 1.19,1.86), was associated with higher odds of smoking. Covariates, including sex, age, and exposure to smoking behaviour by significant others, also demonstrated associations with smoking behaviour. Notably, male respondents showed significantly higher odds of smoking (aOR = 4.01,CI = 3.28,4.89) compared to females. Respondents aged 15 years and older had increased odds of smoking (aOR = 1.47,CI = 1.22,1.76) compared to those below 15 years old. Those whose fathers smoke displayed higher odds of smoking (aOR = 1.35, CI = 1.04,1.76) compared to individuals with non-smoking parents. Additionally, those whose closest friends smoke showed remarkably higher odds of smoking (aOR = 2.87,CI = 2.37, 3.48) compared to those without such influence. Conclusion This study underscores the significant impact of exposure to both anti-tobacco and pro-tobacco media messages and events on smoking behaviour among adolescents in Gambia. However, pro-tobacco messages had a greater influence on smoking prevalence than anti-tobacco messages and events. Understanding these associations is crucial for devising effective public health interventions aimed at reducing tobacco use in this population.

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Tobacco use among young adolescents in Myanmar: Findings from global youth tobacco survey

Abstract: Myanmar has higher prevalence of tobacco use among students, especially among boys. The study provides evidence-based information for developing comprehensive tobacco control programs - both education and policy interventions to reduce smoking rate among young people in Myanmar.

Cited by 11 publications

References 0 publications

Commercial determinants of youth smoking in ASEAN countries: A narrative review of research investigating the influence of tobacco advertising, promotion, and sponsorship

Commercial determinants of youth smoking in ASEAN countries: A narrative review of research investigating the influence of tobacco advertising, promotion, and sponsorship

Factors associated with smoking behaviour among Indonesian students: Analysis of the 2019 Global Youth Tobacco Survey

Exposure to pro-tobacco and anti-tobacco media messages and events and smoking behaviour among adolescents in Gambia

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