2012-12-31-世界卫生组织-2013_GYTS_Country_Report_Bangladesh_82页_1mb

Overview: The Global Youth Tobacco Survey (GYTS) is a standardized survey for monitoring youth tobacco use and implementation of tobacco control measures, aligned with the WHO Framework Convention on Tobacco Control (FCTC) and its MPOWER initiative. The 2013 Bangladesh report highlights youth tobacco habits, with 4.5% using smokeless tobacco products and 2.9% smoking cigarettes, significantly more prevalent among boys.

Bangladesh Context: Bangladesh, a low-income country with a population of ~160 million, faces a growing tobacco crisis. The 2013 Tobacco Control Law amendment strengthened regulations, but challenges remain in enforcement, with high youth tobacco use and exposure.

Key Findings:

• Tobacco Use: Among students aged 13-15 years, 6.9% were current tobacco users (including smoking and smokeless forms). Key issues included early initiation (56.4% smoked between ages 12-13), susceptibility to future use, and low cessation attempts (35.4% tried to quit in the past year).
• Secondhand Smoke: Nearly one-third (31.1%) of students were exposed to tobacco smoke at home, and 55.8% to secondhand smoke in public places, indicating widespread environmental tobacco exposure.
• Access and Marketing: Most cigarettes were purchased from stores/vendors (60.1%), and minors often bypassed age restrictions. Students were highly exposed to tobacco marketing, with 9% owning branded items.
• Knowledge and Attitudes: Two-thirds (66.2%) saw anti-tobacco messages, but rates dropped from 2007. Most youth (75.4%) favored banning smoking in public places, and 59.9% wanted to quit smoking.

Comparisons with Previous Data (2007): Tobacco use rates did not decrease; secondhand smoke exposure in public places increased, and anti-smoking media reach declined. Increases in accessing cigarettes via stores highlight implementation gaps.

Recommendations: Strengthen tobacco control policies, including raising taxes to deter youth, enforcing age restrictions, expanding school-based education programs, and improving access to cessation services to reduce tobacco use and smoking initiation among youth.