2010-12-31-世界卫生组织-2011_GATS_Country_Report_Thailand_280页_7mb

报告摘要

Summary of the Global Adult Tobacco Survey: Thailand Report, 2011

Core Content

The Global Adult Tobacco Survey (GATS) is a standardized survey designed to monitor tobacco use and control measures in a nationally representative sample. Conducted in Thailand in 2009 and 2011, the survey aimed to evaluate the impact of tobacco control initiatives and support the implementation of the WHO Framework Convention on Tobacco Control (FCTC), particularly the MPOWER strategies, which outline six key tobacco control measures. The survey data were used to inform policy decisions, improve public health interventions, and assess progress in reducing tobacco-related harm.

Main Topics Covered

The GATS survey focused on the following key areas:

Tobacco Use: Prevalence of smoking and smokeless tobacco use.
Cessation: Quit attempts and cessation methods used.
Second-hand Smoke (SHS): Exposure to SHS in various settings.
Economics: Costs of tobacco products.
Media: Awareness and influence of media on tobacco use.
Knowledge, Attitudes, and Perceptions (KAP): Public understanding and views on tobacco use.

Key Findings

Tobacco Use

In 2011, 20.7% of adults aged 15 years and above were current smokers, a significant 11.3% decrease from 2009.
Smokeless tobacco use remained relatively stable, with about 10.9% of adults using it in 2011.
Smoking prevalence varied by demographic characteristics, including age, gender, and region.
Daily smoking was more common among males and younger adults.

Cessation

A notable proportion of current smokers expressed an interest in quitting.
Many smokers attempted to quit in the past 12 months, with some receiving advice from healthcare providers.
Cessation methods included nicotine replacement therapy, counseling, and other support systems.
There was a trend towards increased use of cessation methods over time, indicating improved awareness and access to support.

Second-hand Smoke

Exposure to SHS in homes and workplaces was still prevalent among non-smokers.
Non-smokers were more likely to be exposed to SHS in public places.
Awareness of the risks associated with SHS increased, but implementation of smoke-free policies was not fully reflected in behavior change.

Economics

The cost of manufactured cigarettes and shredded tobacco products was analyzed.
Economic data provided insights into affordability and usage patterns.
The cost of tobacco products was compared between 2009 and 2011 to assess changes in consumption behavior.

Media

Media awareness was linked to changes in smoking behavior.
Public health campaigns and anti-smoking messages were effective in shaping attitudes and perceptions.

Knowledge, Attitudes, and Perceptions (KAP)

Public knowledge about the health risks of tobacco use improved.
Attitudes toward smoking became more negative, especially among younger adults.
Perceptions of tobacco use were influenced by media, education, and policy implementation.

Survey Objectives

To provide national representative data on tobacco use and control.
To monitor the effectiveness of tobacco control policies.
To support the implementation of the MPOWER strategy.
To identify gaps in tobacco control programs and suggest improvements.

Methodology Overview

The survey followed a standardized protocol developed by WHO and CDC.
It included structured questionnaires, random sampling, and data collection through trained interviewers.
The survey covered demographic characteristics, smoking patterns, cessation behavior, and exposure to SHS.
Data were analyzed using statistical methods to ensure accuracy and reliability.

Significance of the Survey

The repeat survey in 2011 allowed for a comparative analysis with the 2009 data.
It provided baseline data for future tobacco control efforts.
The results were crucial for policy formulation, program evaluation, and public health planning.
The survey helped track progress toward a smoke-free Thailand and highlighted the need for continued efforts.

Key Stakeholders and Support

The survey was supported by the World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), and Bloomberg Philanthropies.
National Statistical Office (NSO) and Department of Disease Control (DDC) played a central role in implementation.
Collaboration with non-governmental organizations (NGOs), civil society, and academic institutions ensured comprehensive data collection and analysis.

Conclusion and Recommendations

The GATS report emphasized the importance of continuous monitoring and data-driven policy-making.
It recommended strengthening cessation programs, improving public awareness, and enforcing smoke-free policies.
The survey also highlighted the need for better enforcement of tobacco control regulations and increased support for tobacco control initiatives.
The results will serve as a foundation for future tobacco control strategies in Thailand and contribute to international tobacco surveillance efforts.