Abstract

Migrant workers commonly face many health disparities when they relocate to a foreign work environment. Many workers migrating to Thailand are young unskilled workers from Myanmar. In this study, we examine factors associated with Myanmar migrant workers’ smoking status and characterized smoking-related knowledge, attitudes, and behavior in one seafood factory in Thailand. This descriptive study utilized person-to-person interviews among 300 Myanmar migrants in one seafood factory in Thailand, of which 94.3% were young males between 18 and 39 years of age. Results demonstrated that 90% were current daily smokers, over 90% smoked 30–60 times per month, and 95% spent less than 500 baht (US $16) per month on smoking. About 70% of current smokers had 6–10 friends who smoked, compared with 40% of non-smokers (chi-square, p-value ≤ 0.07). Among this sample of mainly male migrant workers, smoking is very common, in part driven through social contact, but levels of dependence appear relatively low. The results suggest potential intervention approaches to reduce high smoking prevalence among this population, such as targeting young males and addressing their concerns about negative attitudes by peers to tobacco use and the unhealthful exposures of women and children in their families and the larger community.

Highlights

  • Tobacco-related illness is the leading cause of death of more than eight million people worldwide each year [1]

  • Non-communicable diseases (NCDs) are rapidly increasing in low- and middle-income countries (LMICs), and smoking plays a major role in all major NCDs [4]

  • This study aims to characterize smoking status and the factors that influence smoking-related behaviors among a sample of male migrant workers from Myanmar working in the seafood industry in Thailand

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Summary

Introduction

Tobacco-related illness is the leading cause of death of more than eight million people worldwide each year [1]. About 80% of the world’s 1.3 billion smokers are from low- and middle-income countries (LMICs), with most from Asia [2]. One-fifth of smokers worldwide are from the Southeast Asia region [3]. Non-communicable diseases (NCDs) are rapidly increasing in LMICs, and smoking plays a major role in all major NCDs (cardiovascular disease, cancer, respiratory disease, and diabetes) [4]. Migrant populations are increasing worldwide, including in Thailand. In 2019, there were 277 million migrants, with 60% born in Asia and most relocating to countries in

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