Abstract

Background:This study investigates the socio-demographic factors associated with smoking status in five Southeast Asian countries: Malaysia, Thailand, Indonesia, Vietnam, and Philippines. Methods:This cross-sectional study utilizes data of adults ≥15 years who completed the Global Adult Tobacco Surveys. Ordered probit analysis is used to account for the smoking statuses of non-smokers, occasional smokers, and daily smokers. Results:Malaysian and Vietnamese households with more family members face lower smoking likelihoods than otherwise. Urbanites in Philippines and rural residents in Thailand and Indonesia are more likely to smoke on occasional and daily basis than others. Males are consistently more likely to smoke occasionally or daily and less likely to be non-smokers than females across all countries. Younger middle-age (retiree) individuals aged 30-35 (≥60) years in Malaysia and Thailand exhibit higher (lower) likelihoods to smoke occasionally or daily than their younger cohorts aged 15-29 years. Individuals aged 30 years and above in Indonesia, Vietnam, and Philippines display higher daily smoking propensities than others. Higher education levels dampens smoking likelihoods and increases non-smoking propensities in all countries. Non-government or self-employed workers in all countries are more likely to smoke occasionally or daily than unemployed persons. Being married is associated with higher non-smoking likelihoods in Thailand although this association is not evident in Malaysia.Conclusion:These findings suggest that a portfolio of targeted interventions is necessary to meet the needs of specific subpopulations within the various countries.

Highlights

  • Cigarette smoking is a major modifiable risk factor for a number of non-communicable diseases (Uddin et al, 2020)

  • This study investigates the socio-demographic factors associated with smoking status in five Southeast Asian countries: Malaysia, Thailand, Indonesia, Vietnam, and Philippines

  • We extend the analysis by exploiting the unique feature of the datasets available for the countries in question, and use an ordered probit model to examine the socio-demographic factors associated with the multi-outcome smoking status of a non-smoker, occasional smoker, and daily smoker

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Summary

Introduction

Cigarette smoking is a major modifiable risk factor for a number of non-communicable diseases (Uddin et al, 2020). Adult smoking in countries across Asia have remained high (World Health Organization, 2016; Ritchie and Roser, 2020). While countries such as Malaysia, Thailand, Philippines, and Vietnam experienced declining trends in adult smoking between 2000–2015, prevalence rates remained high as more than 30% of males aged 15 years and above still smoked some type of tobacco product (World Health Organization, 2016). Indonesian smokers ranked highest among ASEAN countries (Kristina et al, 2015) as smoking prevalence increased from 56.2% in 2000 to 76.2% in 2015 (World Health Organization, 2016). Younger middle-age (retiree) individuals aged 30-35 (≥60) years in Malaysia and Thailand exhibit higher (lower) likelihoods to smoke occasionally or daily than their younger cohorts aged 15-29 years. Individuals aged 30 years and above in Indonesia, Vietnam, and Philippines display higher daily smoking propensities than others. Being married is associated with higher non-smoking likelihoods in Thailand this association is not evident in Malaysia.Conclusion: These findings suggest that a portfolio of targeted interventions is necessary to meet the needs of specific subpopulations within the various countries

Methods
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