At present, 70% of the world's 1.1 billion smokers are in developing countries, with over 50% in Asia alone. The current study examined patterns of youth smoking in Thailand and Malaysia. Respondents were 2002 youths between the ages of 13 and 17 from Thailand (n = 1000) and Malaysia (n = 1002). Respondents were selected using a multistage cluster sampling design and surveyed between January 2005 and March 2005. Approximately 3% of youth between the ages of 13 and 17 were current smokers, with an additional 10% to 12% reporting experimental smoking. Males were between 7 and 15 times more likely to report smoking behavior than females. Less than 1% of females respondents in either country met the criteria for current smoking, and less than 5% met the criteria for experimental smoking. In contrast, more than 50% Thai males and approximately one-third of Malaysian males aged 17 met the criteria for either experimental or current smoking.
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smoking; tobacco use; youthTobacco use is the leading cause of preventable death among adults worldwide. 1 Currently, 1 in 10 adults die from tobacco use, and the health toll is increasing: by 2030, the number of tobacco-related deaths is predicted to double to approximately 10 million per year. 2,3 Although the prevalence of smoking among most Western countries has been in steady decline for more than a decade, smoking rates continue to rise in many developing countries. 4 Currently, 70% of the world's 1.1 billion smokers are in developing countries, Address correspondence to: David Hammond, PhD, Department of Health Studies and Gerontology, University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada; dhammond@uwaterloo.ca.
HHS Public AccessAuthor manuscript Asia Pac J Public Health. Author manuscript; available in PMC 2015 October 14.
Published in final edited form as:Asia Pac J Public Health. 2008 ; 20(3): 193-203. doi:10.1177/1010539508317572.
Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript with over 50% in Asia alone. 3 As a consequence, the health and economic burden of tobacco use is rapidly shifting from high to low and middle income countries.Asia is an, especially, important region for global tobacco control given its large population and the trajectory of smoking rates in the region. Out of 500 million smokers in Asia, the vast majority is males, and smoking remains relatively rare among females. In most countries, the smoking rate among males approaches or exceeds 50%, whereas less than 5% of females smoke. 4 However, this gender gap is projected to narrow, extrapolating from historical trends in Western countries. The prevalence of smoking among Asian women is expected to increase dramatically in the coming decades, particularly as the presence of multinational tobacco companies continues to grow in the region. 5Two Asian countries, Thailand and Malaysia, illustrate different stages of tobacco control in this critical region. For more than a decade, Thailand has served as a model for tobacco control in Asia. Thailan...