Implementation of tobacco control policy at the local level in Thailand: Performance evaluation and associated factors.

IF 1.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Induced Diseases Pub Date : 2025-05-07 eCollection Date: 2025-01-01 DOI:10.18332/tid/203868

Chakkraphan Phetphum, Orawan Keeratisiroj, Artittaya Wangwonsin, Wutthichai Jariya

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引用次数: 0

Abstract

Introduction: Tobacco use is one of the top five risk factors for disability-adjusted life years globally, including Thailand. Consequently, Thailand has enacted the Tobacco Products Control Act in alignment with the World Health Organization Framework Convention on Tobacco Control. To facilitate national tobacco control policies at the local level, Provincial Tobacco Products Control Committees (PTPCCs) have been established in all 77 provinces. This study aimed to assess the performance of PTPCCs in implementing the tobacco control policy and to identify its associated factors.

Methods: This cross-sectional survey utilized a self-reported online questionnaire to collect data between May and August 2023. The target population comprised secretaries of PTPCCs across 77 provinces. The survey achieved a completion rate of 75.32%, with responses from 58 provinces.

Results: Among the 58 responding provinces, 53% achieved the law enforcement indicator, 43% met the target for prevention of new smokers, and only 34% achieved the smoking cessation performance. Multiple logistic regression analysis revealed that adequate access to policy information was strongly associated with achieving law enforcement (AOR=10.53; 95% CI: 1.20-92.23). The availability of adequate media resources was significantly associated with successful prevention of new smokers (AOR=8.64; 95% CI: 2.09-35.67). Stronger characteristics of implementing agencies - referring to the provincial governor's commitment to tobacco control policy and the engagement of public and private stakeholders - were positively associated with smoking cessation performance (AOR=2.05; 95% CI: 1.13-3.71).

Conclusions: PTPCCs should be strengthened through adequate access to policy information, sufficient media resources, and strong provincial leadership with multi-sectoral engagement, as these factors are critical to effective policy performance. Enhancing these components will improve the implementation of tobacco control policy at the local level.

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泰国地方一级烟草控制政策的实施：绩效评价和相关因素。

烟草使用是包括泰国在内的全球残疾调整生命年的五大风险因素之一。因此，泰国根据世界卫生组织《烟草控制框架公约》颁布了《烟草制品控制法》。为了促进地方一级的国家烟草控制政策，所有77个省都建立了省级烟草制品控制委员会。本研究旨在评估PTPCCs在实施烟草控制政策方面的表现，并确定其相关因素。方法：本研究采用横断面调查方式，于2023年5月至8月间采用自填式在线问卷收集数据。目标人群包括77个省的政协秘书。该调查的完成率为75.32%，来自58个省份。结果：58个省份中，执法指标达到53%，新烟民预防目标达到43%，戒烟绩效达到34%。多元逻辑回归分析显示，充分获取政策信息与实现执法密切相关(AOR=10.53；95% ci: 1.20-92.23)。获得足够的媒体资源与成功预防新吸烟者显著相关(AOR=8.64；95% ci: 2.09-35.67)。实施机构的更强特征——指省长对烟草控制政策的承诺以及公共和私人利益攸关方的参与——与戒烟绩效呈正相关(AOR=2.05；95% ci: 1.13-3.71)。结论：PTPCCs应通过充分获取政策信息、充足的媒体资源和强有力的省级领导以及多部门参与来加强，因为这些因素对有效的政策绩效至关重要。加强这些组成部分将改善地方一级烟草控制政策的实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.