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Tobacco Induced Diseases
Article . 2025 . Peer-reviewed
License: CC BY
Data sources: Crossref
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Tobacco Induced Diseases
Article . 2025
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Implementation of tobacco control policy at the local level in Thailand: Performance evaluation and associated factors

Authors: Chakkraphan Phetphum; Orawan Keeratisiroj; Artittaya Wangwonsin; Wutthichai Jariya;

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

Abstract

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.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.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).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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Keywords

Diseases of the respiratory system, RC705-779, who fctc, law enforcement, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, tobacco policy, policy evaluation, policy implementation, RC254-282, Research Paper

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
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