title: Current manufactured cigarette smoking and roll-your-own cigarette smoking in Thailand: findings from the 2009 Global Adult Tobacco Survey.
abstract: BACKGROUND
  Current smoking prevalence in Thailand decreased from 1991 to 2004 and since that time the prevalence has remained flat. It has been suggested that one of the reasons that the prevalence of current smoking in Thailand has stopped decreasing is due to the use of RYO cigarettes. The aim of this study was to examine characteristics of users of manufactured and RYO cigarettes and dual users in Thailand, in order to determine whether there are differences in the characteristics of users of the different products.
  
  
  METHODS
  The 2009 Global Adult Tobacco Survey (GATS Thailand) provides detailed information on current smoking patterns. GATS Thailand used a nationally and regionally representative probability sample of 20,566 adults (ages 15 years and above) who were chosen through stratified three-stage cluster sampling and then interviewed face-to-face.
  
  
  RESULTS
  The prevalence of current smoking among Thai adults was 45.6% for men and 3.1% for women. In all, 18.4% of men and 1.0% of women were current users of manufactured cigarettes only, while 15.8% of men and 1.7% of women were current users of RYO cigarettes only. 11.2% of men and 0.1% of women used both RYO and manufactured cigarettes. Users of manufactured cigarettes were younger and users of RYO were older. RYO smokers were more likely to live in rural areas. Smokers of manufactured cigarettes appeared to be more knowledgeable about the health risks of tobacco use. However, the difference was confounded with age and education; when demographic variables were controlled, the knowledge differences no longer remained. Smokers of manufactured cigarettes were more likely than dual users and those who used only RYO to report that they were planning on quitting in the next month. Users of RYO only appeared to be more addicted than the other two groups as measured by time to first cigarette.
  
  
  CONCLUSIONS
  There appears to be a need for product targeted cessation and prevention efforts that are directed toward specific population subgroups in Thailand and include information on manufactured and RYO cigarettes.
authors.affiliation: Bureau of Tobacco Control, Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand.
authors.forename: Sarunya
authors.initials: S
authors.lastname: Benjakul
authors.forename: Lakkhana
authors.initials: L
authors.lastname: Termsirikulchai
authors.forename: Jason
authors.initials: J
authors.lastname: Hsia
authors.forename: Mondha
authors.initials: M
authors.lastname: Kengganpanich
authors.forename: Hataichanok
authors.initials: H
authors.lastname: Puckcharern
authors.forename: Chitrlada
authors.initials: C
authors.lastname: Touchchai
authors.forename: Areerat
authors.initials: A
authors.lastname: Lohtongmongkol
authors.forename: Linda
authors.initials: L
authors.lastname: Andes
authors.forename: Samira
authors.initials: S
authors.lastname: Asma
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D002681:China / Q000453:epidemiology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011159:Population Surveillance; D015995:Prevalence; D019064:Product Packaging / Q000379:methods*; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D017678:Sex Distribution; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D013785:Thailand / Q000453:epidemiology; D062789:Tobacco Products / Q000706:statistics & numerical data*