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Linking data to tobacco control program action among students aged 13–15 in Association of Southeast Asian Nations (ASEAN) member states, 2000–2006
  1. N Sirichotiratana1,
  2. S Sovann2,
  3. T Y Aditama3,
  4. M Krishnan4,
  5. N N Kyaing5,
  6. M Miguel-Baquilod6,
  7. P T Hai7,
  8. D N Sinha8,
  9. C W Warren9,
  10. N R Jones10
  1. 1
    Faculty of Public Health, Mahidol University, Bangkok, Thailand
  2. 2
    National Center from Health Promotion, Ministry of Health, Phnom Penh, Cambodia
  3. 3
    Faculty of Medicine, Respiratory Medicine Department, University of Indonesia, Persahabatan Hospital, Jakarta, Indonesia
  4. 4
    Disease Control Division, Ministry of Health, Kuala Lumpur, Malaysia
  5. 5
    Department of Health, Ministry of Health, Yangon, Myanmar
  6. 6
    National Epidemiology Center, Department of Health, Manila, Philippines
  7. 7
    Ministry of Health, Hanoi, Vietnam
  8. 8
    Tobacco Free Initiative, World Health Organization South-East Asia Regional Office, New Delhi, India
  9. 9
    Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, Georgia USA
  10. 10
    Paul P Carbone Cancer Center, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin USA
  1. C W Warren, Centers for Disease Control, Office on Smoking and Health, 4770 Buford Highway, Atlanta, Georgia, MS-K50, 30341–3717, USA; wcw1{at}


Background: The Association of Southeast Asian Nations (ASEAN) has made tobacco use prevention a primary health issue. All ASEAN countries except Indonesia have ratified the World Health Organization Framework Convention on Tobacco Control (WHO FCTC), the world’s first public health treaty on tobacco control.

Methods: Global Youth Tobacco Survey (GYTS) data were collected from representative samples of students in school grades associated with ages 13–15 in Cambodia, Indonesia, Laos (Vientiane), Malaysia, Myanmar, Philippines, Singapore, Thailand and Vietnam (Hanoi).

Results: Current cigarette smoking ranged from less than 5% (Vietnam and Cambodia) to 20.2% in Malaysia. Current use of tobacco products other than cigarettes was less than 10% in all countries. Boys were significantly more likely than girls to smoke cigarettes or use other tobacco products. Exposure to second-hand smoke in public places was greater than 50%, direct pro-tobacco advertising exposure was greater than 75% and over 10% of students were exposed to indirect advertising. Over 60% of students who currently smoked cigarettes wanted to stop, but 80% who tried to quit in the year prior to the survey failed.

Conclusions: Efforts to reduce the current and projected harm caused by tobacco use in the ASEAN countries are urgently needed. ASEAN countries need to expand their national comprehensive tobacco prevention and control programs and enforce those laws already passed. Without this effort little reduction can be expected in the burden of chronic diseases and tobacco-related mortality.

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  • Competing interests: None.

  • Funding: Funding and technical support for this study were provided by the US Centers for Disease Control and Prevention and the World Health Organization. The authors had full access to the data featured in this report and do not have any conflicts or interests.

  • The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.