Page 90 - 5th APA Conference Program Book Final

1248 Onset trajectories of Tobacco Use in India, Pakistan and Bangladesh: A
Synthetic Cohort Analysis from Global Adult Tobacco Survey (GATS)

1
1,2
Pankhuri JAIN , Prashant K. SINGH , Shalini SINGH
1,2
1 Indian Council of Medical Research - National Institute of Cancer Prevention and Research, Noida, India. WHO
2
FCTC Knowledge Hub on Smokeless Tobacco, Noida, India
Categories

8. Population Dynamics, Demographic Transition and Population Ageing

Abstract

Tobacco is a primary contributor to preventable morbidities and mortality. Monitoring of tobacco use, especially
among youth is crucial as risk of health effects posed by tobacco are highest among those who start early.

In a first-of-its-kind study, age of initiation of tobacco use (smoked (ST)/smokeless tobacco (SLT)) was analysed
across India, Pakistan and Bangladesh using synthetic cohort. Data from Global Adult Tobacco Survey was utilised
to determine Age of Initiation of tobacco use across six decades. This analysis will also include gender, type of
product (Cigarettes, gutkha, naswar, etc.) and geographical distribution. Factors and determinants associated with
age of initiation will be analysed with relevant socio-economic characteristics and across regions.

In India, in a span of six decades, the percentage of individuals initiating use of ST at the age of <15, has become
distressingly six-fold. In Pakistan, 7.56% (95% CI 0.87-43.23) individuals aged 75-79 reported SLT use at <15 years,
that number has risen to 11-times at 77.30% (95% CI 50.15-92.02) among those individuals who were between the
ages 15-19 at the time of interview. These figures are a cause for concern as this points to the inability of the current
tobacco-control strategies in taming this epidemic.

590 An Analysis of the Resilience Process: The Stimulus of Mental Strength and the
Role of Community and Family Support amidst the Civil Violence in Thailand.

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2
Aphichat CHAMRATRITHIRONG , Aksarapak LUCKTONG , Aree JAMPAKLAY , Kathleen FORD
1,3
1
2
1 Institute for Population and Social Research, Mahidol University, Nakhon Prathom, Thailand. School of Liberal
3
Arts, King Mongkut’s University of Technology, Bangkok, Thailand. School of Public Health, University of
Michigan, Michigan, USA
Categories

13. Others (Education, Wellbeing and Happiness etc.)

Abstract

Civil violence has been occurring in the three southernmost provinces of Thailand for an extended period of
time. Despite the disturbance, the residents seem to maintain a high level of mental strength and well-being. This
study aims to investigate the progression of resilience amidst the prevailing violence, the gaining of mental
strength, and retaining happiness in the context of prevailing family and community support. A probability sample
survey conducted in 2014 including 2,053 residents of the three southernmost provinces of Thailand was used. The

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