Phetphum Chakkraphan, Keeratisiroj Orawan, Wangwonsin Artittaya, Jariya Wutthichai
Department of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand.
Tobacco Control Research Unit, Naresuan University, Phitsanulok, Thailand.
Tob Induc Dis. 2025 May 7;23. doi: 10.18332/tid/203868. eCollection 2025.
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.
在全球范围内，包括泰国，烟草使用是导致残疾调整生命年的五大风险因素之一。因此，泰国已根据《世界卫生组织烟草控制框架公约》颁布了《烟草制品控制法》。为了在地方层面推动国家烟草控制政策，泰国在其全部77个省份都设立了省级烟草制品控制委员会（PTPCC）。本研究旨在评估省级烟草制品控制委员会在实施烟草控制政策方面的表现，并确定其相关因素。
这项横断面调查于2023年5月至8月期间，通过自填式在线问卷收集数据。目标人群包括77个省份的省级烟草制品控制委员会秘书。该调查的完成率为75.32%，共收到来自58个省份的回复。
在回复的58个省份中，53%达到了执法指标，43%实现了预防新烟民的目标，而只有34%实现了戒烟成效。多元逻辑回归分析显示，政策信息的充分获取与实现执法显著相关（比值比=10.53；95%置信区间：1.20-92.23）。充足的媒体资源与成功预防新烟民显著相关（比值比=8.64；95%置信区间：2.09-35.67）。实施机构更强的特征——指省长对烟草控制政策的承诺以及公共和私营利益相关者的参与——与戒烟成效呈正相关（比值比=2.05；95%置信区间：1.13-3.71）。
应通过充分获取政策信息、充足的媒体资源以及省级强有力的领导和多部门参与来加强省级烟草制品控制委员会，因为这些因素对于有效的政策执行至关重要。加强这些方面将改善地方层面烟草控制政策的实施。
