Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Addiction potential of manufactured- and rolled- cigarette in South East Asian Countries

Last modified: 2018-08-07


Background: Addition potential of various tobacco products helps in its continued use and results in dose-dependent carcinogenic risk . This study estimates and compares addiction potential of manufactured- and rolled-cigarette in SEA countries.

Materials and methods: Global Adult Tobacco Survey data (first-wave) of India, Indonesia, Bangladesh and Thailand was analyzed for dependence and its outcome indicators i.e. . time-to-first-smoke(TTFS), cigarettes-per-day(CPD), inability-to-quit and poor quit-intention. The TTFS and addiction score among exclusive users of rolled- and manufactured-cigarette were compared. .


Results: Exclusive use of manufactured- and rolled- cigarette in SEA ranged between 0.8%(Indonesia)-9.3%(Thailand) and 0%(Bangladesh)-7.1%(Thailand) respectively. Mean CPD for rolled-cigarette was higher than that of manufactured-cigarette. Significantly rolled-cigarette smokers (range:40.9-76.1%) smoked within 30 minutes of waking up than manufactured-cigarette 32.8-57.8%) users. Mean addiction score was significantly higher across countries for rolled-cigarette(range:4.4-5.45) than manufactured cigarette(3.2-4.16). Country wise mean TTFS score was higher for rolled- than manufactured cigarette. The association between standard TTFS and addiction score was significant, positive and strong (r>0.7).


Conclusions: The addiction potential of locally made, less regulated and more dangerous rolled-cigarette than that of manufactured cigarette is a significant concern and needs to be addressed by contextual and cultural interventions.


Keywords: Addiction potential, rolled cigarette, manufactured cigarette, SEA, time-to-first-smoke