Impact of tobacco control policies on adolescent smoking: findings from the Global Youth Tobacco Survey in Taiwan
Article first published online: 24 JUL 2013
© 2013 Society for the Study of Addiction
Volume 108, Issue 10, pages 1829–1835, October 2013
How to Cite
Huang, S.-L., Lin, I.-F., Chen, C.-Y. and Tsai, T.-I. (2013), Impact of tobacco control policies on adolescent smoking: findings from the Global Youth Tobacco Survey in Taiwan. Addiction, 108: 1829–1835. doi: 10.1111/add.12259
- Issue published online: 13 SEP 2013
- Article first published online: 24 JUL 2013
- Accepted manuscript online: 28 MAY 2013 06:04AM EST
- Manuscript Accepted: 20 MAY 2013
- Manuscript Revised: 4 JAN 2013
- Manuscript Received: 6 SEP 2012
- programme evaluation;
To assess the impact of a set of comprehensive tobacco control policies implemented in Taiwan in 2009, including extensive smoke-free policy, advertisement ban, pictorial warning and price increase, on adolescent smoking prevalence.
Five waves of cross-sectional surveys.
Nationally representative sample of junior high schools aged 13–15 years, in a biennial survey, total sample size 101 100.
Core questionnaire of the Global Youth Tobacco Survey, including ever smoking, 30-day smoking and number of cigarettes smoked. The magnitude of prevalence change before and after the 2009 policy implementation was quantified by adjusted odds ratios estimated by piecewise logistic regression models.
The 30-day smoking prevalence demonstrated an upward trend [odds ratio (OR) = 1.06, 95% confidence interval (CI) = 1.02–1.10] between 2004 and 2008. Significant decline in 30-day smoking prevalence after the 2009 law implementation was observed (OR = 0.84, 95% CI = 0.71–0.99). Those living in non-city areas demonstrated a greater magnitude of change. In addition to changes in prevalence, we observed some delay in the age starting smoking, reduction in smokers who smoke fewer than one cigarette per day, and decrease in smokers who did not buy cigarettes. The decline in smoking prevalence was contributed primarily by the reduction in experimenters.
The comprehensive tobacco control programme introduced in Taiwan in 2009 was associated with a reduction in adolescent smoking, particularly among those in earlier stages of smoking and those who resided in non-city areas.