Using an ecological model of health behaviour to identify factors associated with smoking behaviour among Buddhist novices in Thailand: a cross-sectional digital survey
Objective Buddhist novices reside in Buddhist temples, which are legally designated as smoke-free areas. Nevertheless, similar to other men in their age group, they are susceptible to various risk factors that lead to smoking. This digital survey aimed to examine tobacco smoking and its associated f...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-04-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/4/e082734.full |
| _version_ | 1797205767446593536 |
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| author | Sarunya Benjakul Saroj Nakju Wisit Thitavisiddho (Wongsai) Thawatchai Junjula |
| author_facet | Sarunya Benjakul Saroj Nakju Wisit Thitavisiddho (Wongsai) Thawatchai Junjula |
| author_sort | Sarunya Benjakul |
| collection | DOAJ |
| description | Objective Buddhist novices reside in Buddhist temples, which are legally designated as smoke-free areas. Nevertheless, similar to other men in their age group, they are susceptible to various risk factors that lead to smoking. This digital survey aimed to examine tobacco smoking and its associated factors among Buddhist novices in Thailand.Design A cross-sectional digital survey.Setting 88 temple-based schools in Thailand.Participants A stratified two-stage cluster sampling method was employed to select 5371 novices. Data were collected between June and August 2022 using self-administered electronic questionnaires.Measure Descriptive statistics and multivariable logistic regression analysis were used to identify the associated factors.Results Overall, 32.8% of the respondents reported they had tried smoking, and the average age of initiation was 12.4 years. In the past 30 days, 25.7% had smoked any tobacco product. Multiple factors following the ecological model of health behaviour were found to be statistically associated with smoking by 37.3%. Among these were intrapersonal-level factors, such as age, living in the southern region and attempted smoking. Two were interpersonal-level factors: the smoking behaviour of close relatives, specifically parents, and their respected monks. Two were institutional-level factors: perceiving that temple-based schools are smoke-free areas and exposure to secondhand smoke. Three factors at the community and policy levels were noticed tobacco advertising at the point of sale, social media and tobacco promotion.Conclusion The findings of this study support the development of comprehensive intervention programmes that address the multiple factors to prevent Buddhist novices from smoking. |
| first_indexed | 2024-04-24T08:56:21Z |
| format | Article |
| id | doaj.art-c3200f15515649e1a1e1be303e2225d4 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-24T08:56:21Z |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-c3200f15515649e1a1e1be303e2225d42024-04-16T07:30:09ZengBMJ Publishing GroupBMJ Open2044-60552024-04-0114410.1136/bmjopen-2023-082734Using an ecological model of health behaviour to identify factors associated with smoking behaviour among Buddhist novices in Thailand: a cross-sectional digital surveySarunya Benjakul0Saroj Nakju1Wisit Thitavisiddho (Wongsai)2Thawatchai Junjula3Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, ThailandFaculty of Public Health, Ramkhamhaeng University, Bangkok, ThailandMahachulalongkornrajavidyalaya University, Chiang Mai, ThailandMahachulalongkornrajavidyalaya University, Chiang Mai, ThailandObjective Buddhist novices reside in Buddhist temples, which are legally designated as smoke-free areas. Nevertheless, similar to other men in their age group, they are susceptible to various risk factors that lead to smoking. This digital survey aimed to examine tobacco smoking and its associated factors among Buddhist novices in Thailand.Design A cross-sectional digital survey.Setting 88 temple-based schools in Thailand.Participants A stratified two-stage cluster sampling method was employed to select 5371 novices. Data were collected between June and August 2022 using self-administered electronic questionnaires.Measure Descriptive statistics and multivariable logistic regression analysis were used to identify the associated factors.Results Overall, 32.8% of the respondents reported they had tried smoking, and the average age of initiation was 12.4 years. In the past 30 days, 25.7% had smoked any tobacco product. Multiple factors following the ecological model of health behaviour were found to be statistically associated with smoking by 37.3%. Among these were intrapersonal-level factors, such as age, living in the southern region and attempted smoking. Two were interpersonal-level factors: the smoking behaviour of close relatives, specifically parents, and their respected monks. Two were institutional-level factors: perceiving that temple-based schools are smoke-free areas and exposure to secondhand smoke. Three factors at the community and policy levels were noticed tobacco advertising at the point of sale, social media and tobacco promotion.Conclusion The findings of this study support the development of comprehensive intervention programmes that address the multiple factors to prevent Buddhist novices from smoking.https://bmjopen.bmj.com/content/14/4/e082734.full |
| spellingShingle | Sarunya Benjakul Saroj Nakju Wisit Thitavisiddho (Wongsai) Thawatchai Junjula Using an ecological model of health behaviour to identify factors associated with smoking behaviour among Buddhist novices in Thailand: a cross-sectional digital survey BMJ Open |
| title | Using an ecological model of health behaviour to identify factors associated with smoking behaviour among Buddhist novices in Thailand: a cross-sectional digital survey |
| title_full | Using an ecological model of health behaviour to identify factors associated with smoking behaviour among Buddhist novices in Thailand: a cross-sectional digital survey |
| title_fullStr | Using an ecological model of health behaviour to identify factors associated with smoking behaviour among Buddhist novices in Thailand: a cross-sectional digital survey |
| title_full_unstemmed | Using an ecological model of health behaviour to identify factors associated with smoking behaviour among Buddhist novices in Thailand: a cross-sectional digital survey |
| title_short | Using an ecological model of health behaviour to identify factors associated with smoking behaviour among Buddhist novices in Thailand: a cross-sectional digital survey |
| title_sort | using an ecological model of health behaviour to identify factors associated with smoking behaviour among buddhist novices in thailand a cross sectional digital survey |
| url | https://bmjopen.bmj.com/content/14/4/e082734.full |
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