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Background: In rich countries, smokers, active or passive, often belong to disadvantaged groups. Less is known of tobacco patterns in the developing world. Hence, we seek out to investigate mental and physical health consequences of smoke exposure as well as tobacco-related inequality in transitional middle-income Thailand., Methods: We studied a nationwide cohort of 87,151 middle-aged and older adults that we have been following for eight years (2005-2013) for emerging chronic diseases. Logistic regression was used to identify attributes associated with passive smoke exposure. Longitudinal associations between smoke exposure and wellbeing (SF-8) or psychological distress (Kessler 6) were investigated with multiple linear regression or multivariate logistic regression analysis., Results: A high proportion of cohort members, especially females, were passive smokers at home and at public transport stations; males were more exposed at workplace and recreational places. We observed a social gradient with more passive smoking in poorer people. We also observed a dose response relationship linking graded smoke exposures (current, former, passive, non-exposed) to less wellbeing and more psychological distress (p-trend < 0.001). Female smokers in general had less wellbeing and more distress., Conclusion: Our findings add to current knowledge on the impact of active and passive smoking on health in a transitional economy. Promotion of smoking cessation programs both in public and at home could also potentially reduce adverse disparities in health and wellbeing in middle and lower income settings such as Thailand.

Background: In rich countries, smokers, active or passive, often belong to disadvantaged groups. Less is known of tobacco patterns in the developing world. Hence, we seek out to investigate mental and physical health consequences of smoke exposure as well as tobacco-related inequality in transitional middle-income Thailand.Methods: We studied a nationwide cohort of 87,151 middle-aged and older adults that we have been following for eight years (2005-2013) for emerging chronic diseases. Logistic regression was used to identify attributes associated with passive smoke exposure. Longitudinal associations between smoke exposure and wellbeing (SF-8) or psychological distress (Kessler 6) were investigated with multiple linear regression or multivariate logistic regression analysis.Results: A high proportion of cohort members, especially females, were passive smokers at home and at public transport stations; males were more exposed at workplace and recreational places. We observed a social gradient with more passive smoking in poorer people. We also observed a dose response relationship linking graded smoke exposures (current, former, passive, non-exposed) to less wellbeing and more psychological distress (p-trend < 0.001). Female smokers in general had less wellbeing and more distress.Conclusion: Our findings add to current knowledge on the impact of active and passive smoking on health in a transitional economy. Promotion of smoking cessation programs both in public and at home could also potentially reduce adverse disparities in health and wellbeing in middle and lower income settings such as Thailand. [ABSTRACT FROM AUTHOR]

Miang or fermented tea leaf has been a part of the Mae Kampong community, one of northern Thailand's famous tourist attractions, for a long time. Although the demand and popularity of Miang are decreasing, Miang is still important to the community lifestyle in various ways. Thus, this study aimed to investigate Miang consumption behavior, lifestyle, and wisdom in the Mae Kampong community, which would lead to sustainable development. The study involved a cross-sectional survey and a qualitative study. The research was done in Mae Kampong Village, Mae On District, Chiang Mai, Thailand. A total of 335 participants participated; 60.9% were female with an average age of 61.3 ± 12.2 years old. In all, 93.7% of the participants consumed Miang daily, mostly as a snack (86.5%). Consuming Miang as a staple food and beverage were less common. Furthermore, only 2.5% of the participants considered Miang as medicine. Miang is also the primary source of income and a tourist attraction. Additionally, Miang is an item in religious and local rituals. The Miang culture and the local lifestyle are bonded deeply as a sustainable economy, society, and environment. The wisdom in Miang culture encourages a better quality of life for the Mae Kampong community. [ABSTRACT FROM AUTHOR]