Strengthening of tobacco control strategies focusing on school students must be implemented
in Thailand. The important determinants including personal factors, socioeconomic status
and accessibility to tobacco are needed to be closely monitored and intervened. The influence
of smoking by family members, teachers and peers must be seriously taken into account.
Parents, family members and teachers should be aware of the effects of their smoking.
Tendency toward smoking were found in youth with family conflict, family financial stress,
lack of communication and supervision from parents. Smoking was also present among
students with poor academic achievement and students in vocational school. Tobacco control
measures should be implemented targeting these vulnerable groups.