The impacts on the economy, health, and environment resulting from tobacco cultivation: A cross-sectional survey of tobacco farmer perspectives in Thailand

Introduction Tobacco cultivation is associated with financial instability, health risks, and environmental degradation. While Thailand has made progress in tobacco control, challenges remain in supporting farmers with sustainable alternatives. This study examined the perceived economic, health, and...

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Main Authors: Chakkraphan Phetphum, Raphael Lencucha
Format: Article
Language:English
Published: European Publishing 2025-05-01
Series:Tobacco Induced Diseases
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Online Access:https://www.tobaccoinduceddiseases.org/The-impacts-on-the-economy-health-and-environment-resulting-from-tobacco-cultivation,204301,0,2.html
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author Chakkraphan Phetphum
Raphael Lencucha
author_facet Chakkraphan Phetphum
Raphael Lencucha
author_sort Chakkraphan Phetphum
collection DOAJ
description Introduction Tobacco cultivation is associated with financial instability, health risks, and environmental degradation. While Thailand has made progress in tobacco control, challenges remain in supporting farmers with sustainable alternatives. This study examined the perceived economic, health, and environmental impacts of tobacco cultivation among Thai tobacco farmers. Methods A cross-sectional survey was conducted from October 2021 to January 2022 in Chiang Mai, Phrae, and Sukhothai, the major tobacco-growing provinces in Thailand. A total of 1505 tobacco farmers completed self-administered questionnaires. The instrument measured perceived impacts on a 3-point Likert scale (low to high). Frequencies and proportions for descriptive statistics are reported along with adjusted odds ratios and 95% confidence intervals for logistic regression models. Results Economic impacts were most frequently reported (43.7%), particularly increased debt (47.6%) and income loss (43.5%). Health impacts (31.6%) included symptoms of Green Tobacco Sickness (47.2%) and reduced work capacity (29.9%). Environmental concerns (14.4%) included pesticide contamination (10.8%) and degradation of soil and water resources (10.6%). Higher economic impact was associated with cultivating Virginia tobacco (AOR=6.51; 95% CI: 4.90–8.63), higher level of education (AOR=1.39; 95% CI: 1.01–1.92), contract farming (AOR=1.27; 95% CI: 0.99–1.63), and farming experience (AOR=1.00; 95% CI: 0.99–1.01). Health impact was associated with age (AOR=1.04; 95% CI: 1.03– 1.05), land rental (AOR=0.75; 95% CI: 0.58–0.98), female gender (AOR=0.74; 95% CI: 0.58–0.94), and Virginia cultivation (AOR=0.32; 95% CI: 0.23–0.44). Environmental impact was linked to labor hiring (AOR=2.68; 95% CI: 1.41–5.07) and land rental (AOR=0.56; 95% CI: 0.39–0.79). Conclusions Thai tobacco farmers face significant economic, health, and environmental burdens. Policy interventions should promote sustainable alternatives to mitigate these impacts.
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spelling doaj-art-32ba2e7a9c974923acd7aeb15ae30d532025-08-20T03:28:54ZengEuropean PublishingTobacco Induced Diseases1617-96252025-05-0123May11110.18332/tid/204301204301The impacts on the economy, health, and environment resulting from tobacco cultivation: A cross-sectional survey of tobacco farmer perspectives in ThailandChakkraphan Phetphum0https://orcid.org/0000-0002-2410-9524Raphael Lencucha1https://orcid.org/0000-0002-9273-2027Department of Community Health, Faculty of Public Health, Naresuan University, Phitsanulok, ThailandSchool of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, CanadaIntroduction Tobacco cultivation is associated with financial instability, health risks, and environmental degradation. While Thailand has made progress in tobacco control, challenges remain in supporting farmers with sustainable alternatives. This study examined the perceived economic, health, and environmental impacts of tobacco cultivation among Thai tobacco farmers. Methods A cross-sectional survey was conducted from October 2021 to January 2022 in Chiang Mai, Phrae, and Sukhothai, the major tobacco-growing provinces in Thailand. A total of 1505 tobacco farmers completed self-administered questionnaires. The instrument measured perceived impacts on a 3-point Likert scale (low to high). Frequencies and proportions for descriptive statistics are reported along with adjusted odds ratios and 95% confidence intervals for logistic regression models. Results Economic impacts were most frequently reported (43.7%), particularly increased debt (47.6%) and income loss (43.5%). Health impacts (31.6%) included symptoms of Green Tobacco Sickness (47.2%) and reduced work capacity (29.9%). Environmental concerns (14.4%) included pesticide contamination (10.8%) and degradation of soil and water resources (10.6%). Higher economic impact was associated with cultivating Virginia tobacco (AOR=6.51; 95% CI: 4.90–8.63), higher level of education (AOR=1.39; 95% CI: 1.01–1.92), contract farming (AOR=1.27; 95% CI: 0.99–1.63), and farming experience (AOR=1.00; 95% CI: 0.99–1.01). Health impact was associated with age (AOR=1.04; 95% CI: 1.03– 1.05), land rental (AOR=0.75; 95% CI: 0.58–0.98), female gender (AOR=0.74; 95% CI: 0.58–0.94), and Virginia cultivation (AOR=0.32; 95% CI: 0.23–0.44). Environmental impact was linked to labor hiring (AOR=2.68; 95% CI: 1.41–5.07) and land rental (AOR=0.56; 95% CI: 0.39–0.79). Conclusions Thai tobacco farmers face significant economic, health, and environmental burdens. Policy interventions should promote sustainable alternatives to mitigate these impacts.https://www.tobaccoinduceddiseases.org/The-impacts-on-the-economy-health-and-environment-resulting-from-tobacco-cultivation,204301,0,2.htmltobacco farmerstobacco cultivationeconomic impacthealth impactenvironmental impact
spellingShingle Chakkraphan Phetphum
Raphael Lencucha
The impacts on the economy, health, and environment resulting from tobacco cultivation: A cross-sectional survey of tobacco farmer perspectives in Thailand
Tobacco Induced Diseases
tobacco farmers
tobacco cultivation
economic impact
health impact
environmental impact
title The impacts on the economy, health, and environment resulting from tobacco cultivation: A cross-sectional survey of tobacco farmer perspectives in Thailand
title_full The impacts on the economy, health, and environment resulting from tobacco cultivation: A cross-sectional survey of tobacco farmer perspectives in Thailand
title_fullStr The impacts on the economy, health, and environment resulting from tobacco cultivation: A cross-sectional survey of tobacco farmer perspectives in Thailand
title_full_unstemmed The impacts on the economy, health, and environment resulting from tobacco cultivation: A cross-sectional survey of tobacco farmer perspectives in Thailand
title_short The impacts on the economy, health, and environment resulting from tobacco cultivation: A cross-sectional survey of tobacco farmer perspectives in Thailand
title_sort impacts on the economy health and environment resulting from tobacco cultivation a cross sectional survey of tobacco farmer perspectives in thailand
topic tobacco farmers
tobacco cultivation
economic impact
health impact
environmental impact
url https://www.tobaccoinduceddiseases.org/The-impacts-on-the-economy-health-and-environment-resulting-from-tobacco-cultivation,204301,0,2.html
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