In conclusion, this analysis shows that the proportion of current daily smokers has declined in more recent cohorts of adult men, and has dropped consistently among successive cohorts of women. Local and global tobacco control initiatives commencing in the 1990s have coincided in timing with the changes observed. Despite smoking only moderate number of cigarettes per day, Vietnamese smokers tend not to quit and thus eventually accumulate high level of
exposures. These findings suggest that public health action to prevent smoking uptake is succeeding, but that efforts to encourage cessation among current users need to be strengthened.
3.7 Postscript
The results of this chapter show that tobacco smoking has declined in recent birth cohorts of men and successive cohorts of women, and the decrease for men coincided with the
introduction of tobacco control initiatives. Harmful use of alcohol is another important modifiable risk factor for NCDs. In the following chapter, data on alcohol use additional to that in Chapter 2 will be presented, and the construct and predictive validity of the
Chapter 3. Tobacco smoking in Vietnam 60
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