Tobacco Control Alliance warns that the rapid growth in the use of electronic cigarettes and heated tobacco products has become a major public health challenge in Georgia, urging swift legislative action including raising the legal age for purchasing tobacco from 18 to 21
Additionally, quit smoking intention, though not a core HBM construct, was included as a motivational modifying factor due to its demonstrated role in behavior change ( Figure 1 2 Methods 2.1 Study design We employed a cross-sectional analytical design using the baseline dataset from our longitudinal quasi-experimental study ( 2.2 Study setting, study population, and study period Our study was conducted among industrial workers in the Mandalay Industrial Zone (MIZ), located in Mandalay region, which is Myanmars second-largest city and a key economic and manufacturing hub ( Participants were recruited from selected industries that met predefined eligibility criteria, including industry size, type of manufacturing, salary range, gender distribution, and geographic location
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