A comparison of four international surveys of tobacco dependence treatment provision: implications for monitoring the Framework Convention on Tobacco Control
A comparison of four international surveys of tobacco dependence treatment provision: implications for monitoring the Framework Convention on Tobacco Control
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DOI：
10.1111/j.1360-0443.2010.03060.x
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发表时间：
2010-12-01
期刊：
影响因子：
6
通讯作者：
Rigotti, Nancy A.
中科院分区：
文献类型：
--
作者：
Bitton, Asaf;Raw, Martin;Rigotti, Nancy A.
《烟草控制框架公约》（FCTC）第14条要求各国实施提供烟草依赖治疗的系统。我们报告了全球为监测第14条执行情况所做的努力，并对这一努力中使用的调查进行了比较。（一致性和不一致性）用于监测烟草依赖治疗提供的四项主要调查。设置四项全球烟草治疗提供调查。参与者这四项调查是Raw等人（2009年）、框架公约联盟（FCA）Monitor、世界卫生组织（WHO）MPOWER调查和烟草控制框架公约缔约方报告。MeasurementsConcordance作为衡量的百分比提供相同的答案，以及kappa统计评分员agreement。FindingsThe四项调查用于监测第14条的实施情况在抽样国家，问题问，受访者的特点和调查设计有很大的不同。这四项调查在大多数调查对和大多数领域中普遍显示出中等至高度的一致性（kappa > 0.60），但MPOWER和FCTC缔约方政府调查除外（总体一致性为63%，kappa = 0.26）。这一一致性低于任何其他调查对检查。政府的答复，世卫组织MPOWER和烟草控制框架公约缔约方报告的调查提供了答案，以相同的问题域，相对较差的一致性比那些从非政府或混合政府/非政府sources.ConclusionsCurrent调查烟草依赖治疗的规定是在一般协议，除了两个官方的政府调查，依赖于政府的受访者。我们认为，这表明需要继续对《烟草控制框架公约》议定书的实施进行独立的非政府监督。
AimsArticle 14 of the Framework Convention on Tobacco Control (FCTC) requires countries to implement systems to provide tobacco dependence treatment. We report on global efforts to monitor the implementation of Article 14, and compare the surveys used in this effort.DesignCross-sectional comparison of agreement (concordance and discordance) among the four main surveys used to monitor tobacco dependence treatment provision.SettingFour global surveys of tobacco treatment provision.ParticipantsThe four surveys were Raw et al. (2009), the Framework Convention Alliance (FCA) Monitor, World Health Organization (WHO) MPOWER survey and the FCTC Party Reports.MeasurementsConcordance as measured by percentage providing the same answers, as well as kappa statistic of inter-rater agreement.FindingsThe four surveys used to monitor Article 14 implementation vary widely in countries sampled, questions asked, respondent characteristics and survey design. The four surveys generally show a moderate to high concordance (kappa > 0.60) with each other across most survey pairs and most domains, except for the MPOWER and FCTC Party governmental surveys (63% overall concordance, kappa = 0.26). This concordance was lower than any other survey pair examined. Government respondents to the WHO MPOWER and FCTC Party Report surveys provided answers to the same question domains with relatively poorer concordance than those from surveys of non-governmental or mixed governmental/non-governmental sources.ConclusionsCurrent surveys of tobacco dependence treatment provision are in general agreement with each other except for the two official government surveys that rely on governmental respondents. We believe that this points to the continued need for independent non-governmental monitoring of FCTC protocol implementation.