Design and Validation of a Tobacco Survey for the Multi*

描述（由申请人提供）：母赠款（5R01TW005964-03）资助了洛马林达大学（LLU）、老挝人民民主共和国卫生部（MOH）和老挝基督复信会发展和救济机构（ADRA）之间2002-2004年的成功合作，结果在28个单元的研究生水平证书课程中培训了6名有前途的老挝卫生部和DRA卫生专业人员，学习烟草控制研究方法。该FIRCA申请现在包括6名受训人员作为老挝人民民主共和国开创性烟草研究的外国合作者。老挝人民民主共和国有47个民族，其中许多民族是东南亚各地的少数民族，在农村地区，当地卫生专业人员或研究人员（包括我们的学员）往往不准确地知道“香烟”、“烟斗”和“烟草”的地区术语。目前这种基本信息的缺乏严重阻碍了对这一多民族人口进行有效烟草使用调查的进展。我们的目标是开展一项为期三年的研究和能力建设规划，以验证（第一阶段）、设计（第二阶段）和试点测试（第三阶段）老挝人民民主共和国多民族人口中成人（8岁及以上）烟草使用情况调查。第一阶段（第一年）将在已发表的定性（人种学、关键信息者访谈、验证焦点小组）和定量（与可地宁生物标志物和呼出一氧化碳的相关性）研究（多阶段聚类设计）中对1200名成人样本（多阶段聚类设计）进行问卷调查项目和烟草使用图片卡的验证，这些研究来自老挝人民民主共和国的语言群体（卡木、Ekhor、老挝、苗族、Talieng）和包含老挝主要民族的地区。

DESCRIPTION (provided by applicant): The parent grant (5R01TW005964-03) funded a successful collaboration between Loma Linda University (LLU), Ministry of Health (MOH) Lao People's Democratic Republic (PDR) and the Adventist Development and Relief Agency (ADRA) Laos from 2002-2004 that has resulted in training six promising Lao MOH and DRA health professionals in tobacco control research methods during a 28-unit graduate level certificate program. This FIRCA application now includes the six trainees as foreign collaborators in pioneering tobacco research in Lao PDR. Among the 47 ethnic groups in Lao PDR - many found in minority populations throughout Southeast Asia - the regional terms for "cigarette", "pipe", and "tobacco" in rural areas are often not accurately known by local health professionals or researchers (including our trainees). The current absence of such basic information substantially hinders progress in conducting valid surveys of tobacco use n this multiethnic population. Our aim is to conduct a three-year research and capacity building program to validate (Phase I), design (Phase II), and pilot test (Phase III) a survey of tobacco use among adults (ages 8 and older) in the multiethnic population of Lao PDR. Phase I (Year One) will validate questionnaire items and picture cards of tobacco use in published qualitative (ethnography, key informant interviews, validating focus groups) and quantitative (correlation with biomarkers of cotinine and exhaled carbon monoxide) studies of 1200 adults sampled (multi-stage cluster design) from the language groups (Khamu, Ekhor, Lao, Hmong, Talieng) and regions that contain the major ethnic groups of Lao PDR. B. Phase II (Year Two) incorporates the findings from Phase I into the design of a comprehensive questionnaire to measure tobacco use, knowledge/attitudes about tobacco use, second-hand smoke, quit attempts, health status, and women's health. This phase will include the publication of qualitative (focus groups, key informant interviews) studies of tobacco-related knowledge and beliefs among 350 adults sampled from language groups and regions that contain the major ethnic groups of Lao PDR. C. Phase III (Year Three) involves a pilot test of the survey designed in Phases I and II among 500 adults sampled from language groups and regions that contain the major ethnic groups of Lao PDR. Publication of these pilot test data will establish a comprehensive tobacco questionnaire that can be used in large-scale revalence studies and/or to provide baseline data for interventions targeted at specific regions and ethnic subgroups. These collaborative studies will build the capacity of local investigators to conduct large-scale studies of tobacco use in ethnic groups found in Lao PDR and throughout Southeast Asia.