Design and Validation of a Tobacco Survey for the Multi*

描述（申请人提供）：父母补助金（5 R 01 TW 005964 -03）资助了洛马琳达大学（LLU），老挝人民民主共和国卫生部（MOH）和老挝基督复临会发展和救济局（ADRA），自2002年-2004年，在一个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老挝卫生部烟草控制研究方法专业人员。FIRCA的申请现在包括六名受训人员，他们是老挝人民民主共和国烟草研究先驱的外国合作者。在老挝人民民主共和国的47个民族中-许多在整个东南亚的少数民族中-农村地区的“香烟”、“烟斗”和“烟草”的区域术语往往不被当地卫生专业人员或研究人员（包括我们的学员）准确地知道。目前缺乏这类基本信息，严重阻碍了对这一多民族人口的烟草使用情况进行有效调查的进展。我们的目标是开展一项为期三年的研究和能力建设计划，以验证（第一阶段）、设计（第二阶段）和试点测试（第三阶段）老挝多民族人口中成年人（8岁及以上）烟草使用情况调查。 一期（第一年）将在公布的定性研究中验证烟草使用的问卷项目和图片卡。（民族志，关键线人访谈，验证焦点小组）和定量（与可替宁和呼出的一氧化碳的生物标志物的相关性）对1200名成年人进行的抽样研究（多阶段集群设计）从语言群体（Khamu、Ekhor、Lao、Hmong、Rongeng）和包含老挝人民民主共和国主要民族群体的地区。 B。第二阶段（第二年）将第一阶段的调查结果纳入综合问卷的设计中，以衡量烟草使用、对烟草使用的知识/态度、二手烟、戒烟尝试、健康状况和妇女健康。在这一阶段，将公布对350名成年人的烟草相关知识和信仰的定性研究（焦点小组、主要知情人访谈），这些成年人是从老挝主要民族所在的语言群体和地区抽样调查的。 C.第三阶段（第三年）是对第一阶段和第二阶段设计的调查进行试点测试，在老挝人民民主共和国主要民族所在的语言群体和地区抽样调查了500名成年人。这些试点测试数据的公布将建立一个全面的烟草调查问卷，可用于大规模的复染率研究和/或提供针对特定区域和族裔亚组的干预措施的基线数据。这些合作研究将提高当地调查人员的能力，以便对老挝人民民主共和国和整个东南亚的少数民族群体的烟草使用情况进行大规模研究。

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.