Epidemiology & Intervention Research for Tobacco Control in China

流行病学

• 批准号: 7490053
• 负责人: JONATHAN M SAMET
• 金额: $ 31.9万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7490053
• 关键词: Address; Agreement; American; American Stop Smoking Intervention for Cancer Prevention; Brazil; Centers for Disease Control and Prevention (U.S.); China; Chinese People; Classification; Collaborations; Communities; Country; Data; Developed Countries; Developing Countries; Education; Educational process of instructing; Environment; Epidemiology; Evaluation; Evidence based intervention; Foundations; Funding; Government; Grant; Individual; Information Resources; Institution; Intervention; Intervention Studies; Life; Location; Marketing; Measures; Medical; Methods; Mexico; Nicotine; Numbers; Outcome; Phase; Policies; Population; Population Heterogeneity; Principal Investigator; Prize; Program Development; Program Effectiveness; Province; Public Health Schools; Publishing; Readiness; Research; Research Infrastructure; Research Personnel; Resources; Rural; Smoke; Smoker; Surveys; Tobacco; Use Effectiveness; Woman; Work; Yang; base; cancer prevention; college; experience; improved; indexing; international center; intervention program; men; programs; resource guides; rural area; smoking cessation; smoking intervention; tobacco control; tool

DESCRIPTION (provided by applicant): China is a particularly critical country for global tobacco control. It has the world's largest number of smokers, approximately 350 million, and the immense market afforded by the 60% of men who smoke and the 95% of women who do not smoke represents a prize target for the multinational tobacco companies. China has ratified the Framework Convention for Tobacco Control (FCTC) and now needs to implement its provisions across a large and diverse population. This application builds on a 10-year collaboration with investigators in China, including Dr. Gong-Huan Yang, now Deputy Director of the China CDC. It extends formative work carried out over the last five years with support from the Fogarty International Center. In this application, we propose a program of evidence-based interventions to be implemented at the province and local levels with the overall objective of developing an approach for dissemination and implementation across China. The study aims to improve the Strength of Tobacco Control (SOTC) at the province level in China by improving capacity in program effectiveness, using resources of the China CDC and Peking Union Medical College. Capacity building activities will be undertaken using distance-based approaches and an intervention study will be conducted involving 10 provinces, five participating in a China CDC-led initiative and five continuing with the approaches generally in place. A systematic mix of approaches will be implemented based on experiences from our work in China and from the American Stop Smoking Intervention Study for Cancer Prevention (ASSIST). In the intervention provinces, the China CDC will team with the province-level CDCs to assess capacity for tobacco control and the current status of tobacco control. This systematic characterization will highlight resource, infrastructure, capacity and program needs. The intervention program will then be developed, based on the SOTC assessment and the evidence already gathered in our current Fogarty International Center funding cycle. With this evidence-based approach, the provincial CDCs should be able to identify the optimum mix of tobacco control programs and policies for its residents. The interventions will address both urban and rural locations, as the majority of Chinese population still live in rural areas. A three-year intervention phase will be followed by an evaluation. We have the overall objective of preparing the China CDC to disseminate and implement a proven approach to tobacco control across all provinces.

描述(由申请人提供)： 中国是一个对全球烟草控制尤为关键的国家。它拥有世界上最多的烟民，约3.5亿人，60%的吸烟男性和95%不吸烟的女性所提供的巨大市场是跨国烟草公司的宝贵目标。中国已经批准了《烟草控制框架公约》，现在需要在大量和多样化的人口中实施该公约的条款。这个应用程序建立在与中国的调查人员长达10年的合作基础上，其中包括现任疾控中心副主任中国的杨功焕博士。它延伸了过去五年在福格蒂国际中心的支持下开展的形成性工作。在这项申请中，我们提出了一个在省和地方两级实施的循证干预方案，总体目标是制定一种在中国中传播和实施的方法。本研究旨在利用中国疾控中心和北京协和医学院的资源，通过提高项目有效性能力，提高中国省级控烟工作的实力。将使用远程方法开展能力建设活动，并将对10个省份进行干预研究，其中5个省份参与了中国领导的疾控中心倡议，5个省份继续采用基本到位的方法。将根据我们在中国的工作经验和美国戒烟预防癌症干预研究(ASSIST)的经验，系统地实施各种方法的组合。在干预省份，中国疾控中心将与省级疾控中心合作，评估控烟能力和控烟现状。这一系统性特征将突出资源、基础设施、能力和计划需求。然后将根据SOTC的评估和我们当前Fogarty国际中心资金周期中已经收集的证据来制定干预计划。有了这种循证的方法，省级疾控中心应该能够为其居民确定控烟计划和政策的最佳组合。这些干预措施将涉及城市和农村地区，因为大多数中国人口仍然生活在农村地区。在为期三年的干预阶段之后将进行评估。我们的总体目标是准备中国疾控中心，在所有省份传播和实施行之有效的烟草控制方法。