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Responding to the changing tobacco epidemic in the Eastern Mediterranean Region

应对东地中海地区不断变化的烟草流行

基本信息

批准号：
7500669
负责人：
Wasim Maziak
金额：
$ 30.43万
依托单位：
UNIVERSITY OF MEMPHIS
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-30 至 2012-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7500669
关键词：
Abstinence Accounting Address Adolescent Advertising Age Awareness Behavior Behavioral Model Cardiovascular system Cessation of life Cigarette Classification Collaborations Condition Counseling Daily Data Dependence Developed Countries Developing Countries Distal Double-Blind Method Educational Intervention Effectiveness of Interventions Ensure Epidemic Fostering Foundations Frequencies Funding Future Health Professional Healthcare Healthcare Systems Hour Intervention Laboratories Laboratory Study Lead Life Longitudinal Studies Mediterranean Region Mentorship Methods Modeling Monitor Multi-Institutional Clinical Trial Nicotine Nicotine Dependence Online Systems Outcome Particulate Matter Patients Pattern Pharmacotherapy Placebo Control Policies Population Prevention intervention Primary Health Care Product Labeling Public Health Randomized Clinical Trials Reporting Research Research Personnel Research Training Respiratory physiology Risk Sampling Schools Scientist Shock Site Smoke Smoker Smoking Cessation Intervention Sum Syria Tars Testing Tobacco Tobacco use Toxicant exposure Training Training Activity Training Programs Treatment Efficacy Universities Week Woman Work Youth base boys care systems cigarette smoking design hookah instrument men programs research study response smoking cessation success therapy development tobacco control trend university student

项目摘要

DESCRIPTION (provided by applicant): Tobacco use accounts for 4.9 million deaths annually, with 70% of 2020's 10 million predicted deaths occurring in developing nations. This shocking prediction highlights the need for developing nations to examine patterns and determinants of tobacco use, understand local tobacco use methods, develop effective cessation interventions, and train their own tobacco control scientists. In 2002, with NIH/FIC support, the Syrian Center for Tobacco Studies (SCTS) began this effort in the Eastern Mediterranean Region (EMR). Meanwhile, Syria and other EMR nations ratified the Framework Convention on Tobacco Control (FCTC). This application for continued SCTS support builds on four years of research and training momentum, and prepares Syria and the EMR to meet FCTC obligations. There are four specific aims. First, we seek to understand adolescent tobacco use patterns and determinants: a school-based longitudinal study will examine trends in tobacco use in 4000 Syrian youth. Second, we will examine waterpipe toxicant exposure, dependence, and risk in a laboratory study of 240 waterpipe users placed in three groups based on past-month use frequency. All users will be tested under conditions of 0- and 72-hour abstinence. Particulate matter emissions, a risk for non-users, will also be assessed. Third, we will conduct a randomized clinical trial (multi-site, double blind, placebo-controlled) of a smoking cessation intervention in 250 smokers, while simultaneously studying proximal (e.g., patient) and distal (health care center, staff, policy) factors that can influence the intervention's successful integration within the Syrian public health care system. Fourth, we will continue to build regional tobacco control capacity: our successful program of training Syrian researchers will be maintained, as we also organize and fund three, 1-week, training courses in years 1, 3, and 5 and develop and capitalize on our Research Assistance Matching project. SCTS research and FCTC obligations point to the need for understanding tobacco use determinants, waterpipe use, and cessation efficacy and integration, as well as training of tobacco control researchers across the EMR. This application seeks to build on the past success of the SCTS while helping Syria and the EMR meet their FCTC obligations. Relevance of this research to public health: The proposed work will help understand tobacco use determinants, waterpipe use, and cessation efficacy and integration, which will be instrumental in informing prevention and intervention efforts in Syria and the EMR. Research and training activities proposed will contribute to the building of professional capacity that can aid the successful implementation of the FCTC in the EMR.

描述（由申请人提供）：