Tobacco Policy Evaluation Across 17 Countries: The ITC Project

国际烟草控制政策评估联合会（International Tobacco Control Policy Evaluation Consortium）ITC项目），成立于2002年 目的是应用严格的评估方法来了解烟草控制政策的影响， 作为《烟草控制框架公约》（FCTC）的一部分。研究设计结合了 准实验方法和理论上定义的中介模型，允许预测如何 具体的政策将影响烟草使用的信念、态度和行为。评估的FCTC政策 （a）加强警告标签;（B）取消“轻度”、“轻度”和其他 （c）减少或消除烟草的广告、促销、赞助 （d）税收和价格的变化;（e）减少吸烟的政策;（f）政策 与烟草制品监管有关的变化。国际贸易中心项目目前正在15个国家进行 世界上一半以上的吸烟者居住在这里。本申请旨在寻求资助以继续创新科技署的项目 主要中等收入国家的评价泰国、马来西亚和乌拉圭并扩大ITC 对印度的队列调查。该应用程序描述了我们的计划进行前瞻性队列调查， 每个国家使用概率抽样方法如下：-2，000在泰国和马来西亚（使用三- 阶段抽样设计）;乌拉圭-1，500;印度10，000（4个邦内）。抽样的参与者将 每年接受访谈，以评估烟草使用行为、接触特定政策和媒介， 由我们的概念模型指定的调节变量。我们将把这四个国家的数据与 由其他来源供资的贸易中心在其他国家正在进行的项目评价。研究报告共8项 这些目标分为三大类：1）在不同国家测试《公约》政策的有效性 国家; 2）评估政策效果的调解人和主持人，以及3）描述的自然历史， 戒烟和预测所有ITC国家吸烟和戒烟的因素。的 申请的资金将使ITC项目得以继续并扩展到关键的LMIC，使我们能够 测试不同国家政策效应的一般性。 相关性（参见说明）： 烟草使用是过早死亡的主要原因，在低收入和中等收入国家， 这不仅是一场迫在眉睫的健康灾难，也是对经济发展的消耗。烟草控制政策 通过世卫组织烟草控制框架公约实施的《烟草控制框架公约》是显著减轻 烟草在中低收入国家流行。

The International Tobacco Control Policy Evaluation Consortium (i.e., ITC Project), was established in 2002 with the aim of applying rigorous evaluation methods to understand the impact of the tobacco control policies implemented as part of the Framework Convention on Tobacco Control (FCTC). The study design combines quasi-experimental methods and theoretically defined mediational models that allow predictions about how specific policies will influence tobacco use beliefs, attitudes and behaviors. FCTC policies that are evaluated as part of the ITC Project include: (a) enhanced warning labels; (b) elimination of "light", "mild" and other misleading descriptors; (c) the reduction or elimination of advertising, promotion, sponsorship of tobacco products; (d) changes in taxation and price, (e) policies to reduce exposure to tobacco smoke; and (f) policy changes relevant to regulation of tobacco products. The ITC Project is now being conducted in 15 countries inhabited by over half of the world's smokers. This application seeks funding to continue the ITC Project evaluation in key middle-income countriesThailand, Malaysia, and Uruguayand to expand the ITC Cohort Survey into India. The application describes our plans for conducting prospective cohort surveys in each country using probability sampling methods as follows: -2,000 in Thailand and Malaysia (using a three- stage sampling design); -1,500 in Uruguay; and 10,000 in India (within 4 states). Sampled participants will be interviewed annually to assess tobacco use behaviors, exposure to specific policies and mediator and moderator variables specified by our conceptual model. We will link the data from these four countries with ongoing ITC Project evaluations in other countries funded by other sources. The proposed study has eight aims, which fall into three broad categories: 1) testing the effectiveness of FCTC policies in different countries; 2) evaluating mediators and moderators of policy effects, and 3) describing the natural history of smoking cessation and the factors that predict smoking and quitting across all of the ITC countries. The requested funding will allow the continuation and extension of the ITC Project into key LMICs to permit us to test the generality of policy effects across differentcountries. RELEVANCE (See instructions): Tobacco use is a major cause of premature mortality and in low and middle-income (LMICs) it constitutes not only a looming health catastrophe but also a drain on economic development. Tobacco control policies implemented through the WHO FCTC represents the best hope to significantly lessen the impact of the tobacco epidemic in LMICs.