Design and Validation of a Tobacco Survey for the Multi*

描述(由申请人提供)：父母资助(5R01TW005964-03)资助了Loma Linda大学(LLU)、卫生部(MOH)老挝人民民主共和国(PDR)和老挝基督复临安息日会发展和救济机构(ADRA)在2002-2004年间的成功合作，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卫生专业人员进行烟草控制研究方法的培训。这份FIRCA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开创性工作的外国合作者。在老挝人民民主共和国的47个民族中--其中许多是在东南亚的少数民族人口中发现的--农村地区“香烟”、“烟斗”和“烟草”的地区性术语往往不被当地卫生专业人员或研究人员(包括我们的受训人员)准确地识别。目前缺乏这类基本信息大大阻碍了在对这一多族裔人口进行有效烟草使用调查方面取得的进展。我们的目标是进行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)的烟草使用情况。第一阶段(第一年)将在已发表的定性(人种学、关键线人访谈、确认焦点群体)和定量(与可替宁和呼出的一氧化碳生物标记物的相关性)研究中验证关于烟草使用的问卷项目和图片卡，这些研究从语言群体(Khamu、Ekhor、Lao、Hmong、taleng)和包含老挝人民民主共和国主要族裔群体的地区抽样(多阶段分组设计)。 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，以衡量烟草使用、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。这一阶段将包括发表对350名成年人的烟草相关知识和信仰的定性研究(焦点小组、主要线人访谈)，这些成年人来自老挝人民民主共和国主要族裔所在的语言群体和地区。 C.第三阶段(第三年)对第一阶段和第二阶段设计的调查进行试点测试，从老挝人民民主共和国主要族裔所在的语言群体和地区抽样调查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，可用于大规模再利用率研究和/或为针对特定区域和族裔亚群的干预措施提供基线数据。这些合作研究将建设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族裔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.