Engagement with healthcare system, tobacco use and cancer communication during COVID-19 in India - Administrative Supplement to Project LifeFirst SWASTH

项目 这 摘要 申请是对被确认为非CA-CA的特别利益通知(NOSI)的回应 21-033。 背景：印度每年有100多万人死于烟草使用，发病率很高 在社会经济地位(SEP)较低的人群中。我们的母公司，LIFE FIRST SWASTH(R01 CA230355- 02)，正在通过任务转移和任务转移解决低资源环境中循证干预的需要 在非政府组织(NGO)经营的医疗诊所、牙科诊所、 以及印度孟买的结核病诊所，以帮助SEP较低的患者。然而，新冠肺炎大流行 带来了新的挑战，使戒烟环境复杂化，并可能导致 烟草使用的变化和戒烟尝试的新障碍。这些挑战中的关键是改变 获得保健服务，传播环境中信息和错误信息的增加， 以及由于大流行相关的封锁和压力而导致的精神和社会福祉的剧变。有必要 由于吸烟者严重新冠肺炎的风险增加，应对这些挑战是当务之急。 目标：开展一项调查，探讨新冠肺炎对卫生服务提供和帮助的影响- 寻求、癌症交流、精神和社交健康。我们还将研究这些措施的影响 关于烟草使用的因素，以便为我们的父母赠款在形成阶段所需的任何适应提供信息。 方法：这项研究将采用横断面调查的方法，收集1200名参与者的数据。 与父母拨款相同的三种环境类型(尽管地点不同)(非政府组织运营的医疗诊所、牙科 诊所和结核病诊所)在大孟买。该研究围绕三个目标组织：目标1将 检查新冠肺炎期间与医疗保健系统的参与度。AIM 2将探索参与者的癌症 大流行期间的传播行为。AIM 3将寻求了解新冠肺炎对以下方面的影响 社交和精神健康。在每个目标中，我们将强调这些因素与烟草使用的关系， 以及大流行期间烟草使用的变化。 创新和影响：这项研究将解决关于新冠肺炎对Low的影响的知识匮乏问题 印度的一些人，特别是关于大流行可能与他们健康变化有关的问题 服务参与度、癌症沟通行为、精神和社交健康，以及这些 各种因素可能会影响烟草的使用。这项研究代表了一个独特的机会，可以收集关于大流行如何 影响低资源环境下的戒烟干预措施，并使用这些数据来支持我们的父母 进行干预，使其更好地响应不断变化的新冠肺炎背景。

Project This Summary application is being submitted in response to the Notice of Special Interest (NOSI) identified as NOT-CA- 21-033. Background: There are over one million deaths per year in India due to tobacco use, with high incidence among those from lower socioeconomic position (SEP). Our parent grant, LifeFirst SWASTH (R01 CA230355- 02), is addressing the need for evidence-based interventions in low-resource settings through task-shifting and developing brief tobacco cessation interventions in nongovernmental (NGO)-run health clinics, dental clinics, and tuberculosis clinics in Mumbai, India, to reach individuals of low SEP. However, the COVID-19 pandemic has created new challenges that have complicated the tobacco cessation environment, and may have led to changes in tobacco use and new barriers to cessation attempts. Key among these challenges are changes to access to health services, an increase in information and misinformation in the communication environment, and upheavals to mental and social wellbeing due to pandemic-related lockdowns and stress. The need to address these challenges is urgent due to the increased risk of severe COVID-19 in those who use tobacco. Goal: We will conduct a survey to explore the impacts of COVID-19 on health service delivery and help- seeking, cancer communication, and mental and social wellbeing. We will also examine the impact of these factors on tobacco use to inform any adaptations needed for our parent grant in its formative stages. Methods: This study will employ a cross-sectional survey that will gather data from 1200 participants in the same three setting types (although different locations) with the parent grant (NGO-run health clinics, dental clinics, and tuberculosis clinics) in greater Mumbai. The study is organized around three aims: Aim 1 will examine engagement with the healthcare system during COVID-19. Aim 2 will explore participants' cancer communication behaviors during the pandemic. Aim 3 will seek to understand the impact of COVID-19 on social and mental wellbeing. Throughout each aim, we will emphasize how these factors relate to tobacco use, and changes to tobacco use, during the pandemic period. Innovations and Impact: This study will address the dearth of knowledge on the impact of COVID-19 on low SEP individuals in India, particularly on how the pandemic may be associated with changes to their health service engagement, cancer communication behaviors, and mental and social wellbeing, and how these factors may impact tobacco use. This study represents a unique opportunity to gather data on how a pandemic impacts tobacco cessation interventions in low-resource settings, and to use this data to pivot our parent intervention to make it more responsive to the changing COVID-19 context.