Tobacco Control Network among Women in Parana, Brazil - II

巴西巴拉那州妇女烟草控制网络 - II

• 批准号: 8895442
• 负责人: ISABEL C SCARINCI
• 金额: $ 30.22万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8895442
• 关键词: Abstinence; Address; Brazil; Carbon Monoxide; Cigarette; Clinic; Communities; Community Health; Control Groups; Counseling; Country; Developing Countries; Development; Discipline; Environmental Tobacco Smoke; Epidemic; Epidemiology; Exhalation; Farming environment; Funding; Gender; Geographic Locations; Goals; Health; Health system; Healthcare; Healthcare Systems; High Prevalence; Improve Access; Intervention; Latin America; Light; Measurement; Modeling; Morbidity - disease rate; National Institute of Drug Abuse; Pharmacotherapy; Policies; Prevalence; Prevention program; Primary Health Care; Public Health; Publishing; Randomized Controlled Trials; Reporting; Research; Research Infrastructure; Research Personnel; Research Training; Schools; Smoker; Smoking; Smoking Prevention; Societies; Statutes and Laws; Structure; Surveys; System; Target Populations; Tobacco; Tobacco use; Training; Training Programs; Underinsured; Woman; Work; base; career development; community based participatory research; environmental tobacco smoke exposure; insight; men; mortality; population based; programs; reduce tobacco use; research and development; response; smoking cessation; social; theories; tobacco control; tobacco exposure

DESCRIPTION (provided by applicant): An understanding of women and their tobacco-related issues, as well as the need for the development of gender-relevant tobacco control efforts, have been highlighted as priorities in landmark guiding documents published in the past few years (e.g., WHO Framework Convention on Tobacco Control-WHO FCTC). Brazil is the second largest producer of tobacco in the world, and 95% of the tobacco is produced in the three Southern states (Paran¿, Santa Catarina, and Rio Grande do Sul). Although, historically, tobacco use among women in developing countries, particularly Latin America, has been relatively low as compared to men, the smoking epidemic is rapidly spreading to women in developing countries, and these three Southern states have the highest prevalence of women smokers in the country. We have established a Network for Tobacco Control among Women in Paran¿, Brazil with the purpose of establishing community and institutional capacity to promote gender-relevant tobacco control efforts among women through Community-Based Participatory Research (CBPR) and training. The goals of the network are to reduce tobacco use and exposure to environmental tobacco smoke (ETS) among women in Paran¿, and to develop a cadre of well-trained researchers who will continue to address comprehensive tobacco control strategies at multiple levels. The network conducted an epidemiological survey on the prevalence and factors associated with tobacco use among women across the State of Paran¿. Based on the results, the network identified four priorities: (1) to implement policy changes to decrease ETS; (2) to understand the health/social issues of women in tobacco farming; (3) to develop and evaluate a comprehensive, culturally- and gender relevant, school-based smoking prevention program; and (4) to improve access and delivery of smoking cessation programs through the public health system with a particular focus on "light smokers" as 74.8% of women smokers in our study reported smoking 10 or less cigarettes/day. The network is currently addressing the first three priorities, including support for legislation, which resulted in Paran¿ having the strongest indoor tobacco ban in the country. The overall goal of this renewal is three-fold: (1) to continue to sustain and strengthen the network; (2) to conduct a group randomized controlled trial to assess the efficacy of a theory-based, culturally- and gender- relevant Community Health Worker intervention for Brazilian women "light smokers" that will augment the smoking cessation programs offered through the public health system; and (3) to expand our current Career Development and Research Training Program to the other two major tobacco growing states in order to develop a cadre of well-trained researchers who will continue to develop and implement gender-relevant comprehensive tobacco control strategies at all levels.

描述（由申请人提供）：对妇女及其与烟草相关的问题的理解已被强调为在过去几年中发布的地标指南中的优先事项（例如，谁框架控制了FCTC）世界上第二大烟草生产商，烟草是在三个南部州（Paran�，圣塔卡塔琳娜和里奥格兰德的do sul）中提出的，尽管从历史上看，烟草在发展中国家，尤其是拉丁美洲的烟草，是相对的较低的人，吸烟流行病正在迅速传播给发展中国家的妇女，三个南部州的妇女吸烟者的患病率最高。 ，巴西的目的是建立和定期的能力，以促进基于社区的妇女参与者（CBPR）和培训中的性别与性别相关的毒品。 ，并开发了训练有素的训练有素的研究人员。基于结果，网络确定了四个优先事项：（1）在烟草中实施妇女的问题；通过THET卫生系统特别关注“轻型吸烟者”的计划，我们的研究中有74.8％的女性吸烟者报告了吸烟10或更少的香烟。在该国拥有最强大的室内烟草禁令。基于巴西妇女的基于文化和与性别的社区卫生工作者干预了公共卫生系统的“轻型”计划；（3）扩大我们当前的职业发展和研究培训计划在各个层面上开发训练有素的研究人员的培训前烟草控制策略。