Translating evidence and building capacity to support waterpipe control in the Eastern Mediterranean

转化证据并建设能力以支持东地中海的水烟控制

基本信息

批准号：
9925852
负责人：
Taghrid Asfar
金额：
$ 36.45万
依托单位：
FLORIDA INTERNATIONAL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-22 至 2022-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9925852
关键词：
14 year old Address Adolescent Adopted Advocate Age American Attention Charcoal Cigarette Cigarette Smoker Cohort Studies Collaborations Country Data Analyses Development Devices Effectiveness Environment Epidemic Epidemiology Focus Groups Funding Health Health system Intention Intervention Interview Investments Knowledge Label Lead Leadership Lebanon Literature Logistics Longitudinal Studies Mediterranean Region Mentors Methodology Methods Monitor Nature Nicotine Dependence Pattern Perception Phase Policies Policy Analysis Policy Research Positioning Attribute Process Property Publications Reaction Research Research Personnel Resources Risk Running Sampling Schools Signal Transduction Smoker Smoking Structure Target Populations Testing Tobacco Tobacco Control Research Tobacco use Training Translating Tunisia United States National Institutes of Health Universities Work Youth base cigarette smoking cohort evidence base hookah informant insight member non-smoker organizational structure programs public policy on tobacco response symposium tobacco control trend university student young adult

项目摘要

Abstract: In the past decade waterpipe smoking (WP; hookah) has become the No. 1 tobacco use method among youth in the Eastern Mediterranean Region (EMR), yet evidence-based solutions to the WP epidemic continue to lag behind. This is mainly due to 2 factors; 1) the mismatch of policy solutions derived from cigarettes to local tobacco use methods such as the WP; and 2) the lack of understanding of local tobacco control (TC) policy environment and challenges to implementation. On the other hand, the WHO’s Framework Convention on Tobacco Control (FCTC) ratified by most countries in the EMR provides an opportunity to address WP smoking in the region. Supported by program TOBAC since its beginning in 2002, our team at the Syrian Center for Tobacco Studies (SCTS) has been on the forefront of characterizing the WP epidemic and its health and addictive properties. Such groundwork has prepared us to plan for the next stage of translating evidence into policy to support EMR efforts to control the WP epidemic. Given the widespread misperceptions that WP is less harmful and addictive than cigarettes, and the value of health warning labels (HWLs) in communicating smoking-related risks, the development of HWLs is a priority for WP control. Developing HWLs for the WP however, requires their adaptation to its unique multi-part context comprised of tobacco, device and charcoal, while implementation of WP-HWLs requires an understanding of the local policy environment, and strong national partnerships. Building on our ongoing collaboration with Lebanon (American University of Beirut) and Tunisia (University of Tunis), we want to assist these countries in developing and implementing effective HWLs for the WP and in building their national capacity in TC policy research. We will apply a mixed method approach to develop and test HWLs with the involvement of members of the target population comprised mostly of young adults (18-25 years). We will also study the structure and functioning of local health systems in Tunisia and Lebanon, so we can propose a clear roadmap for the implementation of WP-HWLs, and establish partnerships among researchers and policymakers than can facilitate such implementation. This application represents our team’s continuing leadership in responding to the WP epidemic, and in strengthening TC capacity in the EMR. It will help Tunisia and Lebanon, and perhaps other countries develop effective HWLs for WP, and equip them with the means to implement them successfully.

摘要：近十年来，水烟（WP；水烟）已成为第一大烟草使用方法东地中海地区 (EMR) 青年中的 WP 流行病的基于证据的解决方案持续落后主要是由于2个因素；1）政策方案的不匹配。卷烟对当地烟草的使用方法如WP；以及2）对当地烟草缺乏了解；另一方面，世卫组织框架的政策环境和实施挑战。 EMR 中大多数国家批准的《烟草控制公约》(FCTC) 提供了一个机会自 2002 年 TOBAC 计划启动以来，我们的团队一直致力于解决该地区的 WP 吸烟问题。叙利亚烟草研究中心 (SCTS) 一直处于描述烟草流行及其影响的最前沿这些基础工作为我们为下一阶段的翻译做好了准备。鉴于普遍存在的误解，将证据纳入支持 EMR 努力控制 WP 流行病的政策中。 WP 比香烟危害性和成瘾性更小，以及健康警示标签 (HWL) 在沟通吸烟相关风险，制定 HWL 是 WP 控制的首要任务。然而，对于 WP 来说，需要适应其独特的多部分背景，包括烟草、设备和木炭，而 WP-HWL 的实施需要了解当地政策环境，以及建立在我们与黎巴嫩（黎巴嫩美国大学）持续合作的基础上。贝鲁特）和突尼斯（突尼斯大学），我们希望协助这些国家制定和实施为工作组提供有效的 HWL，并建设其国家技术合作政策研究能力。我们将采用混合的方法。在目标人群成员的参与下开发和测试 HWL 的方法主要由年轻人（18-25 岁）组成。我们还将研究当地卫生的结构和功能。突尼斯和黎巴嫩的系统，因此我们可以为 WP-HWL 的实施提出明确的路线图，并在研究人员和政策制定者之间建立伙伴关系，以促进此类实施。该应用程序代表了我们团队在应对 WP 疫情方面的持续领导力，以及加强电子病历方面的技术合作能力，这将有助于突尼斯和黎巴嫩，或许还有其他国家的发展。为 WP 制定有效的 HWL，并为他们配备成功实施这些 HWL 的方法。