Tobacco Control Network among Women in Parana, Brazil - II

巴西巴拉那州妇女烟草控制网络 - II

基本信息

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
项目类别：
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

项目摘要

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）：在过去几年发布的具有里程碑意义的指导文件中，强调了对妇女及其烟草相关问题的理解，以及开展与性别相关的烟草控制工作的必要性（例如，世界卫生组织《烟草控制框架公约》（WHO FCTC）巴西是世界第二大烟草生产国，95% 的烟草产于南部三个州（帕兰科、圣卡塔琳娜州和里约热内卢）。尽管从历史上看，发展中国家（特别是拉丁美洲）的女性吸烟率与男性相比相对较低，但吸烟流行病正在迅速向发展中国家的女性蔓延，而这三个南方州的女性吸烟者患病率最高。我们在帕兰建立了一个妇女烟草控制网络。，巴西，旨在建立社区和机构能力，通过基于社区的参与性研究（CBPR）和培训，促进妇女中与性别相关的烟草控制工作。该网络的目标是减少烟草使用和接触环境烟草烟雾（ ETS）在帕兰的女性中¿ ，并培养一支训练有素的研究人员队伍，他们将继续在多个层面上解决全面的烟草控制战略。该网络对帕兰州妇女吸烟的流行率和相关因素进行了流行病学调查。根据结果，该网络确定了四个优先事项：(1) 实施政策变革以减少排放交易体系；(2) 了解烟草种植中妇女的健康/社会问题；(3) 制定和评估全面的文化 -和与性别相关的、以学校为基础的吸烟预防计划；(4) 通过公共卫生系统改善戒烟计划的获取和实施，特别关注“轻度吸烟者”，因为我们研究中 74.8% 的女性吸烟者报告吸烟10或更少该网络目前正在解决前三个优先事项，包括对立法的支持，这导致了Paran¿此次更新的总体目标有三个：（1）继续维持和加强该网络；（2）进行一组随机对照试验以评估理论的有效性。 - 基于文化和性别相关的社区卫生工作者对巴西女性“轻度吸烟者”的干预，这将增强通过公共卫生系统提供的戒烟计划；(3) 将我们当前的职业发展和研究培训计划扩展到其他两个主要烟草种植州，以发展由训练有素的研究人员组成的骨干队伍将继续在各级制定和实施与性别相关的综合烟草控制战略。