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: 9112035
• 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 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9112035
• 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; institutional capacity; men; mortality; population based; programs; reduce tobacco use; research and development; response; smoking cessation; social; symposium; 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国，烟草是在南部三个州（Paran，Santa Catarina和Rio Grande do Sul）的Pro引起的，尽管从历史上看，烟草在发展中国家使用了Amen，尤其是拉丁美洲，是相对低的烟草如与之融合的那样，吸烟流行正在迅速传播给发展中国家的妇女，三个南部州的妇女烟民的患病率最高。研究（CBPR）和Tra构成网络的目标是烟草的使用和暴露于LL培训的研究人员中的烟草烟雾（ETS）。在整个国家的妇女中使用烟草的烟草的调查15生产计划;三个优先级，包括对法兰人的支持，这是该国最强大的室内烟草禁令。随机对照试验评估了一个基于理论的，COUSE，Commun-Releverth的工人介入的妇女“轻型吸烟者”。另外两个主要的烟草种植国家，以发展训练有素的研究人员的干部，以各种级别的烟草控制策略。