Global Tobacco Surveillance Among Youth and Adults

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Global Tobacco SurveillanceAmong Youth and Adults
Office on Smoking and Health
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The Need for Tobacco Surveillance

• Tobacco use is one of the chief preventable
  causes of death in the world.
• WHO attributes 4.9 million deaths a year to
  tobacco, a figure expected to rise to 10.0
  million by 2030.
• 70 of those deaths will occur in developing
  countries.

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The Global Smoking Epidemic Today 1.2 Billion
Smokers 4.8 Million Deaths
230,000,000 smokers 1,300,00 deaths
420,000,000 smokers 1,588,000 deaths
60,000,000 smokers 180,000 deaths
165,000,000 smokers 770,000 deaths
280,000,000 smokers 837,000 deaths
75,000,000 smokers 125,000 deaths
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Global Tobacco Epidemic in Projected in 2025
1.6 Billion Smokers 10 Million Deaths 7 Million
Deaths in Developing Countries
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Global Tobacco Surveillance at OSH
GSPS
GYTS
GMDS
Youth and Adults
Regional Survey
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Global Youth Tobacco Surveillance
GYTS A Tool for Monitoring Trends
and Evaluating Comprehensive Tobacco Control
Programs
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Global Youth Tobacco Survey

• Purpose
• To enhance the capacity of countries to design,
  implement, and evaluate their comprehensive
  tobacco control programs

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Methodology

• School-based survey
• Survey can include public and/or private schools
• Two-stage sample design
• First, schools selected proportional to
  enrollment size
• Second, classrooms chosen randomly in selected
  schools
• All students in selected classes eligible for
  participation
• Anonymous and confidential self-administered
  questionnaire
• Administered during 1 class period -- about 30
  minutes

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GYTS Core Questionnaire

• Prevalence
• Knowledge and attitudes
• Media and advertising
• Minors access

• School curriculum
• Environmental tobacco smoke (ETS)
• Cessation

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GYTS Plan

• Program
• Workshop
• Media
• ETS
• Cessation
• School
• Access/Availability

• Survey Workshop
• sampling procedures
• survey administration

• Analysis
• Workshop
• Epi Info Training
• Analysis of Data
• Report Writing

Conduct GYTS
Report Data
Evaluate and Modify Programs
Tobacco Control Program
Repeat GYTS Every 3 Years
Implement Programs
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GYTSCountry Summary
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Global Youth Tobacco Survey1,000,000 students
have participated
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Global Youth Tobacco Survey, 1999
Completed
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Global Youth Tobacco Survey, 2000
Repeated
Completed
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Global Youth Tobacco Survey, 2001
Expanded
Completed
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Global Youth Tobacco Survey, 2002
Repeated
Completed
Expanded
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Global Youth Tobacco Survey, 2003
NewIn Field/Planned
Repeated
Completed
Expanded
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Global Youth Tobacco Survey, 2003
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Global Youth Tobacco Survey, 1999-2003
Completed
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Global Youth Tobacco Survey
Active
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The Future of GYTSIn a Galaxy Far Far Away
You are here
Inter-Galactic Global Youth Tobacco Survey
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Global Adult Tobacco Surveillance
GSPS
GMDS
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Global School Personnel Survey (GSPS)
World Health Organization/ Tobacco Free
Initiative Centers for Disease Control and
Prevention/ Office on Smoking and Health
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Purpose

• To collect information from school personnel
  concerning their use of tobacco and their tobacco
  related school policies and programs.

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Methodology

• All schools selected for GYTS eligible
• All school personnel eligible
• Confidential self-administered questionnaire
• GSPS questionnaire distributed to
  personnel.Personnel return documents upon
  completion1-2 days.

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GSPS Core Questionnaire Components

• Demographics
• Prevalence
• Knowledge and attitudes

• School policy
• School curriculum

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Global Medical Doctor Survey (GMDS)
World Health Organization/ Tobacco Free
Initiative Centers for Disease Control and
Prevention/ Office on Smoking and Health
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Purpose

• To collect information from health professionals
  concerning their use of tobacco and patient
  counseling regarding tobacco use and cessation.

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GMDS Piloted in 2003

• India 3 States
• Myanmar

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Regional Survey of Country-Specific Data
World Health Organization/ Tobacco Free
Initiative Centers for Disease Control and
Prevention/ Office on Smoking and Health
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Purpose

• To track changes in tobacco use and tobacco
  control activities which will assist in the
  monitoring and evaluation of interventions and
  policy.

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Methodology

• Designed to collect national level information
  from every WHO member state
• Mail out questionnaire administered through WHO
  Regional Offices

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Questionnaire Content

• 42 Question survey will collect information on
• Tobacco use prevalence
• Tobacco attributable mortality
• Tobacco economics
• Tobacco industry
• Tobacco laws and regulations
• Tobacco policy and programs

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Dissemination

• Each of the six WHO Regional Offices will develop
  a web based system.

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