Global Tobacco Surveillance System

1
Global Tobacco Surveillance System
World Health Organization
2
GTSS - Three Surveillance Activities
Youth Global Youth Tobacco Survey
(GYTS) Adults Global School Personnel Survey
(GSPS) Global Health Professionals Survey
(GHPS)
3
Fundamental Principles

• Partnership
• Consistency
• Survey Methodology
• Field Procedures
• Data Management Techniques
• Sustainability
• Cost effective
• Feasibility to repeat

4
GTSS Plan

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

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

• Survey Workshop
• sampling procedures
• survey administration

Conduct GYTS, GSPS, GHPS
Report Data
Evaluate and Modify Programs
Tobacco Control Program
Repeat GYTS, GSPS, GHPS Every 4 Years
Implement Programs
5
Global Youth Tobacco Survey

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

6
GYTS Topics

• Prevalence Consumption
• Knowledge Attitudes
• Access, Availability, Price
• Media advertising exposure
• Secondhand smoke exposure
• Cessation
• School curriculum

7
GYTS 1999-2005
Planned Completed
8
Key GYTS Findings

• 1 in 10 students currently smoke cigarettes
• 1 in 10 students currently use other tobacco
  products
• 1 in 4 smokers first tried by age 10
• Little difference in tobacco use between girls
  and boys
• 2 in 3 smokers want to quit now
• Half of students exposed to smoke in homes and
  over half exposed to smoke in public places
• 80 saw pro tobacco ads

9
Establishing International Surveillance System
for Tobacco Control

• Adults
• Global School Personnel Survey (GSPS)
• Global Health Professionals Survey (GHPS)

10
Global School Personnel Survey

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

11
GSPS Topics

• Tobacco use
• Knowledge and attitudes
• School policy
• School curriculum

12
Global School Personnel Survey, 2000-2004
13
Key GSPS Findings

• Shortage of anti-tobacco teaching materials
• Few schools have policies banning smoking in
  schools for students and/or teachers
• Majority of teachers in favor of schools enacting
  smoking ban policy

14
Global Health Professionals Survey

• Purpose
• To collect information from third-year students
  attending dental, medical, nursing, pharmacy
  schools concerning their use of tobacco their
  tobacco related school policies programs

15
GHPS Topics

• Tobacco use
• Knowledge attitudes
• Exposure to second-hand smoke
• Cessation
• School curriculum training

16
Global Health Professionals Survey, 2005
17
Key Findings

• Current smoking rates are above 20 in 7 of 10
  countries surveyed
• Male students were more likely than female
  students to currently smoke cigarettes (except
  Serbian dental students)
• Most believe HPs should have a role in counseling
  patients to quit smoking
• Most believe HPs should receive cessation
  counseling training
• Very few received formal training in cessation
  counseling
• Significant unmet need for cessation assistance
  at the beginning of their careers and for
  training in patient cessation counseling

18
GHPS Expansion 2005-2006
19
Next Steps

• Expansion
• Dissemination of data for public use
• Present as a potential marker to monitor FCTC
  (during COP session)

20
Data Dissemination Expanding Science Base

• To date, 153 GYTS data sets have been released
  for public use for 85 countries
• Need to disseminate and use the data to make best
  program and policy to change the future course of
  the tobacco epidemic
• www.cdc.gov/tobacco/global