流行病学监测在烟草控制中的作用.ppt

The Role of Epidemiological Surveillance in Tobacco Control Yang Gonghuan China CDC/PUMC Monitor is one of MPOWER policies Contents and indicators The Importance of Surveillance Data The Characters of Effective Surveillance System The State of Monitoring Tobacco Control in the World The State od Monitoring Tobacco Control in China Contents and Indicators Prevalence of Tobacco Use； Quitting willing, Quit and Cessation； Second-Hand Smoke Exposure； Knowledge and Attitude； Impact of policy interventions; Tobacco industry marketing, promotion and lobbying. Importance of Surveillance Data To ensure the success of the five other policy interventions in the MPOWER package To understand the problem of tobacco use epidemic; To carry out effective interventions and allocate tobacco control resources Monitoring also shows whether policies are working States carried out tobacco control surveillance in the World, 2010 Summary of the methodology of the 1996, 2002, and 2010 surveys 1996 2002 2010 Implementing agency CAPM (former China CDC) CDC CDC Target population Non-institutionalized adults aged 15-69 years Non-institutionalized adults aged 15-69 years Non-institutionalized adults aged 15 years and above Sampling design Multi-stage cluster random sampling Multi-stage cluster random sampling Multi-stage stratified cluster random sampling Survey method In household, face-to-face, paper-pencil In household, face-to-face, paper-pencil In household, face-to-face, iPAQ handheld administered Geographic coverage 145 disease surveillance points in 30 provinces 145 disease surveillance points in 28 provinces 50 districts and 50 counties in 28 provinces Sample size 123,930 16,056 13,562 * * Current smoking rate among adults aged between 15 and 69 years in 1996, 2002 and 2010 * * Current smoking rate 1996 2002 2010 Average annual decreasing rate 1996-2002 Average annual decreasing rate 2002-2010 Male 63.0% 57.4% 54.0% 0.93% 0.43% Female 3.8% 2.6% 2.1% 0.20% 0.06% Urban 31.8% 25.0% 27.1