The Role of Epidemiological Surveillance in Tobacco Control

Yang Gonghuan

China CDC/PUMC

Monitor is one of MPOWER policies

Contents and indicatorsThe Importance of Surveillance DataThe Characters of Effective Surveillance

System The State of Monitoring Tobacco Control in

the WorldThe 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 populationNon-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 methodIn 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 13,56223/4/19 6

Current smoking rate among adults aged between 15 and 69 years in 1996, 2002 and 2010

23/4/19 7

Current smoking rate

1996 2002 2010 Average annual decreasing rate

1996-2002

Average annual decreasing rate

2002-2010Male 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% 1.13% -0.26%

Rural 36.9% 33.0% 30.0% 0.65% 0.38%

Total 35.3% 31.1% 28.7% 0.70% 0.30%

Total (standardized)

33.7% 28.5% 27.9% 0.87% 0.08%

Policy Indicators used in GATS China survey Result

Protecting people from the harms of SHS

% of indoor workers reporting a completely ban smoking at workplace 31.0%

% of respondents who noticed smoking in public places 72.7%

Offering cessation services

% of smokers who were advised to quit when visiting a health care provider during the past 12 months 33.9%

% of smokers who attempted to quit without any cessation aids among all smokers who attempted to quit during the past 12 months 91.8%

Warning of the harms of tobacco

% of people who noticed information about the dangers of tobacco use or that encourages quitting 59.8%

% of smokers who thought about quitting after seeing the warning labels on cigarette packages 36.4%

Banning tobacco advertisement, promotion and sponsorship

% of people who noticed tobacco marketing during the past 30 days 19.6%

Percentage of people who noticed tobacco marketing on TV during the past 30 days 7.4%

Increasing tobacco taxes and prices

How much did 50% of current smokers spent a package of cigarettes 5 RBM & LESS

Expenditure of 100 packs of manufactured cigarettes as a percentage of 2009 GDP per capita

2.0%23/4/19 8

Question?

How to judge the quality of the survey?How to feedback data and results?How to share data for tobacco control?