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 Implementing agency CAPM (former China CDC) CDC Target population Non-institutionalized adults aged years Non-institutionalized adults aged 15 years and above Sampling design 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, 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 123,93016,05613,

Current smoking rate among adults aged between 15 and 69 years in 1996, 2002 and Current smoking rate Average annual decreasing rate Average annual decreasing rate 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%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%

PolicyIndicators used in GATS China surveyResult 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%

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