The International Tobacco Control Policy Evaluation Consortium (i.e., ITC Project), was established in 2002 with the aim of applying rigorous evaluation methods to understand the impact of the tobacco control policies implemented as part of the Framework Convention on Tobacco Control (FCTC). The study design combines quasi-experimental methods and theoretically defined mediational models that allow predictions about how specific policies will influence tobacco use beliefs, attitudes and behaviors. FCTC policies that are evaluated as part of the ITC Project include: (a) enhanced warning labels;(b) elimination of """"""""light"""""""", """"""""mild"""""""" and other misleading descriptors;(c) the reduction or elimination of advertising, promotion, sponsorship of tobacco products;(d) changes in taxation and price, (e) policies to reduce exposure to tobacco smoke;and (f) policy changes relevant to regulation of tobacco products. The ITC Project is now being conducted in 15 countries inhabited by over half of the world's smokers. This application seeks funding to continue the ITC Project evaluation in key middle-income countries?Thailand, Malaysia, and Uruguay?and to expand the ITC Cohort Survey into India. The application describes our plans for conducting prospective cohort surveys in each country using probability sampling methods as follows: -2,000 in Thailand and Malaysia (using a three- stage sampling design);-1,500 in Uruguay;and 10,000 in India (within 4 states). Sampled participants will be interviewed annually to assess tobacco use behaviors, exposure to specific policies and mediator and moderator variables specified by our conceptual model. We will link the data from these four countries with ongoing ITC Project evaluations in other countries funded by other sources. The proposed study has eight aims, which fall into three broad categories: 1) testing the effectiveness of FCTC policies in different countries;2) evaluating mediators and moderators of policy effects, and 3) describing the natural history of smoking cessation and the factors that predict smoking and quitting across all of the ITC countries. The requested funding will allow the continuation and extension of the ITC Project into key LMICs to permit us to test the generality of policy effects across differentcountries.

Public Health Relevance

Tobacco use is a major cause of premature mortality and in low and middle-income (LMICs) it constitutes not only a looming health catastrophe but also a drain on economic development. Tobacco control policies implemented through the WHO FCTC represents the best hope to significantly lessen the impact of the tobacco epidemic in LMICs.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Program Projects (P01)
Project #
7P01CA138389-04
Application #
8408909
Study Section
Special Emphasis Panel (ZCA1-RPRB-7)
Project Start
Project End
Budget Start
2012-02-01
Budget End
2012-07-31
Support Year
4
Fiscal Year
2011
Total Cost
$751,646
Indirect Cost
Name
Medical University of South Carolina
Department
Type
DUNS #
183710748
City
Charleston
State
SC
Country
United States
Zip Code
29425
Heckman, Bryan W; Cummings, K Michael; Kasza, Karin A et al. (2017) Effectiveness of Switching Smoking-Cessation Medications Following Relapse. Am J Prev Med 53:e63-e70
El-Toukhy, Sherine; Choi, Kelvin; Hitchman, Sara C et al. (2017) Banning tobacco price promotions, smoking-related beliefs and behaviour: findings from the International Tobacco Control Four Country (ITC 4C) Survey. Tob Control :
Snider, Sarah E; Cummings, K Michael; Bickel, Warren K (2017) Behavioral economic substitution between conventional cigarettes and e-cigarettes differs as a function of the frequency of e-cigarette use. Drug Alcohol Depend 177:14-22
Streck, Joanna M; Regan, Susan; Chang, Yuchiao et al. (2017) Examining the effects of illicit drug use on tobacco cessation outcomes in the Helping HAND 2 randomized controlled trial. Drug Alcohol Depend 178:586-592
Gravely, Shannon; Fong, Geoffrey T; Driezen, Pete et al. (2016) The impact of the 2009/2010 enhancement of cigarette health warning labels in Uruguay: longitudinal findings from the International Tobacco Control (ITC) Uruguay Survey. Tob Control 25:89-95
Cooper, Jae; Borland, Ron; McKee, Sherry A et al. (2016) Depression motivates quit attempts but predicts relapse: differential findings for gender from the International Tobacco Control Study. Addiction 111:1438-47
Yong, Hua-Hie; Borland, Ron; Hammond, David et al. (2016) Smokers' reactions to the new larger health warning labels on plain cigarette packs in Australia: findings from the ITC Australia project. Tob Control 25:181-7
Huang, Li-Ling; Thrasher, James F; Reid, Jessica L et al. (2016) Predictive and External Validity of a Pre-Market Study to Determine the Most Effective Pictorial Health Warning Label Content for Cigarette Packages. Nicotine Tob Res 18:1376-81
Riddle Jr, Philip J; Newman-Norlund, Roger D; Baer, Jessica et al. (2016) Neural response to pictorial health warning labels can predict smoking behavioral change. Soc Cogn Affect Neurosci 11:1802-1811
Osman, Amira; Thrasher, James F; Cayir, Ebru et al. (2016) Depressive symptoms and responses to cigarette pack warning labels among Mexican smokers. Health Psychol 35:442-53

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