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Grant Details

Grant Number: 5R01CA125116-05 Interpret this number
Primary Investigator: Fong, Geoffrey
Organization: University Of Waterloo
Project Title: Tobacco Control Policy Evaluation in China and South Korea: the Itc Asia Project
Fiscal Year: 2011
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Abstract

DESCRIPTION (provided by applicant): The broad objective of this project is to evaluate and understand the psychosocial and behavioral effects of national-level tobacco control policies of the Framework Convention on Tobacco Control (FCTC), the first- ever international treaty on health. In an expansion of over 40 tobacco control experts across 9 countries, we will conduct parallel cohort surveys of adult smokers in two Asian countries that are prominent in the domain of tobacco use: China and South Korea. In a prospective cohort design, the participants in China will be 800 adult smokers and 200 adult non-smokers in each in each of 7 cities (Beijing, Shanghai, Guangzhou, Zhengzhou, Changsha, Yinchuan, and Changsha) who will complete a 30-40 minute face-to-face survey every year for 6 years (2006-2011). The participants in South Korea will be 2000 adult smokers who will complete a 40-minute random digit dialed phone survey every year for 6 years (2005-2011). We are requesting partial funding from NIH to continue each survey for Years 2-6. The sampling design, research protocol and survey instrument are identical or as similar as possible to those of the existing ITC survey in the US, UK, Canada, Australia, Ireland, Thailand, and Malaysia, and includes measures of smoking behavior, psychosocial predictors of smoking and quitting, and policy-relevant variables in 5 major policy domains, covering all of the demand reduction policies of the FCTC (1) enhancement of warning labels, (2) elimination of deceptive brand descriptors (e.g., light or mild) (3) elimination/ restrictions on tobacco advertising and promotion, (4) tax increases, (5) smoke-free laws. The quasi-experimental design includes both between-country controls and within-country controls and will thus allow rigorous tests of national-level policies that here-to-fore have not been systematically evaluated in Asia. We will identify similarities in FCTC policy impact and in the factors that relate to smoking and cessation across the 4 ITC Asian countries (including ongoing cohort surveys in Thailand and Malaysia), and across all ITC countries more generally. The ITC project, whose core funding comes from the Roswell Park TTURC, is the first-ever international cohort study of smoking, and the most substantial research project to evaluate the effectiveness of FCTC policies. The ITC project is now conducting parallel prospective cohort surveys of representative samples of smokers in countries inhabited by 45% of the world's smokers. The proposed project also requests funds to add to the ITC Product Repository, the first ever international repository of cigarettes from which analyses of smoke chemistries physical characteristics, and bio-markers studies are being conducted in an international context, and to conduct a parallel cohort study of bio-markers among 120 Chinese smokers in four cities, with replication 2 years later. The ultimate mission of the proposed project is to provide the evidence base for the FCTC policies as the critical ratification and implementation phases of the FCTC continue to unfold and to understand the mechanisms underlying the impact of public health policies.

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Publications

Switching between menthol and nonmenthol cigarettes: findings from the u.s. Cohort of the international tobacco control four country survey.
Authors: Kasza KA, Hyland AJ, Bansal-Travers M, Vogl LM, Chen J, Evans SE, Fong GT, Cummings KM, O'Connor RJ
Source: Nicotine Tob Res, 2014 Sep;16(9), p. 1255-65.
EPub date: 2014 Jun 30.
PMID: 24984878
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Cigarette smokers' use of unconventional tobacco products and associations with quitting activity: findings from the ITC-4 U.S. cohort.
Authors: Kasza KA, Bansal-Travers M, O'Connor RJ, Compton WM, Kettermann A, Borek N, Fong GT, Cummings KM, Hyland AJ
Source: Nicotine Tob Res, 2014 Jun;16(6), p. 672-81.
EPub date: 2013 Dec 27.
PMID: 24376276
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Who purchases cigarettes from cheaper sources in China? Findings from the ITC China Survey.
Authors: Yao T, Huang J, Sung HY, Ong MK, Mao Z, Jiang Y, Fong GT, Max W
Source: Tob Control, 2014 Mar;23 Suppl 1, p. i97-101.
EPub date: 2013 Sep 27.
PMID: 24078076
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Chinese smokers' cigarette purchase behaviours, cigarette prices and consumption: findings from the ITC China Survey.
Authors: Huang J, Zheng R, Chaloupka FJ, Fong GT, Li Q, Jiang Y
Source: Tob Control, 2014 Mar;23 Suppl 1, p. i67-72.
EPub date: 2013 Sep 18.
PMID: 24048580
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The effect of cigarette prices on brand-switching in China: a longitudinal analysis of data from the ITC China Survey.
Authors: White JS, Li J, Hu TW, Fong GT, Jiang Y
Source: Tob Control, 2014 Mar;23 Suppl 1, p. i54-60.
EPub date: 2013 May 22.
PMID: 23697645
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Time perspective as a predictor of smoking status: findings from the International Tobacco Control (ITC) Surveys in Scotland, France, Germany, China, and Malaysia.
Authors: Sansone G, Fong GT, Hall PA, Guignard R, Beck F, Mons U, Pötschke-Langer M, Yong HH, Thompson ME, Omar M, Jiang Y
Source: BMC Public Health, 2013 Apr 15;13, p. 346.
EPub date: 2013 Apr 15.
PMID: 23587205
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Incidence and correlates of receiving cigarettes as gifts and selecting preferred brand because it was gifted: findings from the ITC China Survey.
Authors: Huang LL, Thrasher JF, Jiang Y, Li Q, Fong GT, Quah AC
Source: BMC Public Health, 2012 Nov 17;12, p. 996.
EPub date: 2012 Nov 17.
PMID: 23157697
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Urban chinese smokers from lower socioeconomic backgrounds face more barriers to quitting: results from the international tobacco control-China survey.
Authors: Yong HH, Siahpush M, Borland R, Li L, O'Connor RJ, Yang J, Fong GT, Yuan J
Source: Nicotine Tob Res, 2013 Jun;15(6), p. 1044-51.
EPub date: 2012 Nov 2.
PMID: 23125438
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Smoke-free bar policies and smokers' alcohol consumption: findings from the International Tobacco Control Four Country Survey.
Authors: Kasza KA, McKee SA, Rivard C, Hyland AJ
Source: Drug Alcohol Depend, 2012 Nov 1;126(1-2), p. 240-5.
EPub date: 2012 Jun 14.
PMID: 22704125
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When a tax increase fails as a tobacco control policy: the ITC China project evaluation of the 2009 cigarette tax increase in China.
Authors: Li Q, Hu TW, Mao Z, O'Connor RJ, Fong GT, Wu C, Zhang J, Quah AC, Jiang Y
Source: Tob Control, 2012 May;21(3), p. 381.
EPub date: 2011 Dec 23.
PMID: 22199012
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Association of sociodemographic factors, smoking-related beliefs, and smoking restrictions with intention to quit smoking in Korean adults: findings from the ITC Korea Survey.
Authors: Myung SK, Seo HG, Cheong YS, Park S, Lee WB, Fong GT
Source: J Epidemiol, 2012;22(1), p. 21-7.
EPub date: 2011 Dec 17.
PMID: 22186157
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Cessation assistance reported by smokers in 15 countries participating in the International Tobacco Control (ITC) policy evaluation surveys.
Authors: Borland R, Li L, Driezen P, Wilson N, Hammond D, Thompson ME, Fong GT, Mons U, Willemsen MC, McNeill A, Thrasher JF, Cummings KM
Source: Addiction, 2012 Jan;107(1), p. 197-205.
PMID: 21883605
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Individualized versus population-based approaches to tobacco control - a false dichotomy.
Authors: Cummings KM, Borland R
Source: Addiction, 2011 Sep;106(9), p. 1556-8.
PMID: 21815920
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How do price minimizing behaviors impact smoking cessation? Findings from the International Tobacco Control (ITC) Four Country Survey.
Authors: Licht AS, Hyland AJ, O'Connor RJ, Chaloupka FJ, Borland R, Fong GT, Nargis N, Cummings KM
Source: Int J Environ Res Public Health, 2011 May;8(5), p. 1671-91.
EPub date: 2011 May 20.
PMID: 21655144
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The effectiveness of tobacco marketing regulations on reducing smokers' exposure to advertising and promotion: findings from the International Tobacco Control (ITC) Four Country Survey.
Authors: Kasza KA, Hyland AJ, Brown A, Siahpush M, Yong HH, McNeill AD, Li L, Cummings KM
Source: Int J Environ Res Public Health, 2011 Feb;8(2), p. 321-40.
EPub date: 2011 Jan 26.
PMID: 21556189
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Prospective predictors of quitting behaviours among adult smokers in six cities in China: findings from the International Tobacco Control (ITC) China Survey.
Authors: Li L, Feng G, Jiang Y, Yong HH, Borland R, Fong GT
Source: Addiction, 2011 Jul;106(7), p. 1335-45.
EPub date: 2011 May 27.
PMID: 21438942
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Socio-economic variation in price minimizing behaviors: findings from the International Tobacco Control (ITC) Four Country Survey.
Authors: Licht AS, Hyland AJ, O'Connor RJ, Chaloupka FJ, Borland R, Fong GT, Nargis N, Cummings KM
Source: Int J Environ Res Public Health, 2011 Jan;8(1), p. 234-52.
EPub date: 2011 Jan 20.
PMID: 21318026
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Usage patterns of stop smoking medications in Australia, Canada, the United Kingdom, and the United States: findings from the 2006-2008 International Tobacco Control (ITC) Four Country Survey.
Authors: Fix BV, Hyland A, Rivard C, McNeill A, Fong GT, Borland R, Hammond D, Cummings KM
Source: Int J Environ Res Public Health, 2011 Jan;8(1), p. 222-33.
EPub date: 2011 Jan 20.
PMID: 21318025
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The use of cessation assistance among smokers from China: Findings from the ITC China Survey.
Authors: Yang J, Hammond D, Driezen P, O'Connor RJ, Li Q, Yong HH, Fong GT, Jiang Y
Source: BMC Public Health, 2011 Feb 2;11, p. 75.
EPub date: 2011 Feb 2.
PMID: 21288361
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Perceptions of tobacco health warnings in China compared with picture and text-only health warnings from other countries: an experimental study.
Authors: Fong GT, Hammond D, Jiang Y, Li Q, Quah AC, Driezen P, Yan M, ITC China Project Team
Source: Tob Control, 2010 Oct;19 Suppl 2, p. i69-77.
PMID: 20935200
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Use of less expensive cigarettes in six cities in China: findings from the International Tobacco Control (ITC) China Survey.
Authors: Li Q, Hyland A, Fong GT, Jiang Y, Elton-Marshall T
Source: Tob Control, 2010 Oct;19 Suppl 2, p. i63-8.
PMID: 20935199
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Individual-level factors associated with intentions to quit smoking among adult smokers in six cities of China: findings from the ITC China Survey.
Authors: Feng G, Jiang Y, Li Q, Yong HH, Elton-Marshall T, Yang J, Li L, Sansone N, Fong GT
Source: Tob Control, 2010 Oct;19 Suppl 2, p. i6-11.
PMID: 20935198
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Beliefs about the relative harm of "light" and "low tar" cigarettes: findings from the International Tobacco Control (ITC) China Survey.
Authors: Elton-Marshall T, Fong GT, Zanna MP, Jiang Y, Hammond D, O'Connor RJ, Yong HH, Li L, King B, Li Q, Borland R, Cummings KM, Driezen P
Source: Tob Control, 2010 Oct;19 Suppl 2, p. i54-62.
PMID: 20935197
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Cigarettes sold in China: design, emissions and metals.
Authors: O'Connor RJ, Li Q, Stephens WE, Hammond D, Elton-Marshall T, Cummings KM, Giovino GA, Fong GT
Source: Tob Control, 2010 Oct;19 Suppl 2, p. i47-53.
PMID: 20935196
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Health knowledge and perception of risks among Chinese smokers and non-smokers: findings from the Wave 1 ITC China Survey.
Authors: Yang J, Hammond D, Driezen P, Fong GT, Jiang Y
Source: Tob Control, 2010 Oct;19 Suppl 2, p. i18-23.
PMID: 20935195
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Quitting smoking in China: findings from the ITC China Survey.
Authors: Jiang Y, Elton-Marshall T, Fong GT, Li Q
Source: Tob Control, 2010 Oct;19 Suppl 2, p. i12-7.
PMID: 20935194
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