Warner Kenneth E
Department of Health Management and Policy, School of Public Health, University of Michigan, 109 S Observatory, Ann Arbor, MI 48109-2029, USA.
Am J Public Health. 2005 Jun;95(6):976-84. doi: 10.2105/AJPH.2004.046904.
The future of the tobacco-produced disease epidemic rests in low- and middle-income countries, where cigarette sales are growing-the result of rising incomes, trade liberalization, liberalization of the treatment of women, and the introduction of Western-style advertising. Research on disease causation, epidemiology, and educational and policy interventions has contributed significantly to reducing smoking rates in developed countries. A similar contribution is needed in less affluent nations, but severe challenges are involved in implementing a robust research program in such countries. In an attempt to understand these challenges and begin to conceptualize an approach to overcoming them, I examine the need for and methods to achieve a program of meaningful research on tobacco and health, as well as health policy, in the developing world.
烟草所致疾病流行的未来取决于低收入和中等收入国家，在这些国家，由于收入增加、贸易自由化、妇女待遇的放开以及西式广告的引入，香烟销量正在增长。对疾病病因、流行病学以及教育和政策干预措施的研究，为降低发达国家的吸烟率做出了重大贡献。较贫困国家也需要做出类似贡献，但在这些国家实施一个强有力的研究项目面临严峻挑战。为了理解这些挑战并开始构思克服它们的方法，我研究了在发展中世界开展关于烟草与健康以及卫生政策的有意义研究项目的必要性和方法。
