Kaleta Dorota, Usidame Bukola, Biliński Przemysław, Raciborski Filip, Samoliński Bolesław, Wojtyła Andrzej, Fronczak Adam
Department of Preventive Medicine, Medical University, Lodz, Poland.
Ann Agric Environ Med. 2012;19(4):717-22.
A tobacco surveillance system is crucial for improving the planning and implementation of effective tobacco control policies. The purpose of the presented study was to describe a review of the process of implementation and methodological assumption of a Global Adult Tobacco Survey (GATS) conducted in Poland. The study strengths and limitations are evaluated, as well as some recommendations given for further tobacco surveillance activities in Poland.
The Global Adult Tobacco Survey (GATS) was implemented in Poland between 2008-2010. The survey population selection process was based on a three-stage stratified geographically-clustered sample of a non-institutional population aged 15 years and over. Those who lived in institutions were not surveyed. The GATS questionnaire was very detailed and provides a significant amount of data. The filed work was preceded by several training sessions for all survey staff and the pretest. Questionnaires were administered in respondents' homes during the face-to-face interviews.
Of the 14,000 households selected for the survey, 8,948 (63.9%) households and 7,840 (93.9%) sampled individuals completed the interviews. The total survey response rate was 65.1%.
GATS was an important step towards obtaining representative, current data on the tobacco epidemic in Poland. Basic results of the study are currently available. More in-depth analysis will provide useful data for public health experts and policymakers to assign resources and establish health priorities. Unfortunately, competing targets and lack of awareness on the part of stakeholders still constrains the financial resources available to those undertaking tobacco control research in Poland. The circumscribed capacity to undertake multidisciplinary policy research limits both the quality and quantity of such studies. There is an urgent need to establish a nationally coordinated plan for surveillance of data collection, use, access and dissemination, with defined institutional roles for each of these functions and the funds dedicated to the research.
烟草监测系统对于改进有效烟草控制政策的规划与实施至关重要。本研究的目的是描述对在波兰开展的全球成人烟草调查（GATS）实施过程及方法假设的回顾。评估了该研究的优势与局限性，并针对波兰未来的烟草监测活动给出了一些建议。
全球成人烟草调查（GATS）于2008年至2010年在波兰实施。调查人群的选择过程基于对15岁及以上非机构化人群的三阶段分层地理聚类抽样。居住在机构中的人员未被调查。GATS问卷非常详细，提供了大量数据。在实地工作开展之前，对所有调查人员进行了多次培训并进行了预测试。问卷通过面对面访谈在受访者家中进行发放。
在选取用于调查的14000户家庭中，8948户（63.9%）家庭以及7840名（93.9%）抽样个体完成了访谈。总调查回复率为65.1%。
GATS是朝着获取波兰烟草流行情况的代表性当前数据迈出的重要一步。该研究的基本结果目前已可得。更深入的分析将为公共卫生专家和政策制定者分配资源及确定卫生重点提供有用数据。遗憾的是，相互竞争的目标以及利益相关者缺乏认识，仍然限制了波兰从事烟草控制研究人员可获得 的财政资源。开展多学科政策研究的能力受限，这同时影响了此类研究的质量和数量。迫切需要制定一项全国协调的计划，用于数据收集、使用、获取和传播的监测，明确每项职能的机构角色以及专门用于该研究的资金。
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