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建设中低收入国家应用研究能力以减少烟草相关危害:烟草控制能力项目(TCCP)

Building capacity for applied research to reduce tobacco-related harm in low- and middle-income countries: the Tobacco Control Capacity Programme (TCCP).

作者信息

Dobbie Fiona, Mdege Noreen, Davidson Fiona, Siddiqi Kamran, Collin Jeff, Huque Rumana, Owusudabo Ellis, van Walbeek Corne, Bauld Linda

机构信息

Usher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.

UK Centre for Tobacco and Alcohol Studies, Nottingham, UK.

出版信息

J Glob Health Rep. 2019 Aug 1;3. doi: 10.29392/joghr.3.e2019055. eCollection 2019.

DOI:10.29392/joghr.3.e2019055
PMID:33134559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7116281/
Abstract

BACKGROUND

Tobacco use is the leading cause of preventable deaths in the world. By 2030, more than 80% of these tobacco-related deaths will occur in low- and middle-income countries (LMICs). The aim of the Tobacco Control Capacity Programme (TCCP) therefore, is to reduce tobacco-related mortality and morbidity by building research capacity in LMICs.

METHODS

A consortium of fifteen partner organisations across eight countries (Bangladesh, Ethiopia, Ghana, India, South Africa, the Gambia, Uganda and the UK) will offer extensive research methods and leadership training opportunities to conduct high quality research projects on policy and practice and establish strong research partnerships. An example of one such study using a mixed method design to investigate tobacco industry interference in Uganda is presented.

RESULTS

The TCCP programme will produce research that can inform policies and practice within countries to prevent or reduce tobacco use. By conducting research in three key areas (tobacco taxation, reducing illicit trade, and addressing tobacco industry interference, as well as other local priorities) the programme will help to reduce tobacco disease and death and also generate revenue for governments through taxation which aids other development priorities. While conducting research in LMICs on these themes TCCP will provide evidence to support better implementation of the Framework Convention for Tobacco Controls (FCTC), which will result in reductions in tobacco-related mortality and morbidity and also help generate revenue for governments through taxation which aids other development priorities.

CONCLUSION

The TCCP programme will create a cohort of skilled early-career researchers and research leaders who will build cohesive and successful research teams in LMICs. It will also create several collaborative networks of researchers, policy-makers and advocates to co-produce context-specific research on tobacco control and its translation into policy. This will advance implementation science in LMICs and improve population health. By generating context-specific evidence, the TCCP will support advocacy efforts to shift attitudes within communities and governments towards a stronger tobacco control. Policy makers will be assisted by the evidence generated in this programme to challenge aggressive tobacco industry tactics and implement effective tobacco control.

摘要

背景

烟草使用是全球可预防死亡的首要原因。到2030年,超过80%的与烟草相关的死亡将发生在低收入和中等收入国家(LMICs)。因此,烟草控制能力项目(TCCP)的目标是通过建设低收入和中等收入国家的研究能力来降低与烟草相关的死亡率和发病率。

方法

由来自八个国家(孟加拉国、埃塞俄比亚、加纳、印度、南非、冈比亚、乌干达和英国)的15个合作伙伴组织组成的联盟将提供广泛的研究方法和领导力培训机会,以开展关于政策和实践的高质量研究项目,并建立强大的研究伙伴关系。文中展示了一项使用混合方法设计来调查烟草行业在乌干达的干预情况的此类研究实例。

结果

TCCP项目将产生可指导各国预防或减少烟草使用的政策和实践的研究成果。通过在三个关键领域(烟草税收、减少非法贸易、应对烟草行业干预以及其他当地优先事项)开展研究,该项目将有助于减少烟草疾病和死亡,并通过税收为政府创造收入,这有助于其他发展优先事项。在低收入和中等收入国家就这些主题开展研究时,TCCP将提供证据以支持更好地实施《烟草控制框架公约》(FCTC),这将导致与烟草相关的死亡率和发病率降低,并通过税收为政府创造收入,这有助于其他发展优先事项。

结论

TCCP项目将培养一批有技能的早期职业研究人员和研究领导者,他们将在低收入和中等收入国家建立有凝聚力且成功的研究团队。它还将创建几个由研究人员、政策制定者和倡导者组成的合作网络,共同开展针对特定背景的烟草控制研究并将其转化为政策。这将推动低收入和中等收入国家的实施科学发展并改善人群健康。通过产生针对特定背景的证据,TCCP将支持倡导努力,以改变社区和政府内部对更强有力烟草控制的态度。该项目产生的证据将协助政策制定者应对烟草行业的激进策略并实施有效的烟草控制。

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