Journal Article

Tracking MPOWER in 14 countries: results from the Global Adult Tobacco Survey, 2008–2010

Asma, Samira, Caixeta, Roberta, Rarick, James, Hsia, Jason, Sinha, Dhirendra, Peruga, Armando, Song, Yang, Deland, Katherine, Ramanandraibe, Nivo, Morton, Jeremy, Talley, Brandon, Zhao, Luhua, Palipudi, Krishna Mohan, Fouad, Heba, Khoury, Rula, Bettcher, Douglas, D’Espaignet, Edouard Tursan

2016

Overview

Background: The World Health Organization (WHO) MPOWER is a technical package of six tobacco control measures that assist countries in meeting their obligations of the WHO Framework Convention Tobacco Control and are proven to reduce tobacco use. The Global Adult Tobacco Survey (GATS) systematically monitors adult tobacco use and tracks key tobacco control indicators. Methods: GATS is a nationally representative household survey of adults aged 15 and older, using a standard and consistent protocol across countries; it includes information on the six WHO MPOWER measures. GATS Phase I was conducted from 2008–2010 in 14 high-burden low- and middle-income countries. We selected one key indicator from each of the six MPOWER measures and compared results across 14 countries. Results: Current tobacco use prevalence rates ranged from 16.1% in Mexico to 43.3% in Bangladesh. We found that the highest rate of exposure to secondhand smoke in the workplace was in China (63.3%). We found the highest ‘smoking quit attempt’ rates in the past 12 months among cigarette smokers in Viet Nam (55.3%) and the lowest rate was in the Russian Federation (32.1%). In five of the 14 countries, more than one-half of current smokers in those 5 countries said they thought of quitting because of health warning labels on cigarette packages. The Philippines (74.3%) and the Russian Federation (68.0%) had the highest percentages of respondents noticing any cigarette advertising, promotion and sponsorship. Manufactured cigarette affordability ranged from 0.6% in Russia to 8.0% in India. Conclusions Monitoring tobacco use and tobacco control policy achievements is crucial to managing and implementing measures to reverse the epidemic. GATS provides internationally-comparable data that systematically monitors and tracks the progress of the other five MPOWER measures.

• Publisher: SAGE Publications,International Union for Health Promotion and Education
• Subject: Adolescent / Adult / Adults / Advertisements / Advertising / Affordability / Aged / Beliefs / Cigarette industry / Cigarettes / Communicable Diseases / Comparative studies / Confidence intervals / Data collection / Data processing / Dining Facilities / Epidemics / Federations / Female / Global Health / Health behavior / Health promotion / Health Services / Health Surveys - methods / Health Surveys - standards / Humans / Low income groups / Male / Middle Aged / Passive smoking / Polls & surveys / Population / Population Surveillance / Public health / Quality Assurance / Quality Control / Respondents / Sampling / Smoking / Smoking - epidemiology / Smoking Cessation - statistics & numerical data / Sponsorship / Surveillance / Tobacco / Tobacco smoke / Tobacco Smoke Pollution - statistics & numerical data / Tracking / Warning labels / Workplaces / World Health Organization / Young Adult