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ITC China Status ReportITC China Status Report

Anne C. K. Quah, PhDITC Asia Project ManagerDepartment of Psychology

University of Waterloo

ITC-TTURC Project Annual MeetingPortland, Oregon—March 1, 2008

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ITC China Team MembersITC China Team Members

• UWUW: Geoff Fong, Wu Changbao, Mary : Geoff Fong, Wu Changbao, Mary Thompson, Dave Hammond, Anne Quah, Thompson, Dave Hammond, Anne Quah, Yan Mi, Tara Elton-Marshall, Yang JilanYan Mi, Tara Elton-Marshall, Yang Jilan

• China CDCChina CDC: Jiang Yuan, Yang Yan, Feng : Jiang Yuan, Yang Yan, Feng Guoze, Li QiangGuoze, Li Qiang

• Roswell ParkRoswell Park: Rich O’Connor, Andy Hyland, : Rich O’Connor, Andy Hyland, Mike CummingsMike Cummings

• SUNY BuffaloSUNY Buffalo: Gary Giovino: Gary Giovino

• TCCVTCCV: Ron Borland, Yong Hua, Li Lin: Ron Borland, Yong Hua, Li Lin

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ITC China Project TeamsITC China Project Teams

Beijing CDC*

Changsha CDC

Guangzhou CDC

Shanghai CDC*

Shenyang CDC*

Yinchuan CDC

Zhengzhou CDC

ITC

DMCUW

Roswell Park

TCCV

China CDC

7 Cities:SUNY Buffalo

*Olympic Cities

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ITC China Survey CitiesITC China Survey Cities

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City

Jie Dao 1 Jie Dao 2

JWH1………JWH10 JWH11……….JWH20

Total = 20 JWH officers+40 Interviewers[Jie Dao = District; Ju Wei Hui = Block]

ITC China Sampling DesignITC China Sampling Design

Per JWH: 1 JWH Officer + 2 Interviewers

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Sample = 7000 respondents (1000/city/wave):(800 smokers+200 non-smokers/city)Survey Mode: Face-to-Face Interview•Wave 1: 2006-2007

ITC China Survey WavesITC China Survey Waves

Gender Smokers Non-Smokers

N % N %

Male 5334 95.37 602 40.98

Female 259 4.63 867 59.02

Total 5610 100.00 1472 100.00

Missing 17 3

Grand Total 7082

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•Wave 2: Dec 2007-Mar 2008

Plans for smoke-free in Beijing & possibly in other Olympic cities pre-, during and/or post Games but unclear

•Wave 3: Dec 2008/Jan 2009 (?)

ITC China Survey WavesITC China Survey Waves

Respondents N

Recontact 5654

Replenishment 754

Total (4 Feb 08) 6408

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ITC China Current StatusITC China Current StatusWave 1a.Weighted dataset readyb. ITC China W1 Technical Report (nearly ready)

Wave 2a. Survey Fieldwork: Completed in 6 cities;

Zhengzhou will finish shortlyb. Cigarette Repository: Completedc. Biomarkers Pilot Study in Beijing: Collected 40

out of 50 samples of saliva and cigarette butts

Wave 3a. Survey Development: started Feb 2008

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• No direct communication with city CDCs• Two training levels: a) China CDC+City CDC

officials; b) City training of JWH and survey interviewers – may vary from city to city

• City’s organizational structure, e.g. new replacement and training of JWH officers and interviewers after 2/3 of W2 fieldwork

• Sampling: lost of JWH due to redevelopment; lost of recontacts due to work in other cities

ITC China Challenges

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Sources of Funding (2008-2012):1/3 NCI-NIH +1/3 CIHR +1/3 Chinese Government

• 2007/08 – Wave 2 (near fieldwork completion/begin of data entry )

• 2008/09 – Wave 3

• 2009/10 – Wave 4

• 2011/12 – Wave 5

• 2012/13 – Wave 6

ITC China Funding

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Appendices: China FCTC

Signed 10 Nov 2003 Ratified 11 Oct 2005

FCTC Status

In National Currency 4.00 CNY In International $ $1.92Affordability of most popular

brand: % of annual per capita income required to

buy 100 packs

3%

Taxes21% of retail

price

Cigarette Price of most popular brand

FCTC – Price and Taxation

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China FCTC

Advertising/Promotion Bans PartialBroadcast and print (national and international)Enforcement Rating 3 / 10Smoke-Free PartialSchoolsPlans for smoke-free in Beijing; possibly other venues, but unclearWarning Labels < FCTC minU.S. style-side of packPlans for FCTC minimum

FCTC – Non-Price Measures

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China Demographics

Population (1000s) 1,323,345Adults (>15 years) 78.6%Urban 40.0%Growth rate 0.8%

Income Group MiddleIncome per capita (Intl $) $6,600Extreme Poverty Rate 16.6%Literacy Rate 90.9%

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China Smoking Prevalence

Males 7.1 Females 4.1 Overall 5.5

Youth Prevalence (2004 GYTS in Shanghai: 13-15 years)

Males 57.4 Females 2.6 Overall 31.4

Adult Prevalence (2002)

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China Tobacco Industry

Cigarette Production (Ms) 1,748,500Cigarette Imports (Ms) 47,740Cigarette Exports (Ms) 41,566

Tobacco Industry(From Tobacco Atlas, 2006)