Global Youth Tobacco SurveyTraining Workshop

Introduction to theGYTS Questionnaire

Outline

Background and Development

GYTS Questionnaire with Optional Questions

Guidelines for Adaptation & Finalization

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Background andDevelopment

Evaluation and Revision of GYTS

Examine the current state of the GYTS protocol including the questionnaire

Update questionnaire to reflect advancements in global tobacco control policy areas

Create a singular GYTS “core” questionnaire and a single bank of “optional” questions– Goal: Global comparability and consistency

Questionnaire Development

GYTS Technical Review Summit (July 2011) – GYTS Questionnaire Workgroup

Global partner review (October 2011) Final draft questions (April 2012) Global questionnaire testing (May – June

2012) Finalized GYTS Questionnaire with

Optional Questions (July 2012)

Global Questionnaire Testing

Objective: Evaluate comprehension and structure using local languages in in-country settings– Brazil– Egypt (+shisha module)– India (+bidis and smokeless tobacco

modules)– Mexico– Philippines– United States

Self-administration with cognitive debriefing– 13 to 15 year old students, urban/rural

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GYTS Questionnaire with Optional

Questions

Content

Global Core Questionnaire Optional Modules & Questions School Policy Questionnaire

Global Core Questionnaire

Introduction Background Characteristics Tobacco Use Cessation Secondhand Smoke Economics Media Attitudes & Perceptions

Introduction

Explanation/examples of different types of tobacco

Any Tobacco UseSmoking Tobacco Smokeless Tobacco-Cigarettes-Other types of smoked tobacco

Background Characteristics

Age Gender School grade Spending money (economics)

Tobacco Use

Cigarettes– Ever use and current use– Age of initiation– Frequency of use (# of days smoked, # of

cigarettes) Other smoked tobacco

– Ever use and current use Smoking tobacco dependence Smokeless tobacco

– Ever use and current use

Cessation

Desire to quit smoking Attempt to quit smoking during past 12

months Opinion on being able to quit smoking Receive assistance/advice to help quit

smoking

Secondhand Smoke

Exposure to smoking in the last 7 days at:– Home– Indoor public places– Outdoor public places

Noticing smoking at school Knowledge of health risks of

secondhand smoke Opinion on banning smoking at:

– Indoor public places– Outdoor public places

Economics

Obtaining cigarettes Unable to buy cigarettes because of

age Purchase type

– Individual sticks, packs, cartons, roll your own

Cost of cigarettes

Media: Anti-Tobacco

Media messages against tobacco– Television, radio, internet, billboards,

posters, newspapers, magazines, or movies– Sports events, fairs, concerts, or

community events, or social gatherings Attention to and effects of warning

labels on cigarette packages School lessons about the dangers of

tobacco use

Media: Pro-Tobacco

Noticing tobacco use on television shows, videos, movies

Noticing tobacco advertising/promotions at points of sale

Items with tobacco brand/logo: ownership, willingness – Marketing receptivity

Tobacco company representative offering a free tobacco product

Attitudes & Perceptions

Susceptibility to tobacco use– Using tobacco if offered by friends– Future use of tobacco– Smoking tobacco to feel comfortable– Curiosity (“I think I might enjoy smoking a

cigarette.”)

Optional Modules and Questions

Optional Modules– Shisha– Bidis– Smokeless Tobacco

List of Optional Questions– Core and optional questions from previous

GYTS questionnaires– New proposed questions

School Policy Questionnaire

Global School Personnel Survey (GSPS) discontinued

Selected GSPS questions to provide information on tobacco-free policies and enforcement

Administered to each school in GYTS– School principal/administrator completes

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Guidelines forAdaptation & Finalization

1st step – Review Questionnaire Structure

Global Youth Tobacco Survey – Country Name 2015 Instructions for participants Introduction – Tobacco use table need to be adapted

by country CORE 43 questions – 14 need country experts

adaptation Optional Questions – S 14, B 14, O 62 – 150 questions Recommendations no more than 75 questions Country Specific questions Preparing the questionnaire in local language and

English (how many languages the questionnaire need to be prepared?)

2nd Step – Identify Tobacco Products in your country

Introduction – Table Any tobacco products Smoking Tobacco Products other

than cigarettes Smokeless Tobacco Products Questions that need adaptations CORE:

C3,C4,C9,C10,C13,C14,C20,C21,C24,C25,C26,C28, C29, C35

Any Tobacco ProductsSMOKED TABACO PRODUCTS

Manufactured Cigarettes

• Kreteks (clove cigarettes)

Djarum (Bolivia)

• Bidi – Indian cigarette • Hand-rolled cigarettes

Straw – Brazil and Uruguay

http://www.wikihow.com/Make-Your-Own-Clove-Cigarettes/Kretek

Produced in India and exported to more than 100 countries

Narguileh/Shisha, Hookah/Waterpipes

• Pipes

• Cigars, mini cigars, cigarillos

Any Tobacco ProductsSMOKED TABACO PRODUCTS

Any Tobacco ProductsSMOKELESS TABACO PRODUCTS

Venezuela - Chimó

3rd step – Review Optional Questions

Shisha/Narguileh – 14 Q Bidi – 14 Q Smokeless – 17 Q List of Optional Questions - 62

Finding the best place to insert the question within the questionnaire – Review with PAHO/CDC