1. Global Youth Tobacco Survey Training Workshop Introduction to the GYTS Questionnaire

2. Outline  Background and Development  GYTS Questionnaire with Optional Questions  Guidelines for Adaptation & Finalization

3. …………::::: Background and Development

4. 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

5. 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)

6. 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

7. …………::::: GYTS Questionnaire with Optional Questions

8. Content  Global Core Questionnaire  Optional Modules & Questions  School Policy Questionnaire

9. Global Core Questionnaire  Introduction  Background Characteristics  Tobacco Use  Cessation  Secondhand Smoke  Economics  Media  Attitudes & Perceptions

10. Introduction  Explanation/examples of different types of tobacco Any Tobacco Use Smoking Tobacco Smokeless Tobacco -Cigarettes -Other types of smoked tobacco

11. Background Characteristics  Age  Gender  School grade  Spending money (economics)

12. 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

13. 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

14. 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

15. Economics  Obtaining cigarettes  Unable to buy cigarettes because of age  Purchase type – Individual sticks, packs, cartons, roll your own  Cost of cigarettes

16. 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

17. 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

18. 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.”)

19. 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

20. 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

21. …………::::: Guidelines for Adaptation & Finalization

22. 1 st 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?)

23. 2 nd 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

24. SMOKED TABACO PRODUCTS Any Tobacco Products SMOKED 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

25.  Narguileh/Shisha, Hookah/Waterpipes Pipes Cigars, mini cigars, cigarillos SMOKED TABACO PRODUCTS Any Tobacco Products SMOKED TABACO PRODUCTS

26. SMOKELESS TABACO PRODUCTS Any Tobacco Products SMOKELESS TABACO PRODUCTS Venezuela - Chimó

27. 3 rd 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