• Yang Song, Luhua Zhao, Krishna Mohan Palipudi, Samira Asma, Jeremy Morton, Brandon Talley, Jason Hsia, Nivo Ramanandraibe, Roberta Caixeta, Heba Fouad, Rula Khoury, Dhirendra Sinha, James Rarick, Douglas Bettcher, Armando Peruga, Katherine Deland, D'EspaignetEdouard TursanETHeadquarters, WHO, Geneva, Switzerland., and Global Adult Tobacco Survey (GATS) Collaborative Group.
• Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA Ysong2@cdc.gov.
• Glob Health Promot. 2016 Jun 1; 23 (2 Suppl): 24-37.

BackgroundThe 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.MethodsGATS 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.ResultsCurrent 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.ConclusionsMonitoring 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.© The Author(s) 2013.

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