# Portfolio analysis of global tobacco control research funding at the National Cancer Institute, 2000–2019

## TL;DR

This paper analyzes global tobacco control research funding by the National Cancer Institute from 2000 to 2019, highlighting a focus on middle-income countries and cigarettes.

## Contribution

The study identifies gaps in research funding for tobacco control in low-income countries and non-cigarette products.

## Key findings

- Most funded research focused on middle-income countries and cigarettes.
- Only a small fraction of grants addressed non-cigarette tobacco products or were awarded directly to low-income institutions.
- There is a need for more research on adapting interventions in diverse low- and middle-income settings.

## Abstract

Research in low- and middle-income countries (LMICs), where the majority of global tobacco users reside, is critical to addressing the global tobacco epidemic. This analysis describes the global tobacco control research portfolio funded by the National Cancer Institute from fiscal years 2000 to 2019.

We used the National Institutes of Health Query, View, Report database to identify extramural grants relevant to global tobacco control research. Abstracts were analyzed to describe grant characteristics, including topic areas, tobacco products, countries, and regions of focus. Bibliometric and co-authorship network analyses were performed for publications associated with relevant grants.

Of the 93 relevant grants with foreign (non-US) involvement, the majority (83.9%) supported research in upper and lower middle-income countries. The majority of grants (86.0%) focused on cigarettes, with a small subset of grants addressing smokeless tobacco, waterpipe use, or other non-cigarette products. Most grants focused on at least one of the six tobacco control policy measures in the World Health Organization MPOWER package; almost half (48.4%) focused on monitoring tobacco use and around one-third (32.3%) focused on offering tobacco cessation treatment, while other MPOWER measures received less attention in the research portfolio. While most of these grants, and the funding initiatives that supported them, emphasized research in low- and middle-income countries (LMICs), only 3 of 93 grants were awarded directly to LMIC-based institutions.

There is a critical need for research to develop and test strategies to adapt, implement, and scale up evidence-based interventions across diverse LMIC settings. This study identified gaps in research activity that should be addressed to strengthen global tobacco control research capacity.