SMOKING PREVENTION THROUGH MASS MEDIA AND SCHOOL PROGRAM

该提案的长期目标是减少 吸烟与肺癌及其他癌症的未来流行 与吸烟有关的疾病 主要目的是评估年轻人 学校和大众传媒预防成年人吸烟的效果 在青春期进行干预。 我们还将评估 这些干预措施的假设理论基础，并描述 烟草和酒精使用的发展。 这些目标将会实现 使用纵向数据集，包括个人内部，环境 以及理论上与吸烟行为相关的行为因素， 无烟烟草和酒精使用的措施，在七个时间评估 在最初为10-12岁的队列成员中， 在第七次调查时年龄为21-23岁。 原始 一项实验旨在测试大众媒体干预的能力， 增加学校预防吸烟计划的既定功效。 一个 在4、5和6年级建立了54-58名学生的初始队列 1985年在佛蒙特州，纽约和蒙大拿州的四个匹配的社区。 一 社区对然后接受了四年的联合大众媒体和学校 吸烟预防计划，而另一对收到学校 程序而已。 1989年以前每年都在学校进行调查， 然后在1991年，干预措施完成两年后， 当学生在10-12年级时。 1991年的调查完成， 原始队列。 分析显示， 媒体学校社区吸烟者的比例， 学生完全暴露于干预措施，并为那些部分 暴露了 结果还表明，吸烟行为的显着影响， 1991年基线调查中确定的 成为常规吸烟者。 对于这一建议，我们将再次跟进所有 通过电话访谈， 这是明尼苏达大学调查研究小组进行的。 根据1991年的后续行动进一步分析数据， 在头两年将完成供出版的手稿 在这项调查完成后， 第三年， 新的调查答复将与现有的数据集、分析、 将完成与预防效果持续性有关的工作， 将编写与这些目标有关的文稿供出版。 这 这项研究提供了一个独特的机会， 成人年吸烟预防效果达到教育 青春期的策略

The long-term goal of this proposal is to reduce the prevalence of cigarette smoking and the future prevalence of lung cancer and other smoking-related diseases. The primary aim is to evaluate in young adulthood smoking prevention effects of a school and mass media intervention delivered in adolescence. We also will assess the hypothesized theoretical basis for these interventions and describe development of tobacco and alcohol use. These aims will be accomplished using a longitudinal data set which includes intrapersonal, environmental and behavioral factors theoretically associated with smoking behavior, and measures of smokeless tobacco and alcohol use, assessed at seven time points, among cohort members who initially were 10-12 years old and who will be 21-23 years old at the time of the seventh survey. The original experiment was designed to test the ability of mass media interventions to add to the established efficacy of school smoking prevention programs. An inception cohort of 54-58 students in grades 4, 5, and 6 was established in 1985 in four matched communities in Vermont, New York and Montana. One community pair then received four years of a combined mass media and school smoking prevention program, while the other pair received the school program only. Annual surveys were conducted in the schools through 1989, and then again in 1991, two years after the interventions were completed, when students were in grades 10-12. The 1991 survey was completed with 86% of the original cohort. Analyses showed a sustained reduction in the proportion of smokers in the media-school communities, both for the students fully exposed to the interventions and for those partially exposed. Results also indicate significant effects on smoking behavior in 1991 for those identified in the baseline survey as at high risk for becoming regular smokers. For this proposal, we will again followup all students in the inception cohort through telephone interviews to be conducted by the survey research group at the University of Minnesota. Further analyses of data based on followup through 1991 and preparation of manuscripts for publication will be completed during the first two years of this proposal, while this survey is completed. In the third year the new survey responses will be linked with the existing data set, analyses related to persistence of prevention effects will be completed, and manuscripts related to these aims will be prepared for publication. This study represents a unique opportunity to document the persistence into adult years of smoking prevention effects achieved by educational strategies during adolescence.