BUENA VIDA SIN FUMAR--MEDIA/COMMUNITY DEMONSTRATION

该项目将演示和分析大众媒体和 减少吸烟的社区组织和培训 德克萨斯州南部靠近墨西哥边境的低收入人口。吸烟率 在这一群体中男性的比例相对较高，如果目前的趋势继续下去， 与吸烟相关的癌症发病率可能会相对于#年的人口有所增加 其中男性的吸烟率有所下降。 调查人员将构建一个部分随机的、纵向的 八个选定地点的居民参与的准实验设计 成年人(18-64岁)在大约3,500个家庭和大约 18,000名学生(14-18岁)在十个高中会被邀请去 参与研究项目。在所有地方，吸烟 与吸烟有关的变量将在五年内进行测量 从人口普查区随机抽样的成年人的家庭访谈期 以及对高中生的课堂调查。在……里面 子样本，将采用两到三个生化测试来补充 吸烟的自我报告。其中三个研究地点将提供控制 或用于评估其他四个研究地点的计划效果的比较 在那里将举行不同的媒体/社区活动来吸烟 预防/戒毒。一个位置将用作第一个位置的控件 在推出减少吸烟的试验性计划前两年 那里。 年将先后设立三个级别的实验活动。 不同位置和/或位置内的街区或社区：(1) 仅限大众媒体节目；(2)媒体和直接社区组织 培训以增加对应对措施的鼓励和强化 具体涉及戒烟/预防吸烟；(3)媒体和 如上所述的社区组织，并建立了其他制度 为应对压力提供更广泛的社会支持。不同的 实验方法将基于来自 行为科学，也将被设计成对应于有意义的 供当地和区域规划者选择的政策。所有计划活动都将 整合到现有的公共卫生服务结构中，尽管是当地的 权威，并在研究社区的积极参与下 展示可以可行地继续提供的有效的物质和服务 并被其他公共卫生机构采用。

The project will demonstrate and analyze the effect of mass media and community organization and training to reduce cigarette smoking in specific low income population near the Mexican border in South Texas. Smoking rates are relatively high among men in this group and, if current trends continue, rates of smoking-related cancer may increase relative to populations in which smoking rates among men have decreased. The investigators will construct a partially-randomized, longitudinal, quasi-experimental design involving residents of eight selected locations where adults (18-64yrs.) in approximately 3,500 households and approximately 18,000 students (14-18 yrs.) in ten senior high school will be invited to participate in the research program. In all locations, cigarette smoking and variables related to cigarette smoking will be measured over a five-year period in household interviews of adults from randomly sampled census blocks and class-room surveys of students from senior-high-schools. In sub-samples, two or three biochemical tests will be employed to supplement self-reports of smoking. Three of the study locations will provide control or comparison for assessing program effects in four other study locations where different media/community activities will be conducted for smoking prevention/cessation. One location will serve as a control for the first two years before experimental programs to reduce smoking are introduced there. Three levels of experimental activity will be established sequentially in different locations and/or blocks or neighborhoods within locations: (1) Mass media program only; (2) Media and direct community organization and training to increase encouragement and reinforcement for responses specifically related to smoking cessation/prevention; (3) Media and community organization as above, with establishment of additional systems for more general social support for stress-coping. The different experimental methods will be based on theoretical principles from the behavioral sciences and will also be designed to correspond to meaningful policy option for local and regional planners. All program activities will be integrated into existing public health service structures though local authority and with active participation of the study communities to demonstrste effective material and services that can be feasibly continued and adopted by other public health agencies.