SMOKING PREVENTION THROUGH MASS MEDIA AND SCHOOL PROGRAM

《通过大众媒体和学校预防吸烟》的更新 计划：(CA38395)为暴露的学生提供进一步的跟踪 教育干预和进一步的数据分析。该项目 是由吸烟、烟草和癌症项目资助的 癌症预防和控制部于1984年成立，是 评估大众媒体在控制教育方面的使用情况的研究 烟草使用。我们的主要问题是测试大众媒体的能力 增加学校吸烟既定功效的干预措施 预防计划。在最初的设计中，两对匹配的 系统地选择社区来提供学生样本。 在这些学校管理协会内，特定的学区和支线系统是 选择在人口统计特征上提供更接近的匹配。这个 建立了5458名4年级、5年级和6年级学生的初始队列 在纽约州的宾厄姆顿和密苏里州的大瀑布，以及在佛蒙特州的伯灵顿和 比林斯，蒙大拿州，1985年春天。那么，第一个社区对中的那些 只接受了四年的学校项目。评估是 通过对学生的年度调查，结合自我 应对唾液收集程序，以加强烟草报告 使用。年度调查从8年级、9年级和10年级进行。 这些调查是每年针对个别学生进行的。 五年关联数据集的初步结果显示， 大众媒体节目似乎提供了一个优势，防止 吸烟，由吸烟行为指数或 普及率衡量标准，特别是在女童中。这一明显的优势 也反映在一系列变量中，这些变量在理论上 与这一结果相联系，作为计划效果的调解人。物质使用 未被这些干预措施针对的行为没有显示出类似的优势 对于试验组来说。 对于这次更新，我们将从一开始就对所有学生进行跟踪 通过学校和电话调查进行队列调查，以收集吸烟数据 当主要群体的行为和其他指标对计划产生影响时 这一群体在1991年期间为10年级、11年级和12年级。 学校调查，针对那些仍留在原来学校的学生 地区，将由早些时候进行的小组进行 调查。电话跟进，为那些转岗的人 学区或辍学的，将通过调查进行 来自明尼苏达大学的研究小组。这四项研究将 在两年后完成干预措施的影响评估 他们的完成对1)那些接触了完整的 干预措施；2)暴露于部分干预措施的人，因为 他们转到了另一个学区；3)那些退学的学生 学校；以及4)完整的初始队列。要实现这些目标 目标，我们已经组建了一支多学科的调查团队 以及在公共卫生、人类发展、 健康教育、大众传媒、生物统计学和调查研究。

This renewal of "Smoking Prevention Through Mass Media and School Programs: (CA38395) provides for further follow-up of students exposed to the educational interventions and further data analyses. The project was funded through the Smoking, Tobacco, and Cancer Program of the Division of Cancer Prevention and Control in 1984 as part of a group of studies evaluating the educational use of mass media in control of tobacco use. Our major question was to test the ability of mass media interventions to add to the established efficacy of school smoking prevention programs. In the original design, two matched pairs of communities were systematically selected to provide student samples. Within these SMSAs specific school districts and feeder systems were chosen to provide a closer match on demographic characteristics. The inception cohorts of 5458 students in Grades 4,5, and 6 were established in Binghamton, NY and Great FAlls, MT, and in Burlington, VT and Billings, MT in Spring, 1985. Those in the first community pair then received four years of the school program only. Evaluation was accomplished through annual surveys of students which combined self- response with saliva collection procedures to enhance reports of tobacco use. Annual surveys were conducted through Grade 8,9, and 10. Data from these surveys were linked for individual students from year to year. Preliminary results from the five-year linked data sets show that the mass media program appeared to provide an advantage in preventing cigarette smoking, as measured by the Smoking Behavior Index or prevalence measures, especially among girls. This apparent advantage also was reflected in a series of variables which were theoretically linked to this outcome as mediators of program effect. Substance use behaviors not targeted by these interventions showed no similar advantage for the experimental group. For this renewal we will follow-up all students from the inception cohort through school and telephone surveys to collect data on smoking behavior and other indicators of program impact when the main group of this cohort is in Grades 10,11, and 12 during 1991. School surveys, for those who have remained in their original school districts, will be conducted by the team which conducted the earlier surveys. Telephone follow-up, for those who transferred to another school district or dropped out of school, will be conducted by a survey research group from the University of Minnesota. The four studies will accomplish assessment of impact of the interventions two years after their completion on 1) those who were exposed to the complete interventions; 2) those exposed to a part of the interventions because they transferred to another school district; 3) those who dropped out of school; and 4) the complete inception cohort. To accomplish these objectives, we have assembled a multi-disciplinary team of investigators and consultants with expertise in public health, human development, health education, mass media, biostatistics, and survey research.