EFFECTS OF MN STATE & LOCAL PROGRAMS ON YOUTH TOBACCO US

明尼苏达州立法机构每年从明尼苏达州（MN）烟草解决捐赠基金中拨出高达2500万美元的利息收入，用于明尼苏达州卫生部（MDH）预防烟草使用。 这些资金被指定用于地方和州一级减少青少年吸烟的综合方案。 这项纵向研究建议使用队列，横断面和时间序列设计相结合，以衡量青少年烟草使用模式和烟草相关的态度和看法，随着时间的推移，在社区和个人层面。 本研究的目的是将MN烟草预防捐赠资助的项目的实施与个人，社区和国家内青年烟草使用行为和态度的变化联系起来。 这项研究将有助于确定地方和州烟草控制计划的最有益的策略和方法，并衡量MN烟草预防捐赠对青年的整体影响。从电话调查中收集的主要结果措施将是青少年的烟草使用行为和态度，以及队列中个人烟草使用的进展;这些将在州和地方一级汇总。 将获得对烟草使用的敏感性、烟草使用史、烟草使用的频率、数量、持续时间和规律性以及尝试戒烟的措施。 青少年烟草使用行为的自然史尚未得到很好的理解。 通过在三年内每六个月收集一次关于青年群体的数据，将更准确地确定烟草使用的发展模式和这些模式变化的预测因素。 这项研究的目的是记录州和地方一级烟草预防和控制综合方案的实施情况;分析该方案在三年内对12-18岁青少年的影响;与MDH合作，将调查结果纳入MN方案的总体评估，并确定地方和州一级烟草控制的“最佳做法”;并进一步描述和定义从不吸烟者向吸烟者转变的发展过程。

The Minnesota Legislature has allocated up to 25 million dollars per year in interest revenues from the Minnesota (MN) tobacco settlement endowments to the MN Department of Health (MDH) for tobacco-use prevention. These funds are designated for comprehensive programs at the local and state levels to reduce tobacco use by adolescents. This longitudinal study proposes to use a combination of cohort, cross-sectional, and time-series designs to measure adolescent tobacco-use patterns and tobacco- related attitudes and perceptions over time at the community and individual level. The purpose of this study is to relate implementation of programs funded by the MN tobacco prevention endowment to changes in tobacco-use behaviors and attitudes of youth within individuals, communities, and the state. This study will help to identify the most beneficial strategies and methods for local and state tobacco control programs, and to measure the overall effect of the MN tobacco prevention endowment on youth. The main outcome measures collected from telephone surveys will be tobacco-use behaviors and attitudes among adolescents, and the progression of tobacco use for individuals within cohorts; these will be aggregated at the state and local level. Measures of susceptibility to tobacco use, ever use of tobacco, frequency, quantity, duration and regularity of tobacco use, and attempts to quit using tobacco will be obtained. The natural history of tobacco-use behaviors in youth is not well understood. By collecting data every six months over three years on the youth cohort, the developmental patterns of tobacco use and the predictors of changes in these patterns will be defined more precisely. The aims of the study are to document the implementation of the comprehensive tobacco prevention and control program at the state and local level; to analyze the effects of the program over three years on adolescents age 12-18; to collaborate with MDH to integrate findings into the overall evaluation of the MN program, and to identify "best practices" for tobacco control at the local and statewide level; and to further describe and define the developmental process of transition from nonsmoker to smoker.