EFFECTS OF MN STATE & LOCAL PROGRAMS ON YOUTH TOBACCO US

明尼苏达州议会每年从明尼苏达州(MN)烟草定居捐赠基金中拨出高达2500万美元的利息收入给MN卫生部(MDH)，用于预防烟草使用。这些资金被指定用于地方和州一级的综合方案，以减少青少年的烟草使用。这项纵向研究建议使用队列、横断面和时间序列设计的组合来测量青少年的烟草使用模式以及随时间推移在社区和个人层面上与烟草相关的态度和看法。这项研究的目的是将由MN烟草预防捐赠基金资助的项目的实施与个人、社区和国家内年轻人的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最有益于地方和州控烟项目的战略和方法，并衡量MN烟草预防捐赠对青少年的整体效果。通过电话调查收集的主要结果衡量标准将是青少年的烟草使用行为和态度，以及队列中个人使用烟草的进展情况；这些将在州和地方一级汇总。将获得对烟草使用的敏感性、曾经使用烟草、烟草使用的频率、数量、持续时间和规律性以及戒烟尝试的衡量标准。青少年吸烟行为的自然历史还没有被很好地理解。通过在三年中每六个月收集一次关于青年队列的数据，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层面的全面烟草预防和控制计划的实施情况；分析该计划在三年内对12-18岁青少年的影响；与MDH合作，将研究结果纳入MN计划的整体评估，并确定地方和全州层面的烟草控制“最佳做法”；以及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.