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烟草和解基金的利息收入中拨出2500万美元给明尼苏达州卫生部，用于预防烟草使用。这些资金被指定用于地方和州一级减少青少年烟草使用的综合项目。这项纵向研究建议采用队列、横断面和时间序列设计相结合的方法，在社区和个人层面上测量青少年烟草使用模式和烟草相关的态度和看法。本研究的目的是将MN烟草预防基金资助的项目的实施与个人、社区和国家内青少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项目最有益的策略和方法，并衡量MN烟草预防捐赠对青少年的总体影响。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，以及队列内个人的烟草使用进展情况；这些将在州和地方一级进行汇总。将获得对烟草使用的易感性、曾经使用烟草、使用烟草的频率、数量、持续时间和规律性以及试图戒烟的措施。青少年烟草使用行为的自然历史尚不清楚。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以及这些模式变化的预测因素。该研究的目的是记录州和地方各级全面烟草预防和控制规划的实施情况；分析三年来该项目对12-18岁青少年的影响；与卫生部合作，将调查结果纳入MN规划的总体评估，并确定地方和州一级烟草控制的“最佳做法”；并进一步描述和界定非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.