TEXAS MULTI CULTURAL REGIONAL COMMUNITY TOBACCO STUDIES

德克萨斯州多文化区域社区烟草研究

• 批准号: 6377897
• 负责人: ALFRED L MCALISTER
• 金额: $ 143.77万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-05-25 至 2004-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6377897
• 关键词: African American; Hispanic Americans; United States; adolescence (12-20); age difference; behavioral /social science research tag; caucasian American; clinical research; community health services; culture; gender difference; human subject; mass information media; peer group; racial /ethnic difference; secondary schools; smoking cessation; socioeconomics; substance abuse epidemiology; telecommunications; tobacco abuse; tobacco abuse prevention

More than 26,000 people die each year as a result of tobacco use in Texas. To lessen the health burden of tobacco, innovative and intensive interventions are urgently needed. The tobacco suit settlement in Texas has led to an allocation of approximately $10 million/yr. for state-level tobacco control. To match per-capita expenditures that have appeared to influence behavior in other major state initiatives, the funds will be concentrated in media, community and policy activities for a single region, involving approximately one-fifth of the state population and forming a "natural" quasi-experimental design. The University of Texas School of Public Health, the Baylor College of Medicine and the Texas Department of Health (TDH) will evaluate these regional activities and investigate their processes and effects in the three major cultural groups in Texas (Anglo-, Hispanic- and African-American). Data sources will include annual telephone surveys of adults (approx. 10,000 year/with 2,200 smokers), biannual surveys of secondary school students (n=15,000/2 years), surveys of physicians, other providers, schools, other organizations and key individuals, media content tracking and other qualitative and quantitative studies to document and evaluate the implementation of media, community and policy activities. In the quasi-experimental regional studies, trends in adult and youth prevalence and related factors will be compared in statewide and regional groups. Tobacco use cessation effects in the intensive regions will be evaluated through comparative panel studies. In an experimental study limited to randomly selected panel participants, some smokers and their families will receive mail-telephone contacts from peer outreach workers to increase exposure and response to media and community activities. The research designs employed in these studies will allow us to answer questions about the effects of different intensive regional interventions on tobacco use prevalence and smoking cessation and the processes and qualitative factors that are associated with the success or failure of different interventions in different ethnic and SES groups. To enhance the quality of intensive regional activities supported by the settlement funds, technical assistance will be provided through training workshops for TDH and its partners and contractors, focusing on effective multi-cultural action and the use of innovative media, community and policy interventions to address specific theoretical variables related to cessation and prevention. A publicity and peer modeling campaign will be conducted to promote individual behavior change and organizational program and policy innovation. This regional project within Texas is designed to gather evidence of effects of anti-smoking expenditures and to provide capacity development to justify later funding of similarly intensive tobacco control activities for the entire state.

在德克萨斯州，每年有超过26，000人死于烟草使用。为了减轻烟草的健康负担，迫切需要创新和密集的干预措施。得克萨斯州的烟草诉讼和解导致每年拨款约1 000万美元。国家级烟草控制。为了与似乎影响其他主要国家举措行为的人均支出相匹配，资金将集中在一个地区的媒体，社区和政策活动上，涉及大约五分之一的国家人口，形成一个“自然”的准实验设计。得克萨斯大学公共卫生学院、贝勒医学院和得克萨斯州卫生部将评估这些区域活动，并调查它们在得克萨斯州三个主要文化群体（盎格鲁人、西班牙人和非洲裔美国人）中的进程和影响。数据来源将包括对成年人的年度电话调查（约100万人）。每年10，000人/2，200名吸烟者）、一年两次的中学生调查（n= 15，000人/两年）、对医生、其他供应商、学校、其他组织和关键个人的调查、媒体内容跟踪和其他定性和定量研究，以记录和评估媒体、社区和政策活动的实施情况。在准实验性区域研究中，将在全州和区域组中比较成人和青年患病率及相关因素的趋势。烟草使用密集地区的戒烟效果将通过比较小组研究进行评估。在一项仅限于随机选择的小组参与者的实验性研究中，一些吸烟者及其家人将收到同龄人外展工作者的邮件和电话联系，以增加对媒体和社群活动的接触和反应。在这些研究中采用的研究设计将使我们能够回答有关不同的密集区域干预措施对烟草使用流行率和戒烟的影响以及与不同种族和SES群体中不同干预措施的成败相关的过程和定性因素的问题。为了提高解决基金支助的密集区域活动的质量，将通过为TDH及其合作伙伴和承包商举办培训讲习班提供技术援助，重点是有效的多文化行动和利用创新的媒体、社区和政策干预措施，以解决与戒烟和预防有关的具体理论变量。将开展宣传和同行示范活动，以促进个人行为改变和组织方案和政策创新。得克萨斯州内的这一区域项目旨在收集反吸烟支出效果的证据，并提供能力发展，以证明以后为全州类似密集的烟草控制活动提供资金是合理的。