Smoking Trajectories amid Waning State Program Budgets

说明(由申请人提供)：本申请建议继续对许多州用于减少烟草使用和二手烟健康风险的三种主要公共卫生干预措施的影响进行纵向研究：当地清洁室内空气政策、限制青少年接触烟草产品的地方政策和电视反烟草媒体宣传活动。这些数据来自两个来源：1)对2001/2002年首次接受采访的马萨诸塞州成年人和青年进行了三波以人口为基础的电话采访；以及2)有关马萨诸塞州351个城镇的控烟法规、活动、资金和人口特征的相关城镇数据。第一次和最后一次调查之间的过渡期包括马萨诸塞州发生了重要变化的一段时间：州政府对烟草控制项目的资金削减了90%，需要停止大众媒体宣传活动，并大幅减少对其他地方项目的资金。与此同时，地方无烟工作场所条例的采用激增，增加了一些人认为在人口层面上减少吸烟的最有效干预措施。除了继续审查政策和媒体干预的相对影响外，该项目还将利用以人口为基础的样本的多重纵向测量来研究年轻人、年轻人和老年人的吸烟轨迹。该项目有三个具体目标：1)调查青少年吸烟轨迹，阐明个人、家庭和社区层面上从戒烟到试验或偶尔使用，再到定期、既定使用的转变；2)调查成年吸烟者和最近戒烟者的吸烟轨迹，阐明个人、家庭和社区层面上长期戒烟、复发和持续或增加吸烟的预测因素。3)提供有关马萨诸塞州烟草控制计划资金减少与青年和成人报告变化之间的关系的描述性信息，包括a)接触反烟草媒体信息；b)青少年获得烟草产品的容易程度；c)对烟草行业的看法。

DESCRIPTION (provided by applicant): This application proposes continued longitudinal research on the impact of three major types of public health interventions used by many states to reduce the use of tobacco and the health risks of second-hand smoke: local clean indoor air policies, local policies to restrict youth access to tobacco products and televised antitobacco media campaigns. The data come from two sources: 1) three waves of telephone interviews with a population based sample of Massachusetts adults and youth who were first interviewed in 2001/2002; and 2) a linked set of town-level data on the tobacco control regulations, activities, funding, and demographic characteristics of the 351 cities and towns in Massachusetts in which the respondents resided at baseline. The interim period between the first and last survey includes one in which important changes have occurred in Massachusetts: State funding for the tobacco control program has been cut by 90% necessitating cessation of the mass media campaign and drastically reduced funding for other local programs. At the same time, the adoption of local smoke free workplace ordinances has proliferated, increasing what some see as the most effective intervention for reducing smoking at the population level. In addition to continued examination of the relative impact of policy and media interventions, this project will take advantage of the multiple longitudinal measurement of a population-based sample to study the smoking trajectories of youth, young adults, and older adults. The project has three specific aims: 1) To investigate youth cigarette smoking trajectories and elucidate the individual, family and community level predictors of transitions from abstinence to experimental or occasional use to regular, established use; 2) To investigate smoking trajectories of adult smokers and recent quitters and elucidate the individual, family and community level predictors of extended cessation, versus relapse, versus sustained or increased smoking.3) To provide descriptive information about the relationship between reductions in funding for the Massachusetts Tobacco Control Program and changes in youth and adult reports of a) exposure to anti-tobacco media messages; b) teenagers' ease of access to tobacco products; c) perceptions of the tobacco industry.