Smoking Trajectories amid Waning State Program Budgets

国家计划预算减少中的吸烟轨迹

• 批准号: 7122941
• 负责人: Lois Barbara Biener
• 金额: $ 47.46万
• 依托单位: UNIVERSITY OF MASSACHUSETTS BOSTON
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-20 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7122941
• 关键词: adolescence (12-20); adult human (21+); air pollution control; behavior modification; behavioral /social science research tag; clinical research; health care policy; human subject; longitudinal human study; mass information media; passive smoking; smoking; smoking cessation; telecommunications; tobacco abuse; work site

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.

描述（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，限制青年获得烟草产品的当地政策和电视反烟草媒体宣传。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人进行了三波电话采访; 2）一组有关马萨诸塞州351个城镇烟草控制法规、活动、资金和人口统计学特征的城镇级数据，受访者在基线时居住在这些城镇。在第一次调查和最后一次调查之间的过渡期内，马萨诸塞州发生了重大变化：州政府对烟草控制项目的资助削减了90%，迫使大众媒体停止宣传，并大幅减少了对其他地方项目的资助。与此同时，通过地方无烟工作场所条例的情况激增，增加了一些人认为在人口水平上减少吸烟的最有效干预措施。除了继续研究政策和媒体干预的相对影响外，该项目还将利用基于人口样本的多重纵向测量来研究青年、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，并阐明从戒烟到实验性或偶尔使用到经常使用的个人，家庭和社区层面的预测因素; 2）调查成年吸烟者和近期戒烟者的吸烟轨迹，并阐明延长戒烟与复发的个人，家庭和社区水平预测因素，3）提供描述性信息，说明马萨诸塞州烟草控制项目资金减少与青少年和成人报告a）接触反烟草媒体信息; B）青少年容易获得烟草产品; c）对烟草业的看法的变化之间的关系。