MEDIA DEVELOPMENT PROJECT TO PREVENT YOUTH ALCOHOL USE

酒精的使用和滥用在我们的社会中是如此普遍， 年轻人开始喝酒比他们喝酒法律的要早很多年。作为 多达30%的人在8年级时成为经常饮酒者（每月或更频繁）， 在五年级到七年级之间增长最快。这些年轻人成为 一个更大的饮酒者群体的核心在青春期后期，其中许多人有 酒精的问题，损害他们的发展，并可能成为更多 在成年生活中， 预防酗酒综合项目的目的是 测试一个全面的，但具有成本效益的，大众媒体和 与现有学校协调的社区干预措施 课程从4-5年级开始。这些措施将支持 家长和儿童在发展健康的生活方式和制止 饮酒这种方法是基于理论模型， 可改变的个人、社会、环境和行为因素， 经过验证的大众媒体和社区模式，促进健康行为的改变， 青少年饮酒的证据。IPAP由两个 干预措施：针对高危青年的大众媒体运动， 通过不饮酒生活方式的积极形象来增加对酒精的需求 （本申请中描述）;以及支持的社区计划 通过有组织的干预，让家长、学校 官员、酒类零售商和执法人员（ 配套应用）。 1995年将发展大众传播媒介的干预措施， 不同种族/族裔群体的青年代表性 4-5年级，每个年级都有适合发展的新信息 年通过等级7-8.其影响将在一个受控的 佛蒙特州八个乡村学区的设计， 8人仅接受测量。横截面 对2800名7-8年级学生进行干预和比较调查 将在基线和四个- 年干预措施，以确定饮酒和相关 因素过程评估将衡量媒体的即时影响 对目标群体中的学生进行干预。一套全面的 措施将评估媒体干预的影响， 7-8年级学生饮酒行为的中介因素。是 假设7-8年级的学生经常喝酒， 在接受整个IPAP计划的地区减少了三分之一。

Alcohol use and misuse is so prevalent in our society that a majority of young people begin drinking years before it is legal for them to do so. As many as 30% become regular drinkers (monthly or more often) by grade 8, with the steepest increases between grades 5 and 7. These youth become the core of a larger group of drinkers in later adolescence, many of whom have problems with alcohol which impair their development and may become more severe in adult life. The purpose of the Integrated Projects for Alcohol Prevention (IPAP) is to test a comprehensive, yet cost-efficient, combination of mass media and community interventions which are coordinated with existing school curricula beginning in grades 4-5. These interventions will support parents and children in developing healthy lifestyles and deterring alcohol use. This approach is based on theoretical models identifying modifiable intrapersonal, social, environmental and behavioral factors, proven mass media and community models for health behavior change, and evidence of drinking by very young adolescents. IPAP consists of two interventions: a mass media campaign targeting higher risk youth to reduce the demand for alcohol through positive images of non-drinking lifestyles (described in this application); and a community program which supports parents through organized interventions involving parents, school officials, alcohol retailers, and law enforcement officers (described in the companion application). The mass media interventions will be developed in 1995 for a broad representation of youth from diverse racial/ethnic groups beginning in grades 4-5, with new developmentally-appropriate messages created each year through grades 7-8. Their impact will be evaluated in a controlled design with eight rural Vermont school districts receiving the interventions and eight receiving measurement only. Cross-sectional surveys of 2800 students in grades 7-8 in intervention and comparison districts will be conducted at baseline and immediately after the four- year interventions to determine prevalence of drinking and related factors. Process evaluation will measure the immediate impact of the media interventions on students in the target group. A comprehensive set of measures will assess the impact of the media interventions alone on mediators of drinking behavior among grade 7-8 students. It is hypothesized that regular drinking among grade 7-8 students will be reduced by one-third in districts receiving the entire IPAP program.