SMOKING PREVENTION THROUGH MASS MEDIA AND SCHOOL PROGRAM

这项提案的长期目标是降低 吸烟与未来肺癌和其他疾病的流行 与吸烟有关的疾病。主要的目标是评估年轻的 一所学校和大众传媒对成人吸烟的预防效果 在青春期提供的干预。我们还将评估 这些干预措施的假设理论基础，并描述 烟草和酒精使用的发展。这些目标将会实现 使用纵向数据集，该数据集包括个人内部、环境 和理论上与吸烟行为相关的行为因素，以及 七次评估无烟烟草和酒精使用的衡量标准 积分，在最初10-12岁的队列成员中 将在第七次调查时年龄在21-23岁之间。原版 实验旨在测试大众媒体干预的能力 增加学校预防吸烟计划的既定效力。一个 建立了54-58名4年级、5年级和6年级学生的初始队列 1985年，在佛蒙特州、纽约和蒙大拿州的四个匹配社区。一 一对社区随后接受了四年的大众媒体和学校的联合培训 预防吸烟计划，而其他两人收到了学校 仅限节目。直到1989年，这些学校都进行了年度调查， 然后在1991年，也就是干预完成两年后， 当学生在10-12年级的时候。1991年的调查以86%的比例完成 在最初的队列中。分析显示， 媒体学校社区的吸烟者比例，两者都是 学生完全接触到干预措施，对于那些部分 暴露了。研究结果还表明，吸烟对中国人的吸烟行为有显著影响。 1991年在基线调查中确定为高危人群的 成为经常吸烟的人。对于这项建议，我们将再次跟进所有 学生在最初的队列中通过电话采访获得 由明尼苏达大学的调查研究小组进行。 根据对1991年的跟踪调查和编制 将在头两年完成出版的手稿 在这项调查完成的同时，对这项建议进行调查。在第三年， 新的调查答复将与现有的数据集、分析 将完成与持续预防效果相关的工作，以及 将准备出版与这些目标有关的手稿。这 研究是记录坚持不懈的独特机会 通过教育实现成人多年的吸烟预防效果 青春期的策略。

The long-term goal of this proposal is to reduce the prevalence of cigarette smoking and the future prevalence of lung cancer and other smoking-related diseases. The primary aim is to evaluate in young adulthood smoking prevention effects of a school and mass media intervention delivered in adolescence. We also will assess the hypothesized theoretical basis for these interventions and describe development of tobacco and alcohol use. These aims will be accomplished using a longitudinal data set which includes intrapersonal, environmental and behavioral factors theoretically associated with smoking behavior, and measures of smokeless tobacco and alcohol use, assessed at seven time points, among cohort members who initially were 10-12 years old and who will be 21-23 years old at the time of the seventh survey. The original experiment was designed to test the ability of mass media interventions to add to the established efficacy of school smoking prevention programs. An inception cohort of 54-58 students in grades 4, 5, and 6 was established in 1985 in four matched communities in Vermont, New York and Montana. One community pair then received four years of a combined mass media and school smoking prevention program, while the other pair received the school program only. Annual surveys were conducted in the schools through 1989, and then again in 1991, two years after the interventions were completed, when students were in grades 10-12. The 1991 survey was completed with 86% of the original cohort. Analyses showed a sustained reduction in the proportion of smokers in the media-school communities, both for the students fully exposed to the interventions and for those partially exposed. Results also indicate significant effects on smoking behavior in 1991 for those identified in the baseline survey as at high risk for becoming regular smokers. For this proposal, we will again followup all students in the inception cohort through telephone interviews to be conducted by the survey research group at the University of Minnesota. Further analyses of data based on followup through 1991 and preparation of manuscripts for publication will be completed during the first two years of this proposal, while this survey is completed. In the third year the new survey responses will be linked with the existing data set, analyses related to persistence of prevention effects will be completed, and manuscripts related to these aims will be prepared for publication. This study represents a unique opportunity to document the persistence into adult years of smoking prevention effects achieved by educational strategies during adolescence.