SMOKING PREVENTION THROUGH MASS MEDIA AND SCHOOL PROGRAM

这次更新的“通过大众媒体和学校预防吸烟” 计划：（CA 38395）规定对接触过的学生进行进一步随访 教育干预和进一步的数据分析。项目 由吸烟、烟草和癌症计划资助 1984年，癌症预防和控制司作为 评估大众媒体在教育中的使用情况的研究 烟草使用。 我们的主要问题是测试大众媒体的能力 干预措施，以增加学校吸烟的既定效果 预防方案。 在最初的设计中， 有系统地选择社区提供学生样本。 在这些SMSA中， 选择更接近人口特征的匹配。 的 在四、五、六年级的5458名学生中建立了初始队列 在宾厄姆顿，纽约州和大福尔斯，MT，并在伯灵顿，VT和 1985年春天，蒙大拿州比林斯。 第一个社区的人 只接受了四年的学校课程。 评价 通过对学生的年度调查完成， 卫生署采取唾液收集程序，加强举报吸烟个案 使用. 年度调查一直持续到8、9和10年级。 数据从 这些调查每年都针对个别学生进行。 五年期关联数据集的初步结果显示， 大众媒体节目似乎提供了一个优势， 吸烟行为指数（Smoking Behavior Index） 流行率措施，特别是女孩中的流行率措施。 这种明显的优势 也反映在一系列变量中， 与这一结果相关的是， 程序效果的中介。 物质使用 没有被这些干预措施针对的行为没有表现出类似的优势 对于实验组。 对于这次更新，我们将从一开始就跟踪所有学生 通过学校和电话调查收集吸烟数据 行为和其他指标的方案影响时，主要群体的 1991年，这批学生在10、11和12年级。 学校调查，对于那些谁留在原来的 学校 地区，将由之前进行的团队进行 调查。 电话随访，对于那些谁转移到另一个 学区或辍学的，将进行一项调查 明尼苏达大学的研究小组。 这四项研究将 在两年后完成干预措施影响评估 1）那些暴露于完整的 （2）由于下列原因而暴露于部分干预措施的人： 他们转移到另一个学区; 3）那些辍学的人 学校;和4）完整的初始队列。 完成这些 为了实现这些目标，我们组建了一个多学科的调查小组， 以及在公共卫生、人类发展、 卫生教育、大众传媒、生物统计学和调查研究。

This renewal of "Smoking Prevention Through Mass Media and School Programs: (CA38395) provides for further follow-up of students exposed to the educational interventions and further data analyses. The project was funded through the Smoking, Tobacco, and Cancer Program of the Division of Cancer Prevention and Control in 1984 as part of a group of studies evaluating the educational use of mass media in control of tobacco use. Our major question was to test the ability of mass media interventions to add to the established efficacy of school smoking prevention programs. In the original design, two matched pairs of communities were systematically selected to provide student samples. Within these SMSAs specific school districts and feeder systems were chosen to provide a closer match on demographic characteristics. The inception cohorts of 5458 students in Grades 4,5, and 6 were established in Binghamton, NY and Great FAlls, MT, and in Burlington, VT and Billings, MT in Spring, 1985. Those in the first community pair then received four years of the school program only. Evaluation was accomplished through annual surveys of students which combined self- response with saliva collection procedures to enhance reports of tobacco use. Annual surveys were conducted through Grade 8,9, and 10. Data from these surveys were linked for individual students from year to year. Preliminary results from the five-year linked data sets show that the mass media program appeared to provide an advantage in preventing cigarette smoking, as measured by the Smoking Behavior Index or prevalence measures, especially among girls. This apparent advantage also was reflected in a series of variables which were theoretically linked to this outcome as mediators of program effect. Substance use behaviors not targeted by these interventions showed no similar advantage for the experimental group. For this renewal we will follow-up all students from the inception cohort through school and telephone surveys to collect data on smoking behavior and other indicators of program impact when the main group of this cohort is in Grades 10,11, and 12 during 1991. School surveys, for those who have remained in their original school districts, will be conducted by the team which conducted the earlier surveys. Telephone follow-up, for those who transferred to another school district or dropped out of school, will be conducted by a survey research group from the University of Minnesota. The four studies will accomplish assessment of impact of the interventions two years after their completion on 1) those who were exposed to the complete interventions; 2) those exposed to a part of the interventions because they transferred to another school district; 3) those who dropped out of school; and 4) the complete inception cohort. To accomplish these objectives, we have assembled a multi-disciplinary team of investigators and consultants with expertise in public health, human development, health education, mass media, biostatistics, and survey research.