ORGANIZING SOCIAL INFLUENCES TO PREVENT SMOKING

我们的主要目标是减少经常吸烟的人数 通过以教育和交流为基础的战略 原则。这一效果将通过改变技能来实现 抵制同龄人要求吸烟的压力；信念和 青少年的标准，尤其是那些被收养的风险最高的人 吸烟；以及青少年对青少年期望的改变 家庭成员和其他成年社区成员的行为 与吸烟有关。后者将通过以下变化进行调节： 成人行为是由针对家庭的程序组件完成的 各位议员和广大市民。我们的数据收集技术将 使我们能够描述与吸烟相关的个人变化模式 参与活动的青少年的行为。我们提出了一个多层次的 以社区为基础的战略，将1)针对目标群体的学校课程结合起来 有2)为父母举办沟通技巧讲习班的青少年， 教师和其他与青少年有接触和影响的成年人； 3)针对年长青年的学校方案，包括年长的学习兄弟姐妹 将青少年编队；4)当地的建议、倡议和参与 社区咨询委员会；以及5)协调大众媒体计划。 青少年将在六年级开始时被识别出来。 一年级，并将持续到十年级；干预措施将是 从六年级到九年级提供。十二个社区将 被分配到四个学习小组中的一个： 第一个试验组将接受完整的治疗； 第二个实验组将只接受学校的计划；那些 第三和第四组将是控制社区，后者 只在一年级和五年级学习。前三名 青少年群体将完成一份年度自我报告 调查问卷，并将提供唾液样本用于硫氰酸盐分析。 每个学生的所有数据都将被链接。这项工程将利用 我们在公共和学校健康教育、沟通、 生物统计学和肺部医学。我们的长期目标是 降低佛蒙特州与吸烟有关的肺部疾病死亡率。

Our major aim is to reduce the incidence of regular cigarette smoking among adolescents through a strategy based on education and communication principles. This effect will be achieved through changes in skills for resisting pressure from peers to initiate smoking; changes in beliefs and norms of adelescents, especially those at highest risk for adoption of smoking; and changes in adolescents' perceptions of the expectations of family members and other adult community members for their behaviors related to cigarette smoking. The latter will be mediated by changes in adult behavior accomplished by program components directed at family members and the general community. Our data collection techniques will enable us to describe individual patterns of change in smoking-related behaviors of participating adelescents. We propose a multi-level community-based strategy that combines 1) school programs for target group adolescents with 2) workshops in communication skills for parents, teachers, and other adults having contact and influence with adolescents; 3) programs in school for older youth, including older siblings of study cohort adolescents; 4) the advice, initiative, and participation of local community advisory councils; and 5) coordinated mass media programs. Adolescents will be identified at the beginning of their sixth grade school year and will be followed into the tenth grade; interventions will be provided during sixth through ninth grade years. Twelve communities will be assigned to one of four study groups: the three communities in the first experimental groups will receive the complete treatment; those in the second experimental group will receive the school program only; and those in the third and fourth groups will be control communities, the latter being studied in the first and fifth years only. For the first three groups, the adolescent cohort will complete an annual self-report questionnaire, and will provide saliva samples for thiocyanate analysis. All data for individual students will be linked. This project will draw on our expertise in public and school health education, communication, biostatistics, and pulmonary medicine. Our long-term objective is to reduce lung disease mortality in Vermont related to cigarette smoking.