Smoking Trajectories amid Waning State Program Budgets

描述（由申请人提供）：本申请建议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持续的纵向研究：地方清洁室内空气政策，地方限制青少年获得烟草产品的政策和电视反烟草媒体运动。数据来自两个来源：1)对基于人口样本的马萨诸塞州成年人和年轻人进行了三波电话采访，这些人首次接受采访是在2001/2002年；2)关于马萨诸塞州351个城镇的烟草控制法规、活动、资金和人口特征的相关城镇数据集。在第一次和最后一次调查之间的过渡时期，马萨诸塞州发生了重大变化：州对烟草控制项目的资助减少了90%，这就需要停止大众媒体宣传活动，并大幅减少对其他地方项目的资助。与此同时，各地越来越多地采用工作场所无烟条例，一些人认为这是在人口层面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的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，阐明个人、家庭和社区层面的预测因素，从戒烟过渡到实验性或偶尔使用，再到定期、确定使用；2)调查成年吸烟者和新近戒烟者的吸烟轨迹，并阐明个人、家庭和社区水平的预测因素，即长期戒烟、复发、持续或增加吸烟。3)提供描述性信息，说明马萨诸塞州烟草控制项目资金的减少与青少年和成人报告的变化之间的关系：a)接触反烟草媒体信息；B)青少年容易获得烟草制品；C)对烟草业的看法。

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.