Smoking Trajectories amid Waning State Program Budgets

这项申请建议对三种主要类型的公共卫生的影响进行持续的纵向研究 许多国家为减少烟草使用和二手烟的健康风险而采取的干预措施： 地方清洁室内空气政策，限制青年获得烟草产品的地方政策和电视反烟草政策， 烟草媒体运动。数据来自两个来源：1）三波电话采访， 2001/2002年首次接受访谈的马萨诸塞州成年人和青年的人口样本;以及 2)一组关于烟草控制法规、活动、资金和人口统计的城镇级数据 调查对象在基线时居住的马萨诸塞州的351个城镇的特征。 第一次和最后一次调查之间的过渡期包括发生重要变化的时期 在马萨诸塞州：州政府对烟草控制项目的资助削减了90%，迫使人们戒烟 大众媒体运动的影响，并大幅减少了对其他地方项目的资助。同时对 地方无烟工作场所条例的采用已经激增，增加了一些人认为最重要的 在人口一级采取有效干预措施减少吸烟。除了继续审查 政策和媒体干预的相对影响，本项目将利用多重 对基于人口的样本进行纵向测量，以研究青年、年轻人和 成年人和老年人。该项目有三个具体目标：1）调查青少年吸烟情况 轨迹和阐明个人，家庭和社区层面的预测从禁欲过渡 从实验性或偶尔使用到定期使用; 2）调查成年人吸烟轨迹 吸烟者和最近戒烟者，并阐明个人，家庭和社区水平的预测因素， 戒烟，与复吸，与持续或增加吸烟。3）提供描述性信息 马萨诸塞州烟草控制计划资金减少与变化之间的关系 在青少年和成人报告中，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。

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 anti- tobacco 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 smokefree 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.