In 1999 the MN Legislature established endowments from which approximately $25 million per year will be available for tobacco use prevention at local and state levels. These funds are specifically designated to reduce youth tobacco use by 30% by 2003. The MN Adolescent Community Cohort (MACC) Study is designed to contribute to the evaluation of the state and local efforts by relating measures of various program elements and implementation levels to changes in tobacco-use behaviors and attitudes of youth. The study will survey a cohort of 3,600 teenagers age 12-15 every six months and these teenagers will be selected from 60 communities. Sixty youth in each of 10 communities will be surveyed each month to constitute a cross sectional time series over three years. We will link outcomes at each of these levels to documentation of the MN Tobacco Control Program at the state and local level collected through a systematic, standardized process evaluation system.
The collected data will be constructed for three different types of analysis. First, repeated individual surveys form longitudinal data to be analyzed by survival model, which will examine the issue of developmental progress of smoking behavior. Second, community cohort data analyzed in ANOVA-Mixed model will investigate the effect of community-level tobacco prevention efforts. Third, the series of 36 Minnesota aggregate smoking prevalence time points will be compared to four midwest states (Iowa, North Dakota, South Dakota and Nebraska) using Box Jenkins intervention time-series analysis to study the impact of state-wide tobacco control programs and policies.
Learning Objectives: Following the presentation, the audience will: 1) recognize the need to examine the effect of tobacco control interventions at various levels; 2) understand complicated study design and appropriate methods to analyze data
Keywords: Tobacco Policy, Evaluation
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
The 128th Annual Meeting of APHA