4245.0: Tuesday, October 23, 2001 - 4:30 PM

Abstract #24139

A 7-year longitudinal study of community action to reduce adolescent alcohol use: Project Northland

Kelli A. Komro, PhD, Cheryl L Perry, PhD, Carolyn L. Williams, PhD, Sara Veblen-Mortenson, MPH, MSW, Melissa H. Stigler, MPH, Karen A. Munson, MBA, Kian Farbakhsh, MS, Resa M. Jones, MPH, and Jean L. Forster, PhD. Division of Epidemiology, School of Public Health, University of Minnesota, 1300 South Second Street, Suite 300, Minneapolis, MN 55454, 612-625-7333, komro@epi.umn.edu

Project Northland was a randomized trial to reduce alcohol use among adolescents in 24 school districts in northeastern Minnesota. This area of Minnesota ranked at the top of alcohol-related problems in the state and was selected because it was a “high-risk” area for alcohol use. Phase 1 (1991-1994), when the study cohort was in grades 6-8, included school curricula, parent involvement, peer leadership, and community task forces. The Interim Phase (1994-1996) involved minimal intervention. Phase 2 (1996-1998), when the cohort was in grades 11-12, included a classroom curriculum, parent education, print media, youth development, and community organizing. Outcomes of these interventions were assessed by annual student surveys from 1991-1998, alcohol purchase attempts by young-looking buyers in 1991, 1994, 1998, and parent telephone surveys in 1996 and 1998. Growth curve analysis was used to examine the student survey data over time. Of the 2,953 students included in the analyses, 53% were male, 93% were white, and 5% were American Indian. Project Northland was most successful during Phase I when the students were young adolescents. The lack of intervention in the Interim Phase when the students were in 9th and 10th grades had a significant and negative effect on alcohol use. The intervention used during Phase 2 with the high school students as 11th and 12th graders had a positive and statistically significant effect on their ability to obtain alcohol and the rates of increase for alcohol use and binge drinking.

Learning Objectives: N/A

Keywords: Alcohol Use, Prevention

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 129th Annual Meeting of APHA