The 130th Annual Meeting of APHA

Abstract #44224

Jean L. Forster, PhD¹, Vincent Chen, MBA¹, Cheryl L. Perry, PhD¹, John Oswald, PhD, MPH², Maribet C. McCarty, PhD, MPH¹, Lynn Eberly, PhD³, and Patricia Grambsch, PhD³. (1) Division of Epidemiology, University of Minnesota, 1300 South Second St., Suite 300, Minneapolis, MN 55454-1015, (612) 626-8864, Forster@epi.umn.edu, (2) Center for Health Statistics, Minnesota Department of Health, 717 Delaware St. SE, Minneapolis, MN 55414, (3) Division of Biostatistics, University of Minnesota, 420 Delaware Street, A-460 Mayo, MMC 303, Minneapolis, MN 55455

The Minnesota Legislature allocated $25 million per year in interest from the tobacco settlement for a statewide comprehensive tobacco-use prevention program. The purpose of the MACC study is to relate program elements and implementation to changes in tobacco-use behaviors and attitudes within individuals, communities, and the state using a combination of cohort, cross-sectional, and time-series designs. The study includes a cohort of 3600 youth, initially ages 12-16, selected at random from 60 geo-political units to provide a representative sample of Minnesota communities and youth, and 600 youth from five comparison states. Teens are surveyed via telephone every 6 months, with 600 Minnesota youth and 100 youth from comparison states surveyed each month. Surveys include measures of susceptibility, tobacco use, addiction, cessation, sources of cigarettes, role models, and attitudes about smoking and the tobacco industry. Also collected are community-level data on school smoking policies and curricula, local advocacy efforts, enforcement of youth access laws, youth cessation and diversion programs, and local ordinances. Statewide data include policy actions and tobacco control expenditures. To date, we have maintained over 93% of the original cohort at round 3, surveyed over 800 schools, and collected and coded tobacco-related ordinances from over 120 cities and 45 counties. We have also surveyed over 200 police regarding ordinance enforcement in local jurisdictions. This study will identify associations between local and state tobacco control programs and youth tobacco use, so we can estimate the overall effect of the programs funded by the MN tobacco prevention endowment.

Learning Objectives:

• Understand the multi-level design of the MACC study;
• Describe how data at various levels will be used to evaluate the Minnesota tobacco control program.

Keywords: Adolescents, Tobacco

Presenting author's disclosure statement:
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.