The 130th Annual Meeting of APHA

Abstract #44581

Jean L. Forster, PhD¹, Vincent Chen, MBA¹, Cheryl L. Perry, PhD¹, John Oswald, PhD, MPH², Maribet C. McCarty, PhD, MPH¹, Brian Zupan, PhD², Traci L. Toomey, PhD¹, Patricia Grambsch, PhD³, and Lynn Eberly, 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 Adolescent Community Cohort (MACC) study uses cohort, cross-sectional, and time-series designs to measure adolescent tobacco-related attitudes and behaviors over time at the state, community and individual levels. This study is unique in applying multilevel analysis methods to a longitudinal study of tobacco use. The MACC study produces monthly statewide estimates of tobacco use that can be examined over time for links to tobacco prevention programs and policy changes. This study will also identify changes in adolescent tobacco use at the community level, and better define the patterns of development and progression of tobacco use in individuals in order to evaluate the effects of tobacco control programs on these patterns. In this session we will describe the complex design and goals of the study, and report patterns of tobacco use and their predictors at the individual, community and state levels for the first 18 months of the study. These results includes three time points of individual and community-level measurements, and 18 time points for state-level smoking prevalence.

Moderator: Jean Forster Presentations:

1. Design of the Minnesota Adolescent Community Cohort Study: Jean Forster. 15 minutes 2. Definition and Uses of Geo-Political Units: John Oswald. 15 minutes 3. Tobacco Use in a Cohort of 4200 Adolescents in the Upper Midwest: Jean Forster. 15 minutes 4. Measurement and effect of community-level tobacco prevention programs: Maribet McCarty . 15 minutes 5. Monthly State-level Prevalence of Tobacco Use and Predictors of Change: Vincent Chen. 15 minutes

Contact: Jean Forster, University of Minnesota, email: forster@epi.umn.edu

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;
• Understand short-term outcomes of the MACC study, and their predictors.

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.