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Grant Details

Grant Number: 5R01CA077026-14 Interpret this number
Primary Investigator: Sargent, James
Organization: Dartmouth College
Project Title: Visual Media Influences on Adolescent Smoking Behavior (Y10-14 Renewal)
Fiscal Year: 2011
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Abstract

DESCRIPTION (provided by applicant): Smoking is the primary cause of lung cancer in US adults, and also an important cause of mortality from other conditions. Onset of smoking occurs during adolescence. Research provides extensive documentation of social influence effects on initiation, especially influence of parents and peers. We began studying the impact of movie smoking on early adolescent smoking behavior nine years ago in a sample of over 5000 Northern New England adolescents, and have continued the research with a longitudinal sample of over 6500 nationally representative US adolescents. We demonstrated and confirmed a cross-sectional association between exposure to movie smoking and adolescent smoking initiation and, among never smokers, endorsement of more positive expectancies and higher levels of susceptibility to smoking. We have followed up never-smokers in each cohort 1-2 years later, showing that baseline exposure to movie smoking predicted onset of smoking in the future, emphasizing controlling for confounding, and including up to 21 covariates in the most recent study. In this competing renewal application, covering the 5-year period beginning May 2007, we propose to shift our emphasis to understanding the process for the observed association. Continuing to follow our national sample of adolescents who were 10-14 years at baseline, we will test mediation and moderation (race and social risk) hypotheses with respect to smoking initiation. Proposed mediators include smoking risk prototypes, and coping expectancies. Additionally, we will model pathways to tobacco dependence as a function of ongoing exposure to movie smoking, examining multiple smoking dependence constructs: frequency/quantity measures, loss of autonomy, and perception of self as a smoker. To accomplish these goals, we will follow our longitudinal cohort biannually for 3 more waves (waves 5-7), until the group is 18 to 22 years of age. The sample will be enriched with African-American adolescents, to better study a group that appears in early adolescence to be resistant to the movie smoking effect on behavior. This study provides an unsurpassed opportunity to further investigate the mechanisms underlying the effect of exposure to movie smoking on smoking behavior in adolescents and young adults. Because U.S. movies are marketed and distributed all over the world, this research could have far-reaching public health implications for adolescents everywhere.

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Publications

Exposure to smoking in movies and smoking initiation among black youth.
Authors: Dal Cin S, Stoolmiller M, Sargent JD
Source: Am J Prev Med, 2013 Apr;44(4), p. 345-50.
PMID: 23498099
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When movies matter: exposure to smoking in movies and changes in smoking behavior.
Authors: Dal Cin S, Stoolmiller M, Sargent JD
Source: J Health Commun, 2012;17(1), p. 76-89.
EPub date: 2011 Nov 15.
PMID: 22085232
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Good self-control moderates the effect of mass media on adolescent tobacco and alcohol use: tests with studies of children and adolescents.
Authors: Wills TA, Gibbons FX, Sargent JD, Gerrard M, Lee HR, Dal Cin S
Source: Health Psychol, 2010 Sep;29(5), p. 539-49.
PMID: 20836609
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Alcohol retail density and demographic predictors of health disparities: a geographic analysis.
Authors: Berke EM, Tanski SE, Demidenko E, Alford-Teaster J, Shi X, Sargent JD
Source: Am J Public Health, 2010 Oct;100(10), p. 1967-71.
EPub date: 2010 Aug 19.
PMID: 20724696
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Parental R-rated movie restriction and early-onset alcohol use.
Authors: Tanski SE, Dal Cin S, Stoolmiller M, Sargent JD
Source: J Stud Alcohol Drugs, 2010 May;71(3), p. 452-9.
PMID: 20409440
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Exposure to smoking imagery in the movies and experimenting with cigarettes among Mexican heritage youth.
Authors: Wilkinson AV, Spitz MR, Prokhorov AV, Bondy ML, Shete S, Sargent JD
Source: Cancer Epidemiol Biomarkers Prev, 2009 Dec;18(12), p. 3435-43.
PMID: 19959693
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Watching and drinking: expectancies, prototypes, and friends' alcohol use mediate the effect of exposure to alcohol use in movies on adolescent drinking.
Authors: Dal Cin S, Worth KA, Gerrard M, Stoolmiller M, Sargent JD, Wills TA, Gibbons FX
Source: Health Psychol, 2009 Jul;28(4), p. 473-83.
PMID: 19594272
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Movie smoking and urge to smoke among adult smokers.
Authors: Sargent JD, Morgenstern M, Isensee B, Hanewinkel R
Source: Nicotine Tob Res, 2009 Sep;11(9), p. 1042-6.
EPub date: 2009 Jun 19.
PMID: 19542516
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Early exposure to movie smoking predicts established smoking by older teens and young adults.
Authors: Dalton MA, Beach ML, Adachi-Mejia AM, Longacre MR, Matzkin AL, Sargent JD, Heatherton TF, Titus-Ernstoff L
Source: Pediatrics, 2009 Apr;123(4), p. e551-8.
PMID: 19336346
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Viewing movie smoking undermines antismoking parenting practices.
Authors: Sargent JD, Hanewinkel R
Source: Przegl Lek, 2008;65(10), p. 415-9.
PMID: 19189513
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Movie smoking, movie horror, and urge to smoke.
Authors: Sargent JD, Maruska K, Morgenstern M, Isensee B, Hanewinkel R
Source: Przegl Lek, 2009;66(10), p. 545-7.
PMID: 20301876
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Exposure to smoking imagery in popular films and adolescent smoking in Mexico.
Authors: Thrasher JF, Jackson C, Arillo-Santillán E, Sargent JD
Source: Am J Prev Med, 2008 Aug;35(2), p. 95-102.
PMID: 18617078
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Movie smoking exposure and smoking onset: a longitudinal study of mediation processes in a representative sample of U.S. adolescents.
Authors: Wills TA, Sargent JD, Stoolmiller M, Gibbons FX, Gerrard M
Source: Psychol Addict Behav, 2008 Jun;22(2), p. 269-77.
PMID: 18540724
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Exposure to smoking depictions in movies: its association with established adolescent smoking.
Authors: Sargent JD, Stoolmiller M, Worth KA, Dal Cin S, Wills TA, Gibbons FX, Gerrard M, Tanski S
Source: Arch Pediatr Adolesc Med, 2007 Sep;161(9), p. 849-56.
PMID: 17768284
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Tobacco brand appearances in movies before and after the master settlement agreement.
Authors: Adachi-Mejia AM, Dalton MA, Gibson JJ, Beach ML, Titus-Ernstoff LT, Heatherton TF, Sargent JD
Source: JAMA, 2005 May 18;293(19), p. 2341-2.
PMID: 15900003
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Do movie stars encourage adolescents to start smoking? Evidence from California.
Authors: Distefan JM, Gilpin EA, Sargent JD, Pierce JP
Source: Prev Med, 1999 Jan;28(1), p. 1-11.
PMID: 9973581
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