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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA077026 NIAAA NIH HHS - AA015591 NCI NIH HHS - CA77026
NIAAA NIH HHS - R01 AA015591

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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
Related Citations

Grant Numbers:
NIAAA NIH HHS - R01 AA015591-07 NIAAA NIH HHS - AA015591 NCI NIH HHS - CA77026
NCI NIH HHS - R01 CA077026-14

MeSH Terms:
United States Smoking Humans
Motion Pictures as Topic Social Conformity Child
Peer Group Adolescent Male
Female

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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
Related Citations

Grant Numbers:
NIDA NIH HHS - R01 DA12623 NIAAA NIH HHS - R01 AA015591-07 NCI NIH HHS - R01 CA77026
NIDA NIH HHS - R01 DA 021898 NIAAA NIH HHS - R01 AA015591 NCI NIH HHS - R01 CA077026-14

MeSH Terms:
Adolescent Behavior Humans Child
Peer Group Alcohol Drinking Longitudinal Studies
Advertising as Topic Imitative Behavior Smoking
Cross-Sectional Studies New York Internal-External Control
Motion Pictures as Topic Adult Middle Aged
Personality Assessment Parents Adolescent
Mass Media Female Male

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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
Related Citations

Grant Numbers:
NIAAA NIH HHS - R01 AA015591-07 NCI NIH HHS - R01 CA077026-09S1 NIAAA NIH HHS - AA015591
NCI NIH HHS - CA77026 NCI NIH HHS - R01 CA077026-12

MeSH Terms:
United States Hispanic Americans Humans
Linear Models Health Status Disparities Alcoholic Beverages
African Americans Commerce Residence Characteristics
Urban Population Poverty Areas

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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
Related Citations

Grant Numbers:
NIAAA NIH HHS - R01 AA015591-07 NIAAA NIH HHS - AA015591 NCI NIH HHS - CA77026
NCI NIH HHS - R01 CA077026-14

MeSH Terms:
Age Factors Humans Child
Models, Statistical Alcohol Drinking Authoritarianism
Longitudinal Studies Parenting Risk Factors
Motion Pictures as Topic Data Collection Follow-Up Studies
Adolescent Female Male

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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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Grant Numbers:
NCI NIH HHS - CA105203 NCI NIH HHS - R01 CA105203-01A1 NCI NIH HHS - CA126988
NCI NIH HHS - K07 CA126988-04 NCI NIH HHS - CA77026 NCI NIH HHS - K07 CA126988-01A2

MeSH Terms:
Adolescent Behavior Humans Prognosis
Child Imitative Behavior Smoking
Prospective Studies Risk Factors Motion Pictures as Topic
Mexican Americans Adolescent Female
Male

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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
Related Citations

Grant Numbers:
NIAAA NIH HHS - AA01559 NIAAA NIH HHS - R01 AA015591-01 NCI NIH HHS - CA77026

MeSH Terms:
United States Culture Models, Psychological
Humans Alcohol Drinking Friends
Longitudinal Studies Peer Group Imitative Behavior
Health Surveys Motion Pictures as Topic Social Facilitation
Adolescent Female Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - CA77026

MeSH Terms:
Young Adult Questionnaires Attitude to Health
Motivation Humans Life Style
Smoking Photic Stimulation Adult
Motion Pictures as Topic Persuasive Communication Middle Aged
Female Male Social Environment

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA108918-02 NCI NIH HHS - R01 CA108918-03 NCI NIH HHS - CA108918
NCI NIH HHS - CA77026 NCI NIH HHS - R01 CA077026-03 NCI NIH HHS - R01 CA077026-04
NCI NIH HHS - R01 CA108918-05 NCI NIH HHS - R01 CA108918-04 NCI NIH HHS - R01 CA108918

MeSH Terms:
Young Adult Smoking Prospective Studies
Adolescent Behavior Logistic Models Humans
Motion Pictures as Topic Parent-Child Relations Child
Adolescent Male Female

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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
Related Citations

Grant Numbers:
NCI NIH HHS - CA77026

MeSH Terms:
Adolescent Behavior Humans Social Behavior
Social Identification Smoking Parenting
Poland Adult Motion Pictures as Topic
Smoking Cessation Incidence Adolescent
Female Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - CA77026 NCI NIH HHS - R01 CA077026-13

MeSH Terms:
Young Adult Smoking Cross-Sectional Studies
Risk Factors Humans Motion Pictures as Topic
Adult Persuasive Communication Cues
Male Female Population Surveillance

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA077026-11 NCI NIH HHS - R25-CA57699 NCI NIH HHS - R25 CA057699-14
NCI NIH HHS - CA77026

MeSH Terms:
Adolescent Behavior Questionnaires Humans
Child Smoking Cross-Sectional Studies
Imagination Mexico Logistic Models
Self Concept Motion Pictures as Topic Adolescent
Time Factors Female Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA077026-11 NIDA NIH HHS - R01 DA12623 NCI NIH HHS - R01 CA77026

MeSH Terms:
Smoking Cross-Sectional Studies Culture
Motivation Humans Motion Pictures as Topic
Social Facilitation Peer Group Longitudinal Studies
Adolescent Imitative Behavior

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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
Related Citations

Grant Numbers:
NCI NIH HHS - CA77026 NIDA NIH HHS - DA12623

MeSH Terms:
Adolescent Behavior Humans Social Conformity
Child Attitude Peer Group
Imitative Behavior Smoking Risk Factors
Motion Pictures as Topic Health Behavior Effect Modifier, Epidemiologic
Adolescent Female Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA094273-02 NCI NIH HHS - R01 CA094273-03 NCI NIH HHS - R01 CA094273-01
NCI NIH HHS - R01 CA094273-04 NCI NIH HHS - R01 CA077026-04S1 NCI NIH HHS - CA77026
NCI NIH HHS - R01 CA077026-03 NCI NIH HHS - R01 CA094273 NCI NIH HHS - R01 CA077026-04
NCI NIH HHS - CA-94272

MeSH Terms:
United States Motion Pictures as Topic Tobacco Industry
Advertising as Topic

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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
Related Citations

Grant Numbers:
NCI NIH HHS - CA72092 NCI NIH HHS - CA77026

MeSH Terms:
Odds Ratio Questionnaires Adolescent Behavior
Sex Factors Humans Child
Advertising as Topic Multivariate Analysis California
Smoking Adolescent Psychology Motion Pictures as Topic
Health Knowledge, Attitudes, Practice Adolescent Female
Male

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Last Updated: August 24, 2012
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