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Grant Details

Grant Number: 5R01CA086191-12 Interpret this number
Primary Investigator: Forster, Jean
Organization: University Of Minnesota
Project Title: The Effects of Minnesota State and Local Programs on Young Adult Tobacco Use
Fiscal Year: 2012
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Abstract

DESCRIPTION (provided by applicant): This proposal is a resubmission of a request for renewal of the grant CA86191, first funded by NCI in 2000 under a special RFA "Research in State and Community Tobacco Control Interventions", and then renewed in 2004. The Minnesota Adolescent Community Cohort (MACC) Study is a population-based cohort study that enrolled 4,825 youth (N=4,220 from Minnesota and N=605 from comparison states) aged 12 to 16. Participants were surveyed by telephone every six months since 2000-2001 about their tobacco use and related attitudes and beliefs, resulting in 14 data points over 15 rounds (MACC 1 includes Rounds 1-6, MACC 2 includes Rounds 8-15, Round 7 omitted due to funding gap). Additional funding was obtained to continue data collection for one additional round to specifically assess the short-term effect of Minnesota's statewide smoke-free air law on young adult smoking (MACC 3, Round 17; October 2008-March 2009). During Round 17 participants were age 18 to 25. We have requested ARRA administrative supplement funding to conduct Round 19 (October 2009-March 2010). The MACC cohort has a number of unique and important features. Unlike many studies of young adults, this cohort includes young adults who are not attending college as well as those who are attending college. National and state-level data show that tobacco use is more prevalent among young adults who are not attending college and studies are needed to assess how tobacco prevention programs and policies may affect this group. Detailed and frequent data have been collected on the MACC cohort regarding smoking attitudes and behaviors during adolescence. Using sophisticated data analytic techniques, we can provide more detailed information about the initiation and progression of tobacco use during adolescence and young adulthood than many previous studies (that have had lengthier intervals between data collection points). The large size of the MACC cohort enables us to examine differential effects of tobacco prevention programs and policies on subgroups of young adults, characterize patterns of tobacco progression with greater precision, identify less common patterns of progression, and distinguish age, cohort, and period effects. Finally, we have linked individual data on tobacco use to tobacco policies, school curricula, media exposure and other environmental characteristics of their communities over time. Using these linked data and extending this cohort will enable us to examine the long-term effects of adolescent exposure to various programs and policies on young adult tobacco use. We are also able to assess the effects of young adult exposure to new programs and policies (e.g., Minnesota's smoke-free air law) on smoking behavior and attitudes. We propose to follow the MACC cohort for an additional three annual observations from 2010-2011 to 2012-2013 (Rounds 21, 23, and 25; MACC 4). We plan to add measures concerning alcohol use and exposure to alcohol policies. Using these data, we will be able to examine the complex interplay between tobacco and alcohol use and the crossover effects of tobacco and alcohol policies in young adults. PUBLIC HEALTH RELEVANCE: Continuing the MACC Study will allow us to examine the effects of adolescent exposure to tobacco programs and policies on young adult tobacco use. By collecting additional information about alcohol use and alcohol policies, we will be able to study the complex interplay between tobacco and alcohol use and the crossover effects of tobacco and alcohol policies in young adults.

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Publications

Latent classes of young adults based on use of multiple types of tobacco and nicotine products.
Authors: Erickson DJ, Lenk KM, Forster JL
Source: Nicotine Tob Res, 2014 Aug;16(8), p. 1056-62.
EPub date: 2014 Mar 6.
PMID: 24604019
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Tobacco direct mail marketing and smoking behaviors in a cohort of adolescents and young adults from the U.S. upper Midwest: a prospective analysis.
Authors: Choi K, Forster J
Source: Nicotine Tob Res, 2014 Jun;16(6), p. 886-9.
EPub date: 2014 Feb 14.
PMID: 24532353
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Transitions in smoking behavior during emerging adulthood: a longitudinal analysis of the effect of home smoking bans.
Authors: Mathur C, Stigler MH, Erickson DJ, Perry CL, Forster JL
Source: Am J Public Health, 2014 Apr;104(4), p. 715-20.
EPub date: 2014 Feb 13.
PMID: 24524528
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Beliefs and experimentation with electronic cigarettes: a prospective analysis among young adults.
Authors: Choi K, Forster JL
Source: Am J Prev Med, 2014 Feb;46(2), p. 175-8.
PMID: 24439352
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Longitudinal predictors of stopping smoking in young adulthood.
Authors: Klein EG, Forster JL, Erickson DJ
Source: J Adolesc Health, 2013 Sep;53(3), p. 363-7.
EPub date: 2013 Jun 12.
PMID: 23763963
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Nondaily smoking patterns in young adulthood.
Authors: Klein EG, Bernat DH, Lenk KM, Forster JL
Source: Addict Behav, 2013 Jul;38(7), p. 2267-72.
EPub date: 2013 Mar 20.
PMID: 23583831
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Characteristics associated with awareness, perceptions, and use of electronic nicotine delivery systems among young US Midwestern adults.
Authors: Choi K, Forster J
Source: Am J Public Health, 2013 Mar;103(3), p. 556-61.
EPub date: 2013 Jan 17.
PMID: 23327246
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Availability of snus and its sale to minors in a large Minnesota city.
Authors: Choi K, Fabian LE, Brock B, Engman KH, Jansen J, Forster JL
Source: Tob Control, 2014 Sep;23(5), p. 449-51.
EPub date: 2013 Jan 8.
PMID: 23303287
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Minnesota's comprehensive statewide smokefree law: short-term effects on young adults.
Authors: Bernat DH, Choi K, Erickson DJ, Lenk KM, Forster JL
Source: Am J Prev Med, 2012 Nov;43(5 Suppl 3), p. S156-62.
PMID: 23079212
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Smoking initiation during young adulthood: a longitudinal study of a population-based cohort.
Authors: Bernat DH, Klein EG, Forster JL
Source: J Adolesc Health, 2012 Nov;51(5), p. 497-502.
EPub date: 2012 Apr 12.
PMID: 23084172
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Awareness, perceptions and use of snus among young adults from the upper Midwest region of the USA.
Authors: Choi K, Forster J
Source: Tob Control, 2013 Nov;22(6), p. 412-7.
EPub date: 2012 Jul 20.
PMID: 22821750
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Young adults' favorable perceptions of snus, dissolvable tobacco products, and electronic cigarettes: findings from a focus group study.
Authors: Choi K, Fabian L, Mottey N, Corbett A, Forster J
Source: Am J Public Health, 2012 Nov;102(11), p. 2088-93.
EPub date: 2012 Jul 19.
PMID: 22813086
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Multilevel predictors of smoking initiation among adolescents: findings from the Minnesota Adolescent Community Cohort (MACC) study.
Authors: Goldade K, Choi K, Bernat DH, Klein EG, Okuyemi KS, Forster J
Source: Prev Med, 2012 Mar-Apr;54(3-4), p. 242-6.
EPub date: 2012 Jan 8.
PMID: 22245269
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Smoke-free laws in bars and restaurants: does support among teens and young adults change after a statewide smoke-free law?
Authors: Fabian LE, Bernat DH, Lenk KM, Shi Q, Forster JL
Source: Public Health Rep, 2011 Sep-Oct;126(5), p. 669-76.
PMID: 21886327
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Short-term effects of a comprehensive, statewide smokefree law on perceived opportunities to smoke.
Authors: Bernat DH, Erickson DJ, Shi Q, Fabian LE, Forster JL
Source: Am J Prev Med, 2010 Dec;39(6 Suppl 1), p. S23-9.
PMID: 21074673
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Young adult support for clean indoor air laws in restaurants and bars.
Authors: Bernat DH, Klein EG, Fabian LE, Forster JL
Source: J Adolesc Health, 2009 Jul;45(1), p. 102-4.
EPub date: 2009 Apr 22.
PMID: 19541258
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The relationship between local clean indoor air policies and smoking behaviours in Minnesota youth.
Authors: Klein EG, Forster JL, Erickson DJ, Lytle LA, Schillo B
Source: Tob Control, 2009 Apr;18(2), p. 132-7.
EPub date: 2008 Dec 22.
PMID: 19103639
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Tobacco possession, use, and purchase laws and penalties in Minnesota: enforcement, tobacco diversion programs, and youth awareness.
Authors: Lazovich D, Forster J, Widome R, VanCoevering P
Source: Nicotine Tob Res, 2007 Jan;9 Suppl 1, p. S57-64.
PMID: 17365727
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