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Use of existing data to dvlp new tobacco control strategies

Institution: University of California, San Diego
Investigator(s): Elizabeth Gilpin, M.S. John Pierce, Ph.D. Karen Messer, Ph.D.
Award Cycle: 2003 (Cycle 12) Grant #: 12RT-0082 Award: $419,888
Subject Area: Public Health, Public Policy, and Economics
Award Type: Research Project Awards
Abstracts

Initial Award Abstract
To improve the outlook for a healthy population, the public health community continues to develop interventions aimed at encouraging smokers to quit, discouraging nonsmokers (mainly adolescents) from starting, and protecting nonsmokers from secondhand tobacco smoke. To refine tobacco control strategies and develop new ones, information concerning the effectiveness of past and ongoing policies is required. Further research into the nature of the smoking uptake and cessation processes would inform prevention efforts, and understanding pro-tobacco influences is also necessary in order to design effective counter measures. These are all important TRDRP research priorities.

Building on our past 12 years of research analyzing multiple large population datasets, in this continuation grant we plan to initiate a number of new projects. An important new theme of the proposed research is understanding young adult smoking behavior. This group is now particularly targeted by the tobacco industry.

Tobacco control policy evaluation. Increasing cigarette excise taxes is an important tobacco control policy, but the tobacco industry also raises cigarette prices. It may devote some of the increased revenue to promotional offers that actually reduces the amount consumers pay for cigarettes. We will document the extent of this practice. We plan extensive analyses of population anti-tobacco norms in California and will compare trends in California to those the rest of the nation. School no-smoking policies and the perceived ease of getting cigarettes among adolescents will also be examined with respect to adolescent smoking.

Adolescent smoking. We will complete our work on further defining our measure of susceptibility to smoking, better define the age range when young committed never smokers become susceptible to smoking and when, if they do not progress to smoking, again become committed not to smoke, determine whether the duration of the smoking uptake process is related to the degree of future addiction, and continue to characterize the effect of tobacco advertising and promotions on adolescent smoking.

Young adults smoking. We expect to learn a great deal about the smoking patterns of young adults. If a substantial percentage of young adults think they can safely smoke only in social situations and thereby avoid addiction, tobacco control efforts may be required to counter this impression, as inevitably some will succumb to addiction. We also will document the extent of young adults exposure to tobacco industry promotional activities in bars/clubs and attempt to segment the young adult population, as the tobacco industry does, to see if there are distinct groups that might be more likely to respond to different tobacco control counter measures.

Smoking cessation. There is much discussion about the use of nicotine replacement products as harm-reduction alternatives to cigarettes, but there is little evidence that promoting such product use will be successful in getting smokers to switch to these products from cigarettes. Our analyses will provide insight into the extent to which smokers are already using these products to cut down on the amount they smoke or as a nicotine substitute in situations where smoking is not allowed. In order to evaluate the impact of tobacco control efforts on adult smoking prevalence, we must understand why large increases in reported quitting are not translating into lower smoking prevalence. Extensive analyses are planned to gain insight into this conundrum.
Publications

Changes in youth smoking participation in California in the 1990s
Periodical: Cancer Causes Control Index Medicus:
Authors: Gilpin EA, Emery S, WHite M, Pierce JP ART
Yr: 2004 Vol: 14 Nbr: Abs: Pg: 985-993

Changes in population attitudes about where smoking should not be allowed: California versus the rest of the USA
Periodical: Tobacco Control Index Medicus:
Authors: Gilpin EA, Lee L, Pierce JP ART
Yr: 2004 Vol: 13 Nbr: Abs: Pg: 38-44

Support for protection from secondhand smoke: California 2002
Periodical: Tobacco Control Index Medicus:
Authors: Gilpin EA, Lee L, Pierce JP, Tang H, Lloyd J ART
Yr: 2004 Vol: 13 Nbr: Abs: Pg: 95-96

Does adolescent perception of difficulty in getting cigarettes deter experimentation?
Periodical: Preventive Medicine Index Medicus:
Authors: Gilpin EA, Lee L, Pierce JP ART
Yr: 2004 Vol: 38 Nbr: Abs: Pg: 485-491

How did the Master Settlement Agreement change tobacco industry expenditures for cigarette advertising and promotions?
Periodical: Health Promotion Practice Index Medicus:
Authors: Pierce JP, Gilpin EA ART
Yr: 0 Vol: Nbr: Abs: Pg:

The role of smoking intentions in predicting furture smoking among youth: findings from Monitoring the Future data
Periodical: Addiction Index Medicus:
Authors: Wakefield M, Chaloupka F, Pierce JP, Giovino G, Ruel E ART
Yr: 0 Vol: Nbr: Abs: Pg:

Impact of declining survey response rates on estimates of smoking prevalence
Periodical: Preventive Medicine Index Medicus:
Authors: Biener L, Flynn CA, Gilpin EA, Roman AM, Currivan DB ART
Yr: 0 Vol: Nbr: Abs: Pg:

Adolescents perceptions about quitting and nicotine replacement therapy: findings from the California Tobacco Survey
Periodical: Journal of Adolescent Health Index Medicus:
Authors: Al Delaimy WK, White MM, Pierce JP ART
Yr: 2006 Vol: 15 Nbr: Abs: Pg: 308-316

What contributed to the major deline in per capita cigarette consumption during Californias comprehensive tobacco control program?
Periodical: Tobacco Control Index Medicus:
Authors: Gilpin EA, Messer K, White MM, Pierce JP. ART
Yr: 2006 Vol: Nbr: Abs: Pg: 308-316

Trends in smoking among Hispanic women in California relationship to English language use.
Periodical: American Journal of Preventative Medicine Index Medicus:
Authors: Trinidad DR, Gilpin EA, Messer K, Pierce JP ART
Yr: 2006 Vol: Nbr: 31 Abs: Pg: 257-260

Population effectiveness of pharmaceutical aids for smoking cessation: What is associated with increased success?
Periodical: Nicotine and Tobacco Research Index Medicus:
Authors: Gilpin EA, Messer K, Pierce JP ART
Yr: 2006 Vol: 8 Nbr: Abs: Pg: 661-669

The Califoria tobacco control program's effect on adult smokers
Periodical: Tobacco Control Index Medicus:
Authors: Messer K, Pierce JP, Zhu S-H, Hartman AM, Al-Delaimy W, Trinidad DR, Gilpin EA ABS
Yr: 0 Vol: Nbr: Abs: Pg:

Receptivity to tobacco advertising and promotions as young adults predicts current established smoking as young adults
Periodical: American Journal of Public Health Index Medicus:
Authors: Gilpin EA, White MM, Messer K, Pierce JP ABS
Yr: 0 Vol: Nbr: Abs: Pg: