Biomedical subjects

C Celebucki

Publications and source records attributed to C Celebucki.

4 recordsLinked to original sources

PubMed2002

Decreased youth tobacco use in Massachusetts 1996 to 1999: evidence of tobacco control effectiveness.

OBJECTIVE: To evaluate tobacco control in Massachusetts through examining trends in youth tobacco use from 1996 to 1999. DESIGN: Data are from the 1996 and 1999 Massachusetts Prevalence Study survey of public school students in the state. PARTICIPANTS: Participants consisted of 6800 (1996) and 6980 (1999) students in Massachusetts public school grades 6-12 (approximate ages 11-18 years). MAIN OUTCOME MEASURES: Outcomes are changes in lifetime and current (past month) cigarette, cigar, and smokeless tobacco. RESULTS: In grades 7-12, there were significant decreases in lifetime (48.3% to 41.9%) and current (30.7% to 23.7%) cigarette use, smokeless tobacco use (lifetime 16.5% to 9.9%; current 4.55 to 2.6%), and current cigar use (12.2% to 8.6%). Decreases occurred for both male and female 7-8th graders. In grades 9-12 decreases were somewhat greater for females than males. Trends for grades 8, 10, and 12 were compared to those seen nationally and in the northeast region in the Monitoring the Future study. For the pooled grades the decreases for cigarettes were greater than those seen nationally or in the northeast region. CONCLUSIONS: Results support the effectiveness of the comprehensive Massachusetts Tobacco Control Program. The increasing tobacco rates in the first half of the 1990s have been dramatically reversed. These results suggest that programme efforts should be supported or even expanded in order to decrease further the state's rates of youth tobacco use. The findings suggest that other states may learn useful lessons from Massachusetts' successes.

Adolescent↗

PubMed2000

Massachusetts' advertising against light cigarettes appears to change beliefs and behavior.

OBJECTIVES: This study examined the effects of advertising directed against light cigarettes (lights). METHODS: In a quasi-experimental post-test-only design, smokers and ex-smokers (</=1 year) in Massachusetts (MASS) (N=500) and the continental United States (U.S. ) (N=501) took part in random-digit dialing telephone interviews. We used multiple logistic regression analyses to control for gender, education, and age effects. RESULTS: Compared with the U.S., the MASS sample contained more, recent ex-smokers (10% vs. 7% in the U.S.) and more smokers of higher tar cigarettes (44% vs. 35% smokers of regular cigarettes); more U.S. respondents thought lights had at least a slim chance of reducing the risk of health problems (49% vs. 32%). Within MASS, smokers who saw anti-light ads were less likely to think lights decreased the risk of health problems (26% vs. 44%) and more likely to know of filter vents (64% vs. 47%). These effects remained statistically reliable after adjusting for confounders. CONCLUSIONS: Amidst extensive anti-smoking efforts, the MASS campaign to counter-market light cigarettes appears to promote smoking cessation and to inform smokers of the risks of light cigarettes. Further counter-marketing efforts should be encouraged.

Adult↗

PubMed1998

Evaluation: methods and strategy for evaluation--Massachusetts.

Various challenges exist when evaluating statewide, community-based public health initiatives and these need to be addressed by tobacco control programs. There are factors inherent in public health initiatives that can make it difficult to assess causality and effectiveness. These include initial design elements, funding mandates, duration of program and resources allocated for evaluation. In addition, outside efforts to undermine the initiative also must be taken into consideration, when evaluating effectiveness. This article focuses on these and other challenges encountered by the Massachusetts Tobacco Control Program and presents information on the state specific tobacco surveys conducted for the Program.

Data Collection↗

PubMed1998

Adolescent exposure to cigarette advertising in magazines: an evaluation of brand-specific advertising in relation to youth readership.

CONTEXT: Understanding the relationship between cigarette advertising and youth smoking is essential to develop effective interventions. Magazine advertising accounts for nearly half of all cigarette advertising expenditures. OBJECTIVE: To investigate whether cigarette brands popular among adolescent smokers are more likely than adult brands to advertise in magazines with high adolescent readerships. DESIGN: Cross-sectional analysis of 1994 data on (1) the presence of advertising by 12 cigarette brands in a sample of 39 popular US magazines; and (2) the youth (ages 12-17 years), young adult (ages 18-24 years), and total readership for each magazine. MAIN OUTCOME MEASURES: The presence or absence of advertising in each of the 39 magazines in 1994 for each of the 12 cigarette brands. RESULTS: After controlling for total magazine readership, the percentage of young adult readers, advertising costs and expenditures, and magazine demographics, youth cigarette brands (those smoked by more than 2.5% of 10- to 15-year-old smokers in 1993) were more likely than adult brands to advertise in magazines with a higher percentage of youth readers. Holding all other variables constant at their sample means, the estimated probability of an adult brand advertising in a magazine decreased over the observed range of youth readership from 0.73 (95% confidence interval [CI], 0.50-0.96) for magazines with 4% youth readers to 0.18 (95% CI, 0.00-0.47) for magazines with 34% youth readers. In contrast, the estimated probability of a youth brand advertising in a magazine increased from 0.32 (95% CI, 0.00-0.65) at 4% youth readership to 0.92 (95% CI, 0.67-1.00) at 34% youth readership. CONCLUSION: Cigarette brands popular among young adolescents are more likely than adult brands to advertise in magazines with high youth readerships.

Adolescent↗