Cigarette smoking remains the single largest preventable cause of premature death and disability in the United States, and effective antismoking campaigns require an empirical understanding of the natural history of smoking and its determinants. The proposed research extends our cohort-sequential study of smoking and its intergenerational transmission and integrates this study with an experimental, translational application to family-based smoking prevention and midlife cessation. Cohorts of 6th-12th graders (N=8,521) were followed annually between 1980-1983 to prospectively predict adolescent smoking transitions with social psychological models. Four additional follow-ups were conducted in 1987-1988;1993-1994;1999-2000, and 2005-2006 (for a total of eight measurement waves with more than 70% retention of the total sample at each wave). Web-based studies of implicit attitudes toward smoking and their role in smoking transitions and the intergenerational transmission of smoking were initiated in the last project period. The proposed studies combine a 9th measurement of our total sample using a mailed survey with short-term longitudinal, studies of targeted subgroups using web-based methods. We embed smoking in a developmental context by relating smoking trajectories to the unique hallmarks of midlife development, and by relating midlife conditions to parents'socialization of smoking in the next generation. We then employ these data in a translational application to family-based smoking prevention and midlife cessation. Using web-based, experimental, short-term longitudinal studies of targeted subgroups, we will test the effects of approach-avoidance practice and an anti-smoking PSA on an unobtrusive measure of engagement with intervention information. We will test whether the effects of our interventions are mediated by changes in implicit attitudes, and we will identify the component automatic and controlled processes of implicit attitudes that are responsible for these effects (and that are predictive of later smoking outcomes). The results will be important for improving engagement in family-based smoking prevention programs, tailoring smoking cessation messages aimed at midlife adults, and understanding the intergenerational transmission of smoking.

Public Health Relevance

Because cigarette smoking is the single largest preventable cause of premature death and disability in the US, creating effective prevention and cessation interventions is an important public health goal. The data from the proposed studies will provide a method for improving parents'and adolescents'engagement with family-based smoking prevention, inform the design of antismoking messages aimed at midlife adults, and provide a method for testing the effects of antismoking media messages.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Research Project (R01)
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Risk, Prevention and Intervention for Addictions Study Section (RPIA)
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Crump, Aria
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Arizona State University-Tempe Campus
Schools of Arts and Sciences
United States
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Macy, Jonathan T; Chassin, Laurie; Presson, Clark C et al. (2015) Changing implicit attitudes toward smoking: results from a web-based approach-avoidance practice intervention. J Behav Med 38:143-52
Chassin, Laurie; Presson, Clark C; Macy, Jonathan T (2014) Adolescent susceptibility to smoking: the importance of an international perspective. J Adolesc Health 54:119-20
Macy, Jonathan T; Chassin, Laurie; Presson, Clark C (2013) Predictors of health behaviors after the economic downturn: a longitudinal study. Soc Sci Med 89:8-15
Macy, Jonathan T; Chassin, Laurie; Presson, Clark C (2013) Association between work-family conflict and smoking quantity among daily smokers. Nicotine Tob Res 15:1867-72
Macy, Jonathan T; Chassin, Laurie; Presson, Clark C (2013) The association between implicit and explicit attitudes toward smoking and support for tobacco control measures. Nicotine Tob Res 15:291-6
Chassin, Laurie; Macy, Jon T; Seo, Dong-Chul et al. (2010) The Association between Membership in the Sandwich Generation and Health Behaviors: A Longitudinal Study. J Appl Dev Psychol 31:38-46
Sherman, Steven J; Chassin, Laurie; Presson, Clark et al. (2009) The Intergenerational Transmission of Implicit and Explicit Attitudes Toward Smoking. J Exp Soc Psychol 45:313-319
Chassin, Laurie; Presson, Clark; Seo, Dong-Chul et al. (2008) Multiple trajectories of cigarette smoking and the intergenerational transmission of smoking: a multigenerational, longitudinal study of a Midwestern community sample. Health Psychol 27:819-28
Macy, Jonathan T; Seo, Dong-Chul; Chassin, Laurie et al. (2007) Prospective predictors of long-term abstinence versus relapse among smokers who quit as young adults. Am J Public Health 97:1470-5
Rose, Jennifer S; Chassin, Laurie; Presson, Clark et al. (2007) A latent class typology of young women smokers. Addiction 102:1310-9

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