National Cancer Institute
Behavioral Research - Cancer Control and Population Sciences

TReND: Tobacco-Related Health Disparities Intranet and Web Portal


Visit TReND’s web portal www.tobaccodisparities.org exit disclaimer to learn more about research, programs, policies, and resources relevant to tobacco and health disparities.

Return to TReND Projects


About the Project

Rationale: Understanding and measuring how people receive and perceive tobacco-related messages, both pro- and anti-tobacco, is essential to develop interventions that de-legitimize and de-normalize tobacco use. The changing media environment, the changing ethnic and racial landscape of the nation, and the continuing disparities in tobacco use warrant a precise measure of how people from low socioeconomic and minority racial/ethnic groups are exposed to tobacco messages.

Purpose: In 2006, TReND launched its first primary data collection project. The Tobacco-Related Messages and Media (TeRMM) project is a multi-site collaborative of four National Cancer Institute Center to Reduce Cancer Health Disparities Community Network Programs (CNPs), the Tobacco Research Network on Disparities (TReND), the National Cancer Institute (NCI) and the American Legacy FoundationExit Disclaimer. The purpose is to develop and validate an index to measure exposure to tobacco-related messages and media that is sensitive to the media consumption patterns of various racial/ethnic and socioeconomic groups. The project involves a four-phase approach to develop an exposure to tobacco-related media and messages (TeRMM) index.

  • Phase 1: Conduct focus groups with a diverse range of participants drawn from four communities (American Indians, Hispanic/Latinos, urban blue-collar African Americans and blue-collar Whites) to explore media use, message exposure, and information-seeking behaviors of the audience for tobacco-related messages and media.
  • Phase 2: Develop a battery of items to measure exposure that will constitute the TeRMM index and conduct cognitive testing of these items.
  • Phase 3: Test the TeRMM index in a national survey to establish its reliability and validity among various sociodemographic groups.
  • Phase 4: Disseminate the items to the field of tobacco control researchers and practitioners for future use.

Impact: Once validated, the TeRMM index will be published and made available for use by tobacco control researchers. This project will contribute to our knowledge on information seeking behaviors among low socioeconomic and minority racial/ethnic groups, provide a tool that other researchers can use to better understand media exposure among specific groups, and inform the development of interventions that de-normalize tobacco use for low socioeconomic and minority racial/ethnic groups.

Back to Top


Research Team

Principal Investigators
K. Vish Viswanath, PhD
Harvard School of Public Health
Dana-Farber Cancer Institute

Laura Beebe, PhD, MPH
University of Oklahoma Health Sciences Center

Eliseo Perez-Stables, MD
University of California, San Francisco

Donna Vallone, PhD, MPH
American Legacy Foundation

Co-Investigators
Anna Napoles-Springer, PhD
Redes En Acción: National Latino Cancer Research Network
University of California, San Francisco

Sherrie Wallington, PhD
Dana-Farber Cancer Institute

Project Staff
Josephine Crisostomo, MPH (Project Director)
Dana-Farber Cancer Institute

Back to Top


Contact Us

Principal Investigator
K. Vish Viswanath, PhDExit Disclaimer
Associate Professor
Department of Society, Human Development and Health
Harvard School of Public Health
Department of Medical Oncology
Dana-Farber Cancer Institute
vish_viswanath@dfci.harvard.edu

Project Director
Josephine Crisostomo, MPH
Center for Community-Based Research
Department of Medical Oncology
Dana-Farber Cancer Institute
josephine_crisostomo@dfci.harvard.edu

Back to Top


Project Activities and Findings

Data and Instruments

TeRMM Item Index and Technical Documentation (not yet available)

Back to Top


Manuscripts

Not yet available.

Back to Top


Presentations

Rose A, Vallone D, Beebe L, Perez-Stable E, Viswanath KV (August 2010). Tracking tobacco-related message and media (TERMM) exposure to the underserved: A critical component of tobacco control monitoring. Oral presentation at the World Cancer Congress of International Union against Cancer, Shenzhen, China.

Vallone D (December 2008). Reducing tobacco-related health disparities: Promoting behavior change through media campaigns in underserved populations. Oral presentation at the NIH Summit: The Science of Eliminating Health Disparities, National Harbor, MD.

Vallone D (April 2008). Evaluating tobacco-related media messages: Reaching and influencing teen girls. Oral presentation at The College of Problems with Drug Dependence Conference on Women and Smoking: Understanding Socioeconomic Influences.

Viswanath K (March 2009). Examining tobacco message and media exposure to the underserved: Exposure to the Tobacco-Related Messages & Media (TeRMM) Index. Oral presentation at the 14th Annual World Conference on Tobacco or Health, Mumbai, India.

Viswanath K (March 2009). Testing message effects among bihar school teachers: An empirical analysis. Oral presentation at the 14th Annual World Conference on Tobacco or HealthExit Disclaimer, Mumbai, India.

Viswanath K (March 2009). The role of media in promoting and reducing tobacco use: Findings from the National Cancer Institute’s Tobacco Monograph 19. Tobacco marketing: Summary and implications. Oral presentation at the 14th Annual World Conference on Tobacco or HealthExit Disclaimer, Mumbai, India.

Viswanath K, Vallone D, Beebe L, Fagan P, Wallington S, Napoles-Springer A, Crisostomo J (July 2007). A CNP Partnership to Examine Tobacco Message and Media Exposure to the Underserved. Oral presentation at the NCI Cancer Health Disparities Summit, Bethesda, MD.

Wallington SF, Beebe LA , Crisostomo J, Rose A, Perez-Stable EJ , Baezconde-Garbanati L, Vallone D, Viswanath KV (October 2008). A multi-site examination of tobacco-related message (TeRMM) exposure to the underserved. Poster presentation at the 136th American Public Health Association Annual Meeting & ExpositionExit Disclaimer, San Diego, CA.

Back to Top


Other Resources and Publications

National Cancer Institute. The Role of the Media in Promoting and Reducing Tobacco Use. Tobacco Control Monograph No. 19. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute. NIH Pub. No. 07-6242, June 2008.

Back to Top


The National Cancer Institute (NCI) and American Legacy Foundation are proud to fund the Tobacco Research Network on Disparities (TReND). Previous support has also been provided by the Department of Health and Human Services (DHHS) Office on Women’s Health, NCI Office of Women’s Health, and the NCI Center to Reduce Cancer Health Disparities.

National Cancer Institute   Legacy - American Legacy Foundation
Last Updated: August 8, 2012

NIH…Turning Discovery Into Health®
National Cancer Institute U.S. National Institutes of Health National Cancer Institute