Selected Newsletters

(by subject)

ReelTalk ACT II

Winter 2007

Spring 2010


Obesity and the Built Environment Program

The Environmental Factor 2009

Selected Reports

(by subject)

Obesity, Diet, & Activity

Our study, ReelTalk Act II involved community level assessment and longitudinal telephone survey with an adolescent cohort and their parents to evaluate the relationship between the built environment and adolescent overweight in predominately rural communities in New Hampshire and Vermont. As part of our study, we asked schools to complete surveys about school food and physical activity programs, and conducted an on-onsite assessment of food and beverage options at schools.

Our report summarizes information gathered through the school survey and the school food and beverage assessments.

The ACT II Study: A Report of Initial Findings for NH and VT Schools and Communities

Selected Publications

(by subject)


Primack, BA, Longacre, ML, Adachi-Mejia, AM, Titus, LJ, Dalton, MA. Association of established smoking among adolescents with timing of exposure to smoking depicted in movies. J Natl Cancer Inst. 2012 Apr 4;104(7):549-55. Epub 2012 Mar 14.

Adachi-Mejia AM, Primack BA, Beach ML, Titus-Ernstoff L, Weiss JE, Dalton MA. The influence of early movie smoking exposure and team sports participation on established smoking. Arch Pediatr Adolesc Med 2009;163(7):638-643.

Adachi-Mejia AM, Dalton MA, Gibson JJ, Beach ML, Titus-Ernstoff L, Heatherton TF, Sargent JD. Tobacco brand appearances in movies before and after the master settlement agreement. (Research letter.) JAMA 2005; 293(19):2341-2342.

Bernhardt AM, Dalton MA, Sargent JD, Stevens MM. E-mail communication between medical students and school children: a model for medical education. Arch Pediatr Adolesc Med 2000;154:1258-1262.

Dalton MA, Sargent JD, Beach ML, Bernhardt AM, Stevens M. Positive and negative outcome expectations of smoking: implications for prevention. Prev Med 1999;29:460-465.

Dalton MA, Ahrens MB, Sargent JD, Beach ML, Tickle JJ, Heatherton TF. Relation between parental restrictions on movies and adolescent use of tobacco and alcohol. Eff Clin Pract 2002;5(1):1-10.

Dalton MA, Tickle JJ, Sargent JD, Beach ML, Ahrens MB, Heatherton TF. The incidence and context of tobacco use in popular movies from 1988-1997. Prev Med 2002;34(5):516-523.

Dalton MA, Sargent JD, Beach ML, Titus-Ernstoff L, Gibson JJ, Ahrens MB, Tickle JJ, Heatherton TF. Effect of viewing smoking in movies on adolescent smoking initiation: a cohort study. Lancet 2003;362:281-285. Available at:

Dalton MA, Bernhardt AM, Gibson JJ, Sargent JD, Beach ML, Adachi-Mejia AM, Titus-Ernstoff L, Heatherton TF. Use of cigarettes and alcohol by preschoolers while role-playing as adults. “Honey, Have Some Smokes.” Arch Pediatr Adolesc Med 2005;159:854-859.

Dalton MA, Adachi-Mejia AM, Longacre MR, Titus-Ernstoff LT, Gibson JJ, Martin SK, Sargent JD, Heatherton TF. Parental rules and monitoring of children’s movie viewing associated with children’s risk for smoking and drinking. Pediatrics, 2006;118(5):1932-1942.

Dalton MA, Beach ML, Adachi-Mejia AM, Longacre MR, Matzkin Al, Sargent JD, Heatherton TF, Titus-Ernstoff L. Early exposure to movie smoking predicts established smoking in older teens and young adults. Pediatrics, 2009;123(4):3551-558.

Longacre MR, Adachi-Mejia AM, Titus-Ernstoff L, Gibson JJ, Beach ML, Dalton MA. Parental attitudes about cigarette smoking and alcohol use in the Motion Picture Association of America rating system. Arch Pediatr Adolesc Med,2009;163(3):218-224..

Primack BA, Switzer GE, Dalton MA. Improving measurements of normative beliefs involving smoking among adolescents. Arch Pediatr Adolesc Med 2007;161:434-439.

Primack BA, Dalton MA, Carroll MV, Agarwal AA, Fine MJ. A content analysis of tobacco, alcohol, and other drugs in popular music. Arch Pediatr Adolesc Med 2008;162(2):169-175.

Sargent JD, Dalton MA, Beach ML, Bernhardt A, Pullin D, Stevens M. Cigarette promotional items in public schools. Arch Pediatr Adolesc Med 1997;151:1189-1196.

Sargent JD, Dalton MA, Beach ML, Bernhardt A, Heatherton TF, Stevens M. Effect of cigarette promotions on smoking uptake among adolescents. Prev Med 2000;30:320-327.

Sargent JD, Beach ML, Dalton MA, Mott LA, Tickle JJ, Ahrens MB, Heatherton TF. Effect of seeing tobacco use in films on trying smoking among adolescents: cross sectional study. BMJ 2001;323:1394-1397. Unabridged version available at:

Sargent JD, Tickle JJ, Beach ML, Dalton MA, Ahrens B, Heatherton TF. Brand appearances in contemporary cinema films and contribution to global marketing of cigarettes. Lancet 2001;357:29-32.

Sargent JD, Dalton MA. Does parental disapproval of smoking prevent adolescents from becoming established smokers? Pediatrics 2001;108(6):1256-1262.

Sargent JD, Beach ML, Dalton MA, Titus-Ernstoff L, Gibson JJ, Tickle JJ, Heatherton TF. Effect of parental R-rated movie restriction on adolescent smoking initiation: a prospective study. Pediatrics 2004;114(7):149-156.

Sargent JD, Beach ML, Adachi-Mejia AM, Gibson JJ, Titus-Ernstoff L, Carusi C, Swain S, Heatherton TF, Dalton MA. Exposure to movie smoking: Its relation to smoking initiation among U.S. adolescents. Pediatrics 2005;116(5):1183-1191.

Tickle JJ, Sargent JD, Dalton MA, Beach ML, Heatherton TF. Favourite movie stars, their tobacco use in contemporary movies and its association with adolescent smoking. Tob Control 2001;10:16-22.

Tickle JJ, Hull JG, Sargent JD, Dalton MA, Heatherton TF. A structural equation model of social influences and exposure to media smoking on adolescent smoking. Basic and Applied Social Psychology 2006;28(2):117-129.

Tickle JJ, Beach ML, Dalton MA. Risk behaviors in film: Do MPAA rating distinguish content?. J. Health Commun 2009; 14:756-767.

Titus-Ernstoff L, Dalton MA, Adachi-Mejia A, Longacre M, Beach M. A longitudinal study of viewing smoking in movies and initiation of smoking by children. Pediatrics 2008;121(1)15-21.



Drake, KM, Longacre, MR, Dalton, MA, Langeloh, G, Peterson, KE, Titus, LJ, Beach, ML. Two-Method Measurement for Adolescent Obesity Epidemiology: Reducing the Bias in Self-Report of Height and Weight. J. of Adolescent Health 2013; 53(3):322-327.

Drake KM, Beach ML, Longacre MR, MacKenzie TA, Titus LJ, Rundle AG, Dalton MA. Influence of Sports, Physical Education, and Active Commuting to School on Adolescent Weight Status. Published online July 16, 2012, Pediatrics (doi:10.1542/peds.2011-2898).

Longacre MR, Drake KM, MacKenzie TA, Gibson L, Owens PM, Titus LJ, Beach ML, Dalton MA. Fast-Food Environments and Family Fast-Food Intake in Nonmetropolitan Areas. Am J Prev Med 2012; 42(6):579-587.

Dalton MA, Longacre MR, Drake KM, MacKenzie TA, Gibson L, Adachi-Mejia AM, Swain K, Xie H, Owens PM. Built Environment Predictors of Active Travel to School Among Rural Adolescents. Am J Prev Med 2011; 40(3):312-319.

Adachi-Mejia AM, Drake KM, MacKenzie TA, Titus-Ernstoff L, Longacre MR, Hendricks KM, Beach ML, Dalton MA. Perceived intrinsic barriers to physical activity among rural mothers. J of Womens Health 2010 Dec;19(12):2197-202.

Adachi-Mejia AM, Longacre MR, Gibson JJ, Beach ML, Titus-Ernstoff LT, Dalton MA. Children with a TV in the bedroom at higher risk for being overweight. International Journal of Obesity 2007;31(4):644-651.

Dalton MA, Longacre MR, Drake KM, Gibson L, Adachi-Mejia AM, Swain K, Xie H, Owens PM. Built Environment predictors of active travel to school among rural adolescents. Am J Prev Med 2011 Mar;40(3):312-9.

Longacre MR, Primack BA, Owens PM, Gibson L, Beauregard S, MacKenzie TA, Dalton, MA. Public Directory Data Sources Do Not Accurately Characterize the Food Environment in Two
Predominantly Rural States.
J Am Diet Assoc. 2011;111:577-582.

Owens PM, Titus-Ernstoff L, Gibson L, Beach ML, Beauregard S, Dalton MA. Smart density: A more accurate method of measuring rural residential density for health-related research. International Journal of Health Geographics, 2010, 9:8. (doi:10.1186/1476-072X-9-8).

Sutherland LA. Nutrition professionals in Cyberspace: Getting wired for the new millennium. JADA 1999(11):1365-1366.

Sutherland LA. QualPage: Resources for qualitative research. JNE 2001;33(4):254-255.

Sutherland LA, Campbell MK, Ornstein K, Wildemuth B, Lobach D. Development of an adaptive multimedia program to collect patient health data. Am J Prev Med 2001;21(4):320-324.

Sutherland, LA, Wildemuth BS, Campbell MK, Haines PS. (2005) Unraveling the Web: An evaluation of the content quality, usability, and reading level of nutrition web sites. JNEB 2005;37;5.

Sutherland, LA, Kupper L, Beavers DP, Bernhardt AM, Heatherton T, Dalton MA. Like parent, like child: Child food and beverage choices during role playing. Arch Pediatr Adolesc Med 2008;162(11):1063-1069.

Sutherland, LA, MacKenzie T, Purvis AL., Dalton MA. Prevalence of food and beverage brands in movies: 1996-2005. Published online February 8, 2010, Pediatrics (doi:10.1542/peds.2009-0857).

Sutherland, LA, Kaley, LA, Fischer L. Guiding Stars: The effect of a nutrition navigation program on consumer purchases at the supermarket. Published online February 10, 2010, AJCN (doi: 10.3945/ajcn.2010.28450C).

Martin JM, Beshears J, Milkman KL, Bazerman MH, Sutherland LA. Modeling expert opinions on food healthfulness: A nutrition etric. J Am Diet Assoc. 2009;109:1088-1091.


Chronic Illness

Fanos, J. A Life-Span 'Case History': Human Attachment, Unit 24, pp. 567-75. In Krech, Crutchfield, Livson, Wilson & Parducci, Elements of Psychology (4th ed.), New York: Alfred A. Knopf, 1982.

Fanos, J. Siblings need your love too. In Inspirations, Pediatric Pulmonary Center, Children's Hospital, Oakland, Summer 1988.

Fanos, J. & Nickerson, B. Long-term effects of sibling death during adolescence. Special Issue, D. Balk, Ed., Death and Adolescent Bereavement, Journal of Adolescent Research (1991), 6, pp. 70-82.

Fanos, J. & Wiener, L. Tomorrow's survivors: Siblings of HIV-infected children. Journal of Developmental and Behavioral Pediatrics. Special Supplement (15), pp. S43-48, June 1994.

Fanos, J. & Johnson, J. Perception of carrier testing by cystic fibrosis siblings. American Journal of Human Genetics, 57:431-438, 1995).

Fanos, J. & Johnson, J. Barriers to carrier testing for adult cystic fibrosis siblings: The importance of not knowing. Journal of Medical Genetics, 59:85-91, 1995.

Fanos, J. Sibling Loss (1996). Lawrence Erlbaum & Associates, New Jersey.

Fanos, J. Developmental tasks of childhood and adolescence: Implications for genetic testing. American Journal of Medical Genetics, 71:22-28,1997.

Fanos, J. The missing link in linkage analysis: The well sibling revisited. Genetic Testing 3:273-278, 1999.

Fanos, J. & Mackintosh, M. “Never again joy without sorrow”: The effect on the parents of a child with ataxia-telangiectasia. American Journal of Medical Genetics 87:413-420, 1999.

Fanos, J & Gatti R. A mark on the arm: Myths of carrier status in siblings of individuals with ataxia-telangiectasia. American Journal of Medical Genetics 1999; 86:338-346.

Fanos, J. “My crooked vision”: The well sib views ataxia-telangiectasia. American Journal of Medical Genetics 87:420-426, 1999.

Fanos, JH. Davis J, Puck JM. Sib understanding of genetics and attitudes toward carrier testing for X-linked severe combined immunodeficiency. American Journal of Medical Genetics 98:46-56, 2001.

Fanos, J. & Johnson, J. (2001). Genetic testing and counseling. In: B. Lask, M. Bluebond-Langner & D. Angst, Psychosocial Aspects of Cystic Fibrosis. Arnold Publishing Company, London.

Fanos JH, Puck JM. Family Pictures: The impact of growing up with a brother with X-linked severe combined immunodeficiency. American Journal of Medical Genetics 98:57-63, 2001.

Fanos JH, Gelinas D, Miller R. “You Have Shown Me My End”: Attitudes toward presymptomatic testing for familial amyotrophic lateral sclerosis. Am J Med Genet. 2004 Sep 1;129A(3):248-53.

Fanos JH, Strange C: “The Lion, the Witch and the Wardrobe”: Impact on sibs of individuals with AAT deficiency. American Journal of Medical Genetics 2004 Oct 15; 130A(3):251-257.

Fanos JH, Fahrner K, Jelveh M, King R, Tejeda D. The Sibling Center: A pilot program for siblings of children and adolescents with a serious medical condition. Invited Commentary, Journal of Pediatrics 2005;146/6:831-5.

Fanos JH, Spangner KA, Musci TJ. Attitudes toward prenatal testing and screening for Fragile X. Genetics in Medicine 2006;8:1-5.

Smit E, Semba RD, Pilibosian E, Vlahov D, Tun W, Purvis L, Tang AM. Body habitus in a cohort of HIV seropositive and HIV seronegative injection drug users. AIDS Patient Care and STDs. 2005; Vol. 19. No.1:12-30.

Wertz, D., Fanos, J. & Reilly, P. Genetic testing for children and adolescents: Who decides? JAMA. (1994), 272 (11), pp. 875-881.

Wertz, D., Fanos J & Reilly P. Testing healthy children and adolescents: Recommendations for avoiding harm. The Genetic Resource (1994), 8 (2), pp. 16-20.

Wertz, D, Fanos, J. Genetic testing for children and adolescents – Reply. JAMA, (1995), 273 (14): 1090.

Wilfond BS, Pelias MZ, Knoppers BM, Reilly PR, Wertz DC, Billings P, Fleisher LD, Rowley R, Strom C, Zinberg R, Boyd P, Clayton EW, Fanos J, Markel D, Schneider K. Points to consider: Ethical, legal, and psychosocial implications of genetic testing in children and adolescents. American Journal of Human Genetics 57 (5): 1233-1241. 1995.


Prenatal Exposure

Hatch EE, Palmer JR, Titus-Ernstoff L, Noller KL, Kaufman RH, Mittendorf R, Robboy SJ, Hyer M, Cowan C, Adam E, Colton T, Hartge PA, Hoover RN. Cancer risk in women exposed to diethylstilbestrol (DES) in utero. Abstract featured in the Journal of the American Medical Association 1998; 280: 630-634.

Hatch EE, Herbst AL, Hoover RN, Noller KL, Adam E, Kaufman RH, Palmer JR, Titus-Ernstoff L, Hyer M, Robboy SJ. Incidence of cervical intraepithelial neoplasia in DES daughters: Long-term follow-up of the NCI DES follow-up study cohorts. Cancer Causes and Control 2001; 12: 837-845.

Hatch EE, Troisi R, Wise LA, Hyer M, Palmer JR, Titus-Ernstoff L, Strohsnitter W, Kaufman R, Noller KL, Robboy S, Hartge P, Hoover RN. Age at natural menopause in women wxposed to diethylstilbestrol in utero. American Journal of Epidemiology 2006; 164: 682-688.

Leong NM, Egan KM, Newcomb PA, Titus-Ernstoff L, Baron JA, Stampfer MJ, Trentham-Dietz A, Stampfer MJ, Willett WC. The relation of birthweight to adult obesity: results from a population-based study. International Journal of Cancer 2003; 103: 789-791.

Palmer JR, Hatch EE, Rao S, Kaufman RH, Herbst AL, Noller KL, Titus-Ernstoff L, Hoover RN. Infertility among women exposed prenatally to diethylstibestrol. American Journal of Epidemiology, 2001;154: 316-321.

Palmer J, Hatch EE, Hoover RN, Noller K, Herbst AL, Titus-Ernstoff L, Kaufman RH. Risk of breast cancer in daughters exposed to diethylstilbestrol in utero. Cancer Causes and Control 2002; 13: 753-758.

Palmer JR, Wise LA, Robboy SJ, Titus-Ernstoff L, Noller KL, Herbst AL, Troisi R, Hoover RN. Hypospadias in male offspring of women exposed to diethylstilbestrol in utero. Epidemiology 2005; 16: 583-586.

Palmer JR, Wise LA, Hatch EE, Troisi R, Titus-Ernstoff L, Strohsnitter W, Kaufman R, Herbst AL, Noller KL, Hyer M, Hoover RN. Prenatal diethylstilbestrol exposure and risk of breast cancer. Cancer Epidemiology Biomarkers & Prevention 2006; 15:1509-1514.

Perez K, Titus-Ernstoff L, Hatch EE, Troisi R, Wactawski-Wende J, Palmer JR, Noller KL, Hoover RL. Reproductive outcomes in men with prenatal exposure to DES. Fertility & Sterility 2006; 84: 1649-1656.

Strohsnitter WC, Noller KL, Hoover RN, Robboy SJ, Palmer JR, Titus-Ernstoff L, Kaufman RH, Adam E, Herbst AL, Hatch EE. Cancer risk in men exposed in utero to diethylstilbestrol. Journal of the National Cancer Institute, 2001; 93: 545-541.

Strohsnitter WC, Noller KL, Titus-Ernstoff L, Kaufman RH, Troisi R, Hatch EE, Poole C, Glynn RJ, Hsieh C-C. Breast cancer incidence in women prenatally exposed to maternal cigarette smoke. Epidemiology 2005; 16: 342-345.

Titus-Ernstoff L, Egan K, Newcomb PA, Baron JA, Stampfer M, Willett W, Cole B, Ding J, Greenberg ER, Trichopoulos D. Exposure to breast milk during infancy in relation to postmenopausal breast cancer risk. Journal of the National Cancer Institute 1998; 90: 921-924.

Titus-Ernstoff L, Newcomb PA, Egan KM, Baron JA, Greenberg ER, Willett W, Stampfer M. Left-handedness in relation to breast cancer risk in postmenopausal women. Epidemiology 2000; 11: 181-184.

Titus-Ernstoff L, Egan KM, Newcomb PA, Ding, J, Trentham-Dietz A, Baron JA, Stampfer M, Trichopoulos D, Willett WC. Early life factors in relation to breast cancer risk in postmenopausal women. Cancer Epidemiology Biomarkers and Prevention 2002; 11: 207-210.

Titus-Ernstoff L, Perez K, Hatch EE, Troisi R, Palmer J, Hartge P, Kaufman R, Adam E, Noller K, Strohsnitter W, Herbst AL, Hyer M, Hoover RN. Psychosexual characteristics of men and women exposed prenatally to DES (diethylstilbestrol). Epidemiology 2003; 14:155-160.

Titus-Ernstoff L, Troisi R, Hatch EE, Wise L, Palmer J, Hyer M, Kaufman R, Adam E, Strohsnitter W, Noller K, Herbst AL, Gibson-Chambers J, Hartge P, Hoover RN. Menstrual and reproductive characteristics of women whose mothers were exposed to DES in utero. International Journal of Epidemiology 2006; 35: 862-868.

Troisi R, Hatch EE, Titus-Ernstoff, L, Palmer JR, Hyer M, Strohsnitter WC, Robboy S, Kaufman R, Herbst A, Adam E, Hoover RN. Birth weight and breast cancer risk. In press (British Journal of Cancer).

Wise LA, Palmer JR, Rowlings K, Kaufman RH, Herbst AL, Noller KL, Titus-Ernstoff L, Troisi R, Hatch EE, Robboy SJ. Risk of benign gynecologic tumors in relation to prenatal diethylstilbestrol exposure. Obstetrics and Gynecology 2005; 105:167-173.