Communicating Cancer Risk to Co-users of Alcohol and Little Cigar and Cigarillos

向共同饮酒、少量雪茄和小雪茄的人传达癌症风险

• 批准号: 10164452
• 负责人: Adam O Goldstein
• 金额: $ 9.56万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-02 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10164452
• 关键词: Address; Administrative Supplement; Adult; Advertisements; Advertising; Aerodigestive Tract; African American; Alcohol consumption; Alcoholic Beverages; Alcohols; Attitude; Awareness; Behavior; Behavioral; Cancer Etiology; Cessation of life; Cigar; Communication; Complement; Consumption; Country; Data; Effectiveness; Goals; Health; Health Communication; Heavy Drinking; Individual; Intervention; Knowledge; Label; Link; Literature; Malignant Neoplasms; Malignant neoplasm of esophagus; Malignant neoplasm of larynx; Mass Media; Media Campaign; Outcome; Parents; Participant; Perception; Population; Public Health; Randomized Controlled Trials; Research; Research Personnel; Risk; Sales; Sampling; Self Efficacy; Series; Smoke; Testing; Text; Tobacco; Tobacco use; United States; alcohol behavior; alcohol measurement; alcohol risk; behavior change; behavioral outcome; cancer risk; cigarillos; comparative; drinking; experience; experimental study; health care settings; high risk; interest; malignant mouth neoplasm; malignant oropharynx neoplasm; mortality; novel; recruit; response; risk perception; social media; tobacco products; tobacco user; young adult

ABSTRACT This application is being submitted in response to the Notice of Special Interest (NOSI) identified as NOT-CA-20-039. Over a third of cancer deaths in the United States are attributable to using tobacco and drinking alcohol. These two behaviors synergistically impact the risk of multiple cancers. Little research has been conducted on how to communicate the cancer risks of alcohol and tobacco co-use, despite the fact that co-use of both substances is high. Public health researchers have successfully used strategies—such as media campaigns, point-of-sale advertisements, and warning labels—to communicate about cancer risks linked to tobacco. Comparatively, less research exists about communication strategies to inform messages about the cancer risks of alcohol. No communication strategies, to our knowledge, have been used to communicate about the cancer risks of co-using alcohol and tobacco. The long-term goal of the proposed administrative supplement is to determine whether messages that communicate about the cancer risks of cousing alcohol and tobacco increase risk perceptions, perceived message effectiveness, knowledge, and tobacco quit intentions and decrease alcohol use intentions among individuals who currently co-use tobacco and alcohol. To accomplish this goal, we propose one specific aim that will complement and add significant value to our Parent Study (1R01CA240732-01), which is focused on communicating cancer and other health risks of little cigars and cigarillos (LCCs). Specifically, for this administrative supplement, we aim to develop and experimentally test communication messages about the cancer risks of co-using alcohol and tobacco (e.g., “alcohol and tobacco both increase your risk of oral cancer”) among a diverse sample of 1,000 adults who currently drink alcohol and smoke LCCs. We will oversample young adults and African Americans because the co-use of alcohol and tobacco is especially problematic among young adults, and African American adults are more likely to use LCCs than white adults. Participants will be recruited from across the US to participate in a series of online experiments. Our working hypothesis is that the most robust communication messages about the cancer risks of alcohol and tobacco (e.g., messages that mention a specific cancer, describe the cancer’s consequences, and include text to promote quitting self-efficacy) will increase risk perceptions, perceived message effectiveness, knowledge, and tobacco quit intentions and decrease alcohol use intentions among co-users of LCCs and alcohol. Messages developed from our administrative supplement and Parent Study can be used in media campaigns, point-of-sale advertising, and warning labels by states, localities, and other countries to increase awareness of cancer risks of co-using alcohol and tobacco. This supplement may also provide data to support a randomized controlled trial to determine if cancer messaging on co-use leads to behavioral changes.

抽象的 本申请是为了响应特殊利益通知（NOSI）而提交的，该通知被确定为 NOT-CA-20-039。美国超过三分之一的癌症死亡归因于使用烟草和 饮酒这两种行为会协同影响多种癌症的风险。 尽管事实是，如何传达酒精和烟草共同使用的癌症风险进行了研究 这两种物质的共同使用率很高，公共卫​​生研究人员已经成功地使用了诸如此类的策略。 媒体活动、销售点广告和警告标签——传达癌症风险 相比之下，关于传达信息的沟通策略的研究较少。 据我们所知，尚未采用任何沟通策略来了解酒精的癌症风险。 就共同饮酒和吸烟的癌症风险进行沟通 拟议的长期目标。 行政补充的目的是确定是否传达有关癌症风险的信息 饮酒和吸烟会增加风险认知、感知信息有效性、知识和 目前共同使用烟草的个人的戒烟意愿和减少饮酒意愿 为了实现这一目标，我们提出了一个具体目标，该目标将补充并增加重要意义。 对我们的家长研究 (1R01CA240732-01) 的价值，该研究的重点是传达癌症和其他健康问题 具体来说，对于该行政补充，我们的目标是开发小雪茄和小雪茄（LCC）的风险。 并通过实验测试有关同时饮酒和吸烟的癌症风险的沟通信息（例如， “酒精和烟草都会增加患口腔癌的风险”）在 1,000 名成年人的不同样本中 目前，我们会对年轻人和非裔美国人进行过度抽样，因为 酒精和烟草的共同使用在年轻人中尤其成问题，非洲裔美国成年人 参与者将比白人成年人更有可能使用 LCC。 我们的工作假设是，最有力的沟通信息是关于 酒精和烟草的癌症风险（例如，提及特定癌症的信息、描述癌症的情况） 后果，并包括促进戒烟自我效能的文字）将增加风险认知、感知 信息有效性、知识以及戒烟意愿和减少饮酒意愿 LCC 和酒精的共同使用者可以通过我们的行政补充和家长研究得出信息。 用于州、地方和其他机构的媒体宣传、销售点广告和警告标签 各国提高对同时饮酒和吸烟的癌症风险的认识。 提供数据支持一项随机对照试验，以确定共同使用的癌症信息是否会导致 行为改变。