Local Flavor Policies to Enhance Equity in Tobacco

加强烟草公平的地方风味政策

基本信息

批准号：
10596986
负责人：
Shyanika W Rose
金额：
$ 55.96万
依托单位：
UNIVERSITY OF KENTUCKY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-04-08 至 2026-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10596986
关键词：
Address Advertising Affect Area California Cigarette Code Communities County Data Data Collection Data Set Databases Disparity Ecological momentary assessment Education Electronic cigarette Ensure Equity Ethnic Origin Exposure to Goals Home Income Individual Kentucky Laws Learning Link Longitudinal cohort Longitudinal trends Low income Malignant Neoplasms Malignant neoplasm of lung Marketing Menthol Modeling Neighborhoods Outcome Participant Persuasive Communication Policies Population Protocols documentation Public Policy Race Reduce health disparities Research Resources Respondent Risk Sales Smokeless Tobacco Socioeconomic Status Statistical Data Interpretation Structure Testing Time Tobacco Tobacco use United States Food and Drug Administration Universities Variant Vulnerable Populations Youth attributable mortality cancer health disparity cancer risk cigarette smoking cigarillos cohort cost demographics disparity reduction emerging adult evidence base follow-up health disparity health equity implementation framework innovation low socioeconomic status neighborhood disadvantage people of color public policy on tobacco racial difference reduce tobacco use theories tobacco advertising tobacco exposure tobacco flavor tobacco products tobacco user trend vulnerable community young adult

项目摘要

ABSTRACT Policies restricting the sale of flavored tobacco products (FTP) are being enacted in localities around the US. We seek to expand the evidence base about the extent to which these policies decrease access to FTPs and exposure to flavored tobacco marketing and would likely reduce use of tobacco among youth and young adults. Additionally, few studies examine the potential of these policies to reduce tobacco-related health disparities among youth/young adult populations of color and those of lower socioeconomic status (SES). These vulnerable populations use flavored products at higher rates and FTPs are heavily marketed in communities where these vulnerable groups live. Determining the impact of FTP policies overall and on populations of color and lower SES youth/young adults in these communities can make sure that policies are structured to ensure equitable reach and reduce tobacco use disparities. The purpose of this study is to determine the impact of flavor policies on reducing exposure to and use of FTPs among vulnerable youth/young adults. Using the Policy Implementation Framework and the Elaboration Likelihood Model as our theoretical guides, we combine national, local and individual data to examine the equity impact of flavor policies around the US. To accomplish the study purpose we will conduct several aims. (1) We will use a longitudinal national dataset of youth and young adults (n=13,892) followed for nine waves twice a year from 2014 to examine changes in tobacco marketing exposure and FTP and non-FTP use in those exposed to an FTP policy with no FTP policy exposure over time, focusing on differences by race/ethnicity and SES. (2) We will compare marketing exposure to and appeal of FTP/non-FTPs between emerging adults in communities covered by flavor policy variants through ecological momentary assessment (EMA), evaluating differences in outcomes by SES and race/ethnicity at the individual and neighborhood level. (3) Finally, among EMA participants, we will assess the predictive validity of exposure to FTP/non-FTP marketing exposure on use of FTP and non-FTPs at 6-month follow-up, and evaluate whether these outcomes are associated with SES and race/ethnicity. For all of these activities, we will partner with national and local FTP policy experts who will disseminate lessons learned to communities who have or are considering an FTP policy. Achieving the aims of this R01 will expand the evidence base of the impacts of FTP policies on reducing tobacco use and potential equity impact of these policies to reduce tobacco, and ultimately cancer disparities.

抽象的美国各地的地区颁布了限制风味烟草产品（FTP）的政策。我们寻求扩大有关这些政策降低对FTP和暴露于调味的烟草营销，可能会减少青年和年轻人中烟草的使用。此外，很少有研究研究这些政策减少与烟草相关的健康差异的潜力在青年/年轻人的有色人种中，社会经济地位（SES）。这些脆弱种群使用较高的价格使用调味产品，而在这些社区中，FTP的市场广泛销售弱势群体活着。确定总体和颜色种群的FTP政策的影响和较低的SES 这些社区中的青年/年轻人可以确保制定政策以确保公平范围并减少烟草使用差异。这项研究的目的是确定风味策略对减少弱势青年/年轻人中FTP的暴露和使用。使用策略实施框架和阐述可能性模型作为我们的理论指南，我们结合了民族，地方和个人数据检查美国各地风味政策的公平影响。实现学习目的我们将实现几个目标。（1）我们将使用青年和年轻人的纵向国家数据集（n = 13,892）从2014年开始，每年两次浪潮进行检查，以检查烟草营销的变化和FTP 随着时间的推移，没有FTP政策暴露的那些不使用FTP策略的人的非FTP使用，重点是种族/种族和SES的差异。（2）我们将将营销敞口与FTP/非FTP的吸引力进行比较通过生态瞬间的风味政策变体所覆盖的社区的新兴成年人之间评估（EMA），评估SES的结局差异以及个人的种族/种族邻里水平。（3）最后，在EMA参与者中，我们将评估暴露的预测有效性在6个月的随访中使用FTP/非FTP营销暴露于使用FTP和非FTP，并评估是否是否这些结果与SES和种族/种族有关。对于所有这些活动，我们将与国家和地方FTP政策专家，他们将向拥有或曾经的社区传播教训考虑FTP政策。实现R01的目标将扩大FTP影响的证据基础减少这些政策减少烟草的烟草使用和潜在的公平影响的政策，最终癌症差异。