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.

抽象的美国各地正在制定限制调味烟草产品销售 (FTP) 的政策。我们寻求扩大有关这些政策在多大程度上减少了 FTP 访问的证据基础，接触调味烟草营销可能会减少青少年和年轻人的烟草使用。此外，很少有研究探讨这些政策减少与烟草相关的健康差异的潜力有色人种和社会经济地位较低 (SES) 的青年/青年人群体。这些弱势群体人们对调味产品的使用率更高，并且 FTP 在这些产品所在的社区大量销售弱势群体生活。确定 FTP 政策的总体影响以及对有色人种和社会经济地位较低人群的影响这些社区的青年/年轻人可以确保制定政策以确保公平覆盖并减少烟草使用差异。本研究的目的是确定风味政策对减少弱势青少年/年轻人接触和使用 FTP 的机会。使用政策实施框架和精细化可能性模型作为我们的理论指导，我们结合了国家、地方和个人数据来检验美国各地风味政策对公平的影响。为完成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全国数据集 (n=13,892) 自 2014 年起每年两次跟踪九波，以检查烟草营销曝光和 FTP 的变化以及那些暴露于 FTP 策略但随着时间的推移没有暴露 FTP 策略的用户的非 FTP 使用，重点是种族/民族和社会经济地位的差异。 (2) 我们将比较 FTP/非 FTP 的营销曝光度和吸引力通过生态瞬时，在风味政策变体所覆盖的社区中的新兴成年人之间评估 (EMA)，评估个人和群体中社会经济地位 (SES) 和种族/民族结果的差异邻里级别。 (3) 最后，在 EMA 参与者中，我们将评估暴露于在 6 个月的随访中对使用 FTP 和非 FTP 的 FTP/非 FTP 营销曝光进行评估，并评估是否这些结果与社会经济地位和种族/民族有关。对于所有这些活动，我们将与国家和地方 FTP 政策专家将向已经或正在经历的社区传播经验教训考虑 FTP 策略。实现 R01 的目标将扩大 FTP 影响的证据基础减少烟草使用的政策以及这些政策对减少烟草的潜在公平影响，并最终癌症差异。