Electronic Nicotine Delivery Systems (ENDS) Use and Access in Florida's Tobacco Regulatory Environment

电子尼古丁输送系统 (ENDS) 在佛罗里达州烟草监管环境中的使用和获取

• 批准号: 10472457
• 负责人: Zinzi Diana Bailey
• 金额: $ 17.69万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10472457
• 关键词: Academia; Acute Lung Injury; Age; American; Animals; Area; Buffers; Cessation of life; Characteristics; Cigar; Communities; Comprehensive Cancer Center; County; Data; Decision Making; Educational workshop; Electronic Nicotine Delivery Systems; Electronic cigarette; Environment; Exposure to; Florida; Focus Groups; Friends; Funding; Geographic Information Systems; Goals; High School Student; Institutes; Interruption; Laws; Legal; Licensing; Link; Location; Malignant Neoplasms; Marketing; Measures; Mentored Research Scientist Development Award; Mentorship; Methodology; Methods; Middle School Student; Natural experiment; Neighborhoods; Nicotine; Pattern; Policies; Policy Analysis; Proxy; Quasi-experiment; Regulation; Reporting; Research; Sales; Schools; Scientist; Series; Source; Students; Surveys; Time; Tobacco; Tobacco smoking behavior; Tobacco use; Training; Translations; United States; Universities; Youth; black women; cancer health disparity; career; career development; cigarette smoking; comparative; density; econometrics; electronic cigarette use; electronic hookah; evidence base; experience; foot; health equity; medical schools; meetings; neighborhood disadvantage; participatory mapping; programs; public policy on tobacco; racial and ethnic; relative effectiveness; segregation; skills; smokeless tobacco use; social; social epidemiology; sociodemographics; substance use; theories; time use; tobacco exposure; tobacco products; tobacco regulation; twelfth grade; vape pens; vaping

PROJECT ABSTRACT While cigarette smoking and smokeless tobacco use has declined among American youth over time, use of electronic cigarettes – or vaping – among youth has increased tremendously. The recent vaping-related acute lung injuries and deaths as well as the first animal studies linking vaping to cancer have highlighted the need to respond to e-cigarette use among youth. In Aim 1, the project will assess the relationship between spatial density and proximity of tobacco/e-cigarette retailers around schools and county-level youth e-cigarette use and marketing exposure in Florida, overall and by county-level sociodemographic characteristics and racial/ethnic segregation. In Aim 2, it will qualitatively explore where, how, why, and from whom youth access e-cigarettes, interactions with tobacco/e-cigarette retailers, exposure to e-cigarette marketing, and combined substance use, as well as whether these factors differ across neighborhood sociodemographic characteristics using participatory mapping and focus groups. Finally, in Aim 3, I will leverage a natural experiment in tobacco regulation across three Florida counties to assess whether T21+TRL is more effective in reducing youth ENDS use and marketing exposure than T21 alone using quasi-experimental methods – comparative interrupted time series and difference-in-differences analysis. Dr. Zinzi Bailey is an Assistant Scientist in the Jay Weiss Institute for Health Equity at the Sylvester Comprehensive Cancer Center at the University of Miami Miller School of Medicine. As a Black woman in academia where Black women are underrepresented, Dr. Bailey seeks a K01 Mentored Research Scientist Development Award to Promote Diversity to gain the skills, experience, and preliminary data needed for an independent, policy-focused research program in translational cancer disparities research. Dr. Bailey will integrate her background in social epidemiology and tobacco smoking behavior with methods and theories that capture the socio-ecological complexity of tobacco regulation and its potential impact across communities. To achieve this goal, Dr. Bailey proposes to gain the training and experience in policy analysis using quasi- experimental designs, geographic information systems, and participatory research through mentorship, coursework, workshops/seminars, and scientific meetings. Her career development objectives include (1) obtaining training in quasi-experimental designs for policy analysis, (2) advancing my expertise in assessing local, state, and federal tobacco policies and regulations, (3) receiving formal policy-relevant training in geographic information systems (GIS) and spatial econometrics, and (4) developing methodological training on qualitative, participatory methods. This study will lay the groundwork for a tobacco regulation-oriented research program that blends multiple methods of policy analysis to guide the translation of disparities-focused research to evidence-based policy.

项目摘要 虽然随着时间的推移，美国青少年吸烟和无烟烟草的使用有所下降，但吸烟和无烟烟草的使用 电子烟（或称电子烟）在年轻人中的数量急剧增加，最近与电子烟相关的严重问题。 肺损伤和死亡以及首次将电子烟与癌症联系起来的动物研究都强调了有必要 应对青少年使用电子烟的情况。 在目标 1 中，该项目将评估空间密度与烟草/电子烟邻近度之间的关系 佛罗里达州学校和县级青少年电子烟使用和营销曝光度的零售商总体情况和 在目标 2 中，它将定性地根据县级社会人口特征和种族/民族隔离进行分类。 探索青少年在哪里、如何、为什么以及从谁那里接触电子烟，以及与烟草/电子烟的互动 零售商、电子烟营销暴露和综合物质使用，以及这些因素是否存在差异 最后，利用参与式绘图和焦点小组来了解社区的社会人口特征。 在目标 3 中，我将利用佛罗里达州三个县的烟草监管自然实验来评估 T21+TRL 是否比单独使用 T21 更有效地减少青少年 ENDS 使用和营销暴露 准实验方法——比较中断时间序列和双重差分分析。 Zinzi Bailey 博士是西尔维斯特杰韦斯健康公平研究所的助理科学家 迈阿密大学米勒医学院综合癌症中心作为一名黑人女性。 学术界黑人女性代表性不足，贝利博士寻求 K01 指导研究科学家 促进多元化发展奖，以获得发展所需的技能、经验和初步数据 贝利博士将开展独立的、以政策为重点的转化癌症差异研究项目。 将她在社会流行病学和吸烟行为方面的背景与方法和理论相结合 捕捉烟草监管的社会生态复杂性及其对社区的潜在影响。 为了实现这一目标，贝利博士建议利用准政策分析获得培训和经验。 实验设计、地理信息系统和通过指导进行的参与性研究， 她的职业发展目标包括 (1)。 获得政策分析准实验设计方面的培训，(2) 提高我在评估方面的专业知识 地方、州和联邦烟草政策和法规，(3) 接受正式的政策相关培训 地理信息系统（GIS）和空间计量经济学，以及（4）开展关于地理信息系统（GIS）和空间计量经济学的方法培训 定性的、参与性的方法。 这项研究将为以烟草监管为导向的研究计划奠定基础，该计划融合了多种 指导将差异性研究转化为基于证据的政策的政策分析方法。