Project 1: Urban and Rural Male Youth Cohort Study of Tobacco Use

项目1：城乡男性青少年烟草使用队列研究

• 批准号: 9333246
• 负责人: Peter G. Shields
• 金额: $ 26.82万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9333246
• 关键词: Address; Advertisements; Advertising; Affective; Age; Appalachian Region; Area; Attitude; Biological Markers; Camels; Cigarette; Cigarette Smoker; Cognitive; Cohort Studies; Communication Programs; Companions; Data; Decision Making; Ecological momentary assessment; Environmental Risk Factor; Exposure to; Family; Genetic; Goals; High Prevalence; Lead; Longitudinal Studies; Marketing; Measures; Nature; Nicotine Dependence; Ohio; Oral Tobacco; Patient Self-Report; Positioning Attribute; Prevalence; Reaction; Research; Research Priority; Risk; Rural; Smoke; Smokeless Tobacco; Smoker; Smoking; Taste Perception; Testing; Time; Tobacco; Tobacco smoking; Tobacco use; Vulnerable Populations; Woman; Youth; boys; cigarette smoking; cohort; density; high school; literacy; male; peer; response; rural area; snuff; snus; social media; tobacco advertising; tobacco regulatory science; trend

The focus of this project is on youth initiators of smokeless tobacco (ST) and dual use of ST and cigarettes, arid the marketing, advertising and other environmental factors that may contribute to initiation. ST products include chewing tobacco, snuff, and snus, as well as the emerging dissolvable products. The rate of ST use among high school males in Ohio is nearly twice as high as the national rate. Moreover, two-thirds of ST users also smoke, and about one-third of smokers also use ST. With new snus products on the market and the shift in snus marketing that now targets urban users and smokers, youth may be even more likely to initiate ST and dual use. This project will establish a cohort of rural (the Appalachian region of Ohio) and urban (Columbus, Ohio) male youth ages 11-14, and their families, to examine ST and dual use initiation over 3 years. Project 1 will focus on environmental factors that may lead to ST and dual use initiation, such as retail outlet density and exposure to tobacco marketing. Other related measures will include cognitive and affective reactions youth have to tobacco advertising and smoking media literacy, or a youth's ability to critically evaluate media messages. The goal is to examine these marketing-related factors as predictors of ST and dual use initiation and compare them between rural and urban youth. This project will estimate the three-year initiation rate of ST use and dual use of ST and cigarettes among male youth in rural and urban regions of Ohio in order to complete the following aims 1) To examine how cognitive and affective responses and attitudes towards tobacco advertisements relate to initiation of ST and dual use of smoking and ST; 2) To examine how exposure to tobacco marketing and the level of smoking media literacy relate to initiation of ST and dual use; 3) Exploratory Aim: In an exploratory study we will use ecological momentary assessment (EMA) to compare real-time exposures between tobacco users and nonusers. This project addresses several FDA research priorities, namely in the areas of "Understanding the diversity of Tobacco Products" and "Understanding Tobacco Marketing." The data collected in this project are critical to FDA decision making regarding potential restrictions on ST marketing and advertising, and the FDA's analysis of new product applications and modified risk tobacco product claims for ST products. Project 1 data can also assist the FDA in developing more effective communication programs targeting youth.

该项目的重点是无烟烟草（ST）以及无烟烟草和卷烟双重使用的青年发起者， 排除可能有助于启动的营销、广告和其他环境因素。 ST产品 包括咀嚼烟草、鼻烟和鼻烟，以及新兴的可溶解产品。 ST使用率 俄亥俄州高中男生的这一比例几乎是全国的两倍。此外，三分之二的 ST 用户 也吸烟，大约三分之一的吸烟者也使用 ST。随着新鼻烟产品的上市和转变 在现在针对城市用户和吸烟者的鼻烟营销中，年轻人可能更有可能开始无烟烟草和吸烟 双重用途。该项目将建立一个农村（俄亥俄州阿巴拉契亚地区）和城市（哥伦布， 俄亥俄州）11-14 岁的男性青少年及其家人，在 3 年内检查 ST 和双重使用开始情况。项目1 将重点关注可能导致 ST 和双重用途启动的环境因素，例如零售店密度和 接触烟草营销。其他相关措施将包括青少年的认知和情感反应 必须具备烟草广告和吸烟媒体素养，或者青少年批判性评估媒体信息的能力。 目标是检查这些与营销相关的因素，作为 ST 和双重用途启动和使用的预测因素。 比较农村和城市青年的情况。该项目将估算 ST 使用的三年启动率 俄亥俄州农村和城市地区的男性青年同时使用无烟烟草和卷烟，以完成 目标如下 1) 研究人们对烟草广告的认知和情感反应以及态度如何 与 ST 的启动以及吸烟和 ST 的双重使用有关； 2) 检查如何接触烟草 营销和吸烟媒体素养水平与 ST 的启动和双重使用有关； 3）探索性目标：在 在一项探索性研究中，我们将使用生态瞬时评估 (EMA) 来比较实时暴露 烟草使用者和非使用者之间。该项目涉及 FDA 的几个研究重点，即 “了解烟草产品的多样性”和“了解烟草营销”领域。数据 该项目中收集的信息对于 FDA 关于 ST 营销和潜在限制的决策至关重要 广告，以及 FDA 对新产品应用和改良风险烟草产品声明的分析 ST产品。项目1数据还可以协助FDA制定更有效的沟通计划 瞄准年轻人。