Testing the effect of anti-tobacco message framing on polytobacco use in lesbian, gay, bisexual, and transgender young adults

测试反烟草信息框架对女同性恋、男同性恋、双性恋和变性年轻人使用多种烟草的影响

• 批准号: 10671877
• 负责人: Joanne G Patterson
• 金额: $ 24.9万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10671877
• 关键词: Address; Adult; Affect; Area; Attention; Behavior; Behavioral; Communication; Data; Effectiveness; Electronic Nicotine Delivery Systems; Evaluation; Exposure to; Future; Galvanic Skin Response; Goals; Harm Reduction; Health; Knowledge; Laboratories; Lesbian Gay Bisexual Transgender; Life; Literature; Measurement; Measures; Methods; Multimedia; National Cancer Institute; Nicotine; Patient Self-Report; Persons; Phase; Population; Populations at Risk; Psychophysiology; Public Health; Randomized Controlled Trials; Relative Risks; Reporting; Research Priority; Risk; Risk Behaviors; Science; Smoker; Testing; Text; Text Messaging; Time; Tobacco; Tobacco Control Research; Tobacco Use Cessation; Tobacco use; Training; United States Food and Drug Administration; biobehavior; cigarette smoking; cost; crowdsourcing; cultural values; digital; digital media; dissemination strategy; effectiveness testing; health communication; polytobacco; polytobacco use; prevent; reduce tobacco use; risk perception; skills; smoking cessation; tobacco products; uptake; visual tracking; young adult

PROJECT SUMMARY Polytobacco use, defined as concurrent use of more than one tobacco product including electronic nicotine delivery systems (ENDS), is rising and high in lesbian, gay, bisexual, and transgender (LGBT) young adults (YA). Between 22-40% of LGBT YA (vs 12-21% of non-LGBT YA) report past 30-day polytobacco use, and LGBT YA are less likely to perceive tobacco use as harmful. Low risk perceptions may reinforce tobacco use and widen existing disparities. The Food and Drug Administration (FDA) Center for Tobacco Products (CTP) is mandated educate the public about tobacco product risks, yet no evidence describes how to effectively frame anti- polytobacco risk communications. The proposed training objectives are for the applicant to develop advanced skills in health communication science; bio-behavioral methods, including psychophysiological measurement; and randomized controlled trials. These skills will be used to determine effective communication of polytobacco use risks to at-risk LGBT YA. This proposal directly supports the FDA’s mandate to educate the public by addressing the research priority area of Communications. While studies indicate that antitobacco communications can successfully increase public knowledge about tobacco use risks, there are limitations to the extant literature, as follows: (1) While strategies for effective risk communication are well-established, less is known about how to frame behavioral choices (e.g., total tobacco cessation vs switching to ENDS) to increase tobacco risk perceptions and intentions to quit in polytobacco users. (2) Antitobacco campaigns often leverage cultural targeting, a broadly supported but costly communications strategy, to increase at-risk population engagement. No studies have experimentally tested the effectiveness of LGBT culturally targeted vs non- targeted anti-tobacco messages. (3) Mobile multimedia messaging has been used to disseminate smoking cessation communications and may be feasible for distributing anti-polytobacco messages to LGBT YA, but this has not been investigated. Using formative and summative evaluation, the applicant will address these gaps with three Specific Aims: (1) Identify absolute and relative risk anti-polytobacco messages that effectively communicate polytobacco risks to YA; (2) Determine the effects of cultural targeting on LGBT YA polytobacco users’ attention to anti-polytobacco messages and perceived effectiveness; (3b) Assess the feasibility of delivering MMS anti-polytobacco messages developed in Aims 1 and 2 to LGBT YA via texting; and (3b) Estimate effect sizes of exposure to anti-polytobacco messages on risk perceptions and tobacco use over time. These aims support the National Cancer Institute’s (NCI) tobacco control research priority to reduce tobacco disparities by determining effective antitobacco message framing and cultural targeting to increase polytobacco risk perceptions and reduce tobacco use in an at-risk population, LGBT YA. Findings will provide public health officials, NCI, and the FDA CTP critical information about messages and digital media that may be leveraged in national health communications to reduce poly-tobacco use in at-risk populations.

项目摘要 Polytobacco使用，定义为同时使用多种烟草产品，包括电子尼古丁 交付系统（末端），女同性恋，同性恋，双性恋和变性者（LGBT）年轻人（YA）的递增和较高。 LGBT YA的22-40％（非LGBT YA的12-21％）报告了过去30天的Polytobacco使用，LGBT YA 不太可能认为烟草使用是有害的。低风险感知可能会增强烟草的使用并扩大 现有分布。索具烟草产品中心（FDA）中心要求 向公众教育烟草产品风险，但没有证据表明如何有效地构架反 - Polytobacco风险通信。拟议的培训目标是申请人发展高级的 健康传播科学技能；生物行为方法，包括心理生理测量； 和随机对照试验。这些技能将用于确定Polytobacco的有效交流 使用风险在危险中的LGBT YA。该提案直接支持FDA的任务，要求教育公众 解决研究优先领域的通信领域。研究表明抗核酸杆菌 沟通可以成功地提高公众对烟草使用风险的了解， 现存文献，如下：（1）虽然有效风险交流的策略是良好的，但较少的是 知道如何构架行为选择（例如，总烟草戒烟与切换到末端）以增加 烟草风险感知和在多巴科用户中退出的意图。 （2）反托巴科运动经常利用 文化定位是一种广泛支持但昂贵的沟通策略，以增加危险人口 订婚。没有研究在实验中测试了LGBT具有文化靶向与非 - 的有效性 有针对性的反烟邮件。 （3）移动多媒体消息已用于传播吸烟 停止通信，可能是可行的 尚未进行调查。使用形成性和总结性评估，申请人将解决这些差距 三个具体目的：（1）确定有效的绝对风险和相对风险抗多巴哥消息 向YA传达多豆科风险； （2）确定文化靶向对LGBT YA Polytobacco的影响 用户注意抗多巴哥消息和感知的有效性； （3b）评估可行性 通过发短信向LGBT YA传递MMS的抗抗多巴哥消息； （3b）估计 随着时间的流逝，对风险感知和烟草使用的影响大小。这些 AIMS支持国家癌症研究所（NCI）烟草控制研究优先级，以减少烟草分配 通过确定有效的抗曲棍球消息框架和文化靶向以增加多豆科风险 感知和减少高危人群中的烟草使用，LGBT YA。调查结果将提供公共卫生 官员，NCI和FDA CTP有关消息和数字媒体的关键信息可能被利用 国家卫生通信以减少高危人群中的多烟果。