AppalTRuST Project 2: Exposure to tobacco marketing for novel tobacco products and associations with future tobacco use in Appalachian young adults: tobacco regulatory science implications

AppalTrust 项目 2：接触新型烟草产品的烟草营销以及与阿巴拉契亚年轻人未来烟草使用的关联：烟草监管科学影响

• 批准号: 10665321
• 负责人: Shyanika W Rose
• 金额: $ 67.76万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2028-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10665321
• 关键词: Adult; Advertising; Affect; Age; Appalachian Region; Area; Attitude; Authorization documentation; Baseline Surveys; Behavior; Cancer Burden; Catchment Area; Censuses; Cigar; Cigarette; Cities; Communities; County; Data; Disparity; Ecological momentary assessment; Electronic cigarette; Environment; Epidemic; Equity; Exposure to; Frequencies; Future; Geography; Goals; Individual; Industry; Influentials; Kentucky; Learning; Link; Marketing; Menthol; Modified Risk Tobacco Product; Nicotine; Outcome; Participant; Patient Self-Report; Pattern; Perception; Persuasive Communication; Policies; Population; Population Density; Predisposition; Prevalence; Price; Regulation; Reporting; Research; Risk; Rural; Rural Appalachia; Rural Community; Rural Population; Sampling; Smokeless Tobacco; Smoking; Source; Time; Time trend; Tobacco; Tobacco use; United States Food and Drug Administration; Work; age group; authority; cancer health disparity; density; digital; economic disparity; electronic liquid; evidence base; experience; federal policy; follow-up; geographic disparity; health disparity; innovation; low nicotine content cigarette; novel; peri-urban; public policy on tobacco; reduce tobacco use; response; rural area; rural counties; rural disparities; rurality; smoking cessation; social media; socioeconomic disadvantage; theories; tobacco advertising; tobacco exposure; tobacco flavor; tobacco products; tobacco regulation; tobacco regulatory science; tobacco user; urban area; web site; young adult

ABSTRACT – Project 2 Federal tobacco regulatory policies enacted by the US Food and Drug Administration (FDA) are critical to curb the tobacco epidemic in rural Appalachia and reduce cancer burden. Kentucky (KY) is 50th in the nation for adult smoking rates with 21.4% of KY adults smoking cigarettes, a rate not seen nationally in 20 years. Kentucky also has wide geographic disparities between rural and urban residents particularly in Appalachian KY, an economically disadvantaged part of the state. In this context, Federal policies can be particularly influential in areas with weak tobacco control policies and high rates of tobacco use. In particular, (1) the introduction of novel non-combustible products, (2) product standards on flavored cigars/menthol cigarettes and (3) lowering nicotine in cigarettes have great potential to shift the tobacco marketplace, moving rural Appalachian residents to quit smoking, switch to potentially less harmful products, or never initiate tobacco use at all. Project 2 seeks to expand the evidence base about the extent to which marketing exposure, tobacco use behaviors, and attitude towards tobacco products differ across rural communities and the extent to which regulatory actions by the FDA can potentially reduce use of tobacco among young adults in these areas. Additionally, few studies examine how the retail environment, novel products, and potential policies could interact to reduce tobacco-related health disparities among young adult populations by rurality. Tobacco retailer density is higher in rural areas by population but little is known about how retailers’ market in stores in this region. The purpose of the study is to examine how marketing and product availability of such novel tobacco products may change over time and how these patterns may influence tobacco use attitudes and patterns in rural communities, providing guidance on future policy targets. To accomplish the study purpose, we will conduct several aims. (1) We will assess marketing trends over time in retail store and digital audits (store websites and social media) in tobacco retailers in 2 rural catchment areas of KY. (2) We will compare marketing exposure to and appeal and harm perceptions of novel products in young adults through ecological momentary assessment (EMA), evaluating differences by rurality at the individual and census tract level. (3) Finally, among EMA participants, we will assess the predictive validity of exposure to novel product marketing exposure on use of tobacco at 6-month and 12-month follow-up, and evaluate whether these outcomes are associated with rurality. For all of these activities, we will partner closely with the AppalTRUST team, cores, and local community advisory boards to disseminate lessons learned to communities about industry actions and potential regulatory policies. Achieving the aims of this Project will expand the evidence base of the potential impacts of FDA policies on reducing tobacco use and potential geographic equity impact of these policies to reduce tobacco, and ultimately cancer disparities.

摘要 – 项目 2 美国食品和药物管理局 (FDA) 颁布的联邦烟草监管政策对于遏制烟草业至关重要 阿巴拉契亚农村地区的烟草流行率在减少癌症负担方面排名全国第 50 位。 成人吸烟率 肯塔基州成年人中有 21.4% 吸烟，这一比例是全国 20 年来从未出现过的。 肯塔基州农村和城市居民之间也存在巨大的地理差异，特别是在阿巴拉契亚地区 肯塔基州是该州经济上处于不利地位的地区，在这种情况下，联邦政策可能尤其重要。 在控烟政策薄弱和烟草使用率高的地区具有影响力，尤其是：(1) 引进新型不燃产品，（2）调味雪茄/薄荷卷烟产品标准 (3) 降低卷烟中的尼古丁具有改变烟草市场、推动农村地区发展的巨大潜力 阿巴拉契亚居民戒烟，改用潜在危害较小的产品，或者从不开始吸烟 项目 2 旨在扩大有关营销暴露、烟草使用程度的证据基础。 农村社区对烟草制品的行为和态度各不相同，而且影响程度也不同 FDA 的监管行动可能会减少这些地区年轻人的烟草使用。 此外，很少有研究探讨零售环境、新颖产品和潜在政策如何影响零售环境、新产品和潜在政策。 相互作用，以减少农村地区年轻人口中与烟草相关的健康差异。 按人口计算，农村地区的零售商密度较高，但人们对零售商在商店中的营销方式知之甚少。 该地区的研究目的是考察此类小说的营销和产品可用性。 烟草产品可能会随着时间的推移而发生变化，以及这些模式如何影响烟草使用态度和 农村社区的模式，为未来的政策目标提供指导。 (1) 我们将在零售店和数字审核中评估一段时间内的营销趋势 （商店网站和社交媒体）肯塔基州 2 个农村地区的烟草零售商 (2) 我们将进行比较。 通过生态营销对年轻人新奇产品的接触、吸引力和伤害认知 瞬时评估 (EMA)，评估个人和人口普查区层面的农村差异 (3)。 最后，在 EMA 参与者中，我们将评估接触新产品营销的预测有效性 在 6 个月和 12 个月的随访中暴露于烟草使用情况，并评估这些结果是否 对于所有这些与农村相关的活动，我们将与 AppalTRUST 团队、核心、 和当地社区咨询委员会向社区传播有关行业行动的经验教训 和潜在的监管政策的实现将扩大该项目的证据基础。 FDA 政策对减少烟草使用的潜在影响以及这些政策的潜在地理公平影响 减少烟草并最终减少癌症差异的政策。