Exposure to flavored tobacco advertising and associations with future use in young adults: implications for health equity

年轻人接触调味烟草广告以及与未来使用的关联：对健康公平的影响

基本信息

批准号：
9314901
负责人：
Shyanika W Rose
金额：
$ 16.85万
依托单位：
TRUTH INITIATIVE FOUNDATION
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-04-15 至 2019-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9314901
关键词：
Address Advertisements Advertising African African American Age Area Attitude Automobile Driving Behavior Cherry - dietary Cigar Cigarette Cognitive Communities Consensus Cues Data Descriptor Ecological momentary assessment Education Electronic cigarette Ethnic group Exposure to Flavoring Foundations Frequencies Future Geography Income Individual Intervention Link Low income Malignant Neoplasms Marketing Measures Menthol Modeling Neighborhoods Participant Patient Self-Report Pattern Perception Peripheral Persuasive Communication Policies Population Group Predisposition Prevention strategy Public Policy Recruitment Activity Reporting Research Respondent Risk Sales Sampling Smoking Time Tobacco Tobacco use United States Food and Drug Administration Visit Vulnerable Populations Washington Work Youth attributable mortality authority base behavioral/social science cancer health disparity cancer risk cigarette smoking combat cost disparity reduction follow-up health disparity health equity hookah interest mortality racial and ethnic tobacco advertising ward young adult

项目摘要

PROJECT SUMMARY A potential ban on flavored tobacco products is a policy option to reduce tobacco product initiation by youth and young adults. However, few studies examine its potential to reduce disparities in vulnerable populations due to tobacco advertising exposure, perceptions of flavored products, and differential use. The purpose of this study is to address how targeted marketing of FTPs may influence perceptions of, susceptibility to and initiation of tobacco in a vulnerable population (recruited from 3 wards within Washington, DC with the highest smoking rates, % African American, and lowest SES) (VP) vs. a non-vulnerable population (non-VP) of young adults in Washington, DC. It will address the potential of a policy ban or restrictions on flavored tobacco products to reduce tobacco and, ultimately, cancer disparities and enhance equity in the distribution of tobacco marketing risk. The current study will build on the Elaboration Likelihood Model (ELM), a model of cognitive processing of how advertising results in persuasion. The ELM suggests that one way tobacco advertising works is by linking tobacco to `peripheral cues,' positive attributes including flavoring that may contribute to positive appraisal and lower harm perceptions of flavored products. Across a sample of n = 256 VP and non-VP young adult non-tobacco users, this multi-level study (store- and individual-level) will build on the ELM to examine differences in real-world exposure to FTP advertising, emphasizing point of sale (POS) exposure, using 14 days of ecological momentary assessment (EMA). It will examine the influence of exposure on self-reported perceptions of FTPs (lower harm, more appeal). Participants will be assessed at 2-weeks and 6- months post-baseline to examine differential impacts of FTP advertising and attitudes on susceptibility, intentions, and tobacco use patterns (for FTPs and non-FTPs) as a function of VP group status. POS exposure will be validated by photographs of tobacco advertising in stores visited by respondents. Our specific aims are to (1) Identify the frequency of FTP and non-FTP advertising, and number and types of products characterized by FTP descriptors (e.g., menthol, cherry) in tobacco retailers visited by VP and non-VP young adults, (2) Compare differences in harm perceptions and appeal of FTP vs non-FTP advertisements and descriptors across VP and non-VP young adults and (3) Examine the predictive utility of FTP advertising and descriptor exposure on susceptibility, intentions to use, and initiation of FTPs (and non-FTPs) at 6-month follow-up across VP and non-VP young adults. This unique approach to triangulate data at the store and individual cognitive level will yield timely information given the increase in use of FTPs and the need to identify new policies and approaches to combat tobacco disparities in vulnerable groups. Achieving the aims of this R21 will establish whether these associations exist and provide the foundation for a larger study developing interventions correcting FTP misperceptions, promoting FTP de-normalization among young adults , and examining the likely impact of local policies to restrict FTP availability and advertising particularly in vulnerable communities. This study can also provide a basis for examining targeted marketing of other harmful products at POS.

项目摘要潜在禁止调味的烟草产品是减少青年和年轻人烟草产品启动的政策选择成年人。但是，很少有研究研究其由于烟草而减少脆弱人群差异的潜力广告曝光，对风味产品的看法以及使用差异。这项研究的目的是解决 FTP的有针对性的营销如何影响对易受伤害的烟草的看法，对烟草的敏感性和启动人口（从吸烟率最高的华盛顿特区的3个病房招募，非裔美国人％和最低的SE）（VP）与华盛顿特区年轻人的年轻人的不可掩盖人群（非VP）。它将解决禁令的潜力或对调味烟草产品的限制，以减少烟草，并最终是癌症差异并提高烟草营销风险分配的平等。当前的研究将基于精心设计可能性模型（ELM），这是广告如何导致说服力的认知处理模型。这 ELM建议一种烟草广告作品的一种方法是将烟草与“外围提示”联系起来，正面属性包括可能导致阳性评估和降低调味产品的危害看法的调味料。跨越 n = 256 VP和非VP年轻成人非tobacco用户的样本，这项多层研究（商店和个人级别）将建立在榆树的基础上，以检查现实世界中FTP广告的差异，强调销售点（POS）使用14天的生态瞬时评估（EMA）暴露。它将检查曝光的影响关于自我报告对FTP的看法（较低的伤害，更具吸引力）。参与者将在2周和6--中进行评估基线后几个月，以检查FTP广告和态度对易感性，意图和态度的差异影响烟草使用模式（用于FTPS和非FTP）作为VP组状态的函数。 POS暴露将由受访者访问的商店中烟草广告的照片。我们的具体目的是（1）确定频率 FTP和非FTP广告，以及以FTP描述符为特征的产品数量和类型（例如Menthol，樱桃）在副总裁和非VP年轻人访问的烟草零售商中，（2）比较伤害看法的差异和 FTP与非FTP广告以及副总裁和非VP年轻人的描述符的吸引力，（3）检查 FTP广告和描述符的预测效用，易于使用，使用和启动FTPS 在VP和非VP年轻人之间进行6个月的随访（和非FTP）。这种三角数据的独特方法在商店和个人认知水平上，鉴于FTP的使用增加以及需要确定在弱势群体中打击烟草差异的新政策和方法。实现这一目标 R21将确定这些关联是否存在，并为更大的研究奠定了基础干预措施纠正FTP误解，促进FTP DE差正规化在年轻人中和检查当地政策可能限制FTP可用性和广告的影响特别是在弱势社区。这研究还可以为检查其他有害产品的有针对性的营销提供基础。