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.

项目概要调味烟草产品的潜在禁令是减少青少年开始使用烟草产品的一项政策选择成年人。然而，很少有研究探讨其减少烟草造成的弱势群体差异的潜力。广告曝光、风味产品的认知以及差异化使用。本研究的目的是解决 FTP 的定向营销如何影响弱势群体对烟草的看法、易感性和开始吸烟的机会人口（从华盛顿特区内吸烟率最高的 3 个病区招募，非裔美国人百分比，以及最低社会经济地位） (VP) 与华盛顿特区年轻人的非弱势群体 (non-VP)。它将解决对调味烟草产品实施政策禁令或限制以减少烟草并最终减少癌症的潜力差异并增强烟草营销风险分配的公平性。目前的研究将建立在细化似然模型 (ELM)，一种关于广告如何产生说服力的认知处理模型。这 ELM 认为，烟草广告的一种运作方式是将烟草与“外围线索”（积极属性）联系起来包括可能有助于对调味产品进行积极评价并降低危害认知的调味品。跨越一个 n = 256 名 VP 和非 VP 年轻成人非烟草使用者的样本，这项多级别研究（商店级别和个人级别）将在 ELM 的基础上检查 FTP 广告在现实世界中的差异，强调销售点 (POS) 暴露，使用 14 天的生态瞬时评估 (EMA)。它将检查暴露的影响自我报告对 FTP 的看法（危害较小，吸引力更大）。参与者将在两周和六周后接受评估基线后几个月，检查 FTP 广告和态度对易感性、意图和行为的不同影响烟草使用模式（对于 FTP 和非 FTP）作为 VP 群体状态的函数。 POS 曝光将通过以下方式验证受访者访问过的商店中烟草广告的照片。我们的具体目标是 (1) 识别频率 FTP 和非 FTP 广告的数量，以及以 FTP 描述符为特征的产品的数量和类型（例如薄荷醇、 VP 和非 VP 年轻人访问过的烟草零售商中的樱桃），(2) 比较伤害认知的差异 FTP 与非 FTP 广告和描述符对 VP 和非 VP 年轻人的吸引力以及 (3) 检查 FTP 广告和描述符暴露对易感性、使用意图和 FTP 启动的预测效用（和非 FTP）对 VP 和非 VP 年轻人进行 6 个月的随访。这种独特的数据三角测量方法鉴于 FTP 使用的增加以及需要，商店和个人认知水平将产生及时的信息确定消除弱势群体烟草差异的新政策和方法。实现本次活动的目的 R21 将确定这些关联是否存在，并为开展更大规模的研究奠定基础干预措施纠正FTP误解，推动FTP非规范化在年轻人中，并检查限制 FTP 可用性和广告的本地政策可能产生的影响特别是在弱势社区。这研究还可以为检查 POS 上其他有害产品的定向营销提供基础。