Examining transitions between cigarettes and other nicotine delivery products among adults in countries with different regulatory environments: the ITC Nicotine Product Adult Survey

检查不同监管环境国家的成年人中卷烟和其他尼古丁输送产品之间的转变：ITC 尼古丁产品成人调查

• 批准号: 10693253
• 负责人: GEOFFREY T FONG
• 金额: $ 61.67万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-04-19 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10693253
• 关键词: Address; Adult; Affect; Age; Alternative Nicotine Delivery Systems; Applications Grants; Articulation; Australia; COVID-19 pandemic; Canada; Cannabis; Characteristics; Cigarette; Cigarette Smoker; Cohort Studies; Consumption; Country; Data; Electronic cigarette; England; Environment; Environmental Risk Factor; Evaluation; Foundations; Funding; Funding Agency; Future; Gender; Government; Grant; Heart; Income; Industry; Integration Host Factors; International; Japan; Longitudinal Studies; Manufacturer; Marketing; Measures; Methods; Modeling; New Zealand; Nicotine; Nicotine Dependence; Pattern; Policies; Policy Analysis; Policy Maker; Population; Population Assessment of Tobacco and Health; Population Group; Public Health; Quasi-experiment; Relapse; Research; Research Project Grants; Sampling; Science; Smoker; Smoking; South Korea; Surveys; System; Taxes; Time; Tobacco Industry; Tobacco use; United States; Work; Youth; age group; aged; analytical method; cigarette smoking; cohort; design; electronic liquid; experience; former smoker; health warning; heated tobacco products; innovation; nicotine use; nicotine vapor; programs; public policy on tobacco; sex; smoking cessation; symposium; tobacco control; tobacco products; vaper; vaping; vaping nicotine; vector; young adult

SUMMARY/ABSTRACT The current P01 grant supported the creation of the International Tobacco Control Policy Evaluation (ITC) Project Four Country Smoking and Vaping Survey, the first international cohort study of smoking and nicotine vaping product (NVP) use, which was conducted in three countries supported by the P01 grant (United States [US], Canada, England, plus Australia, which was supported by other funding). Three waves were conducted, an average of 19 months apart, in 2016, 2018, and 2020. In this renewal application, we build on that work by matching the extraordinary international expansion of the nicotine marketplace by adding a focus on heated tobacco products (HTPs) in addition to cigarettes and NVPs. We propose to continue the adult cohort survey in US (n=2,150), Canada (n=2,150), and England (n=2,300) for 3 additional waves, 19 months apart, over the next 5 years, with a substantial expansion by adding adult cohort surveys from 4 other ITC countries, which are being supported by funding sources outside this proposed grant: Japan (n=4,500) and the Republic of Korea (n=4,700), countries that are the epicenter of the tobacco industry's introduction of HTPs; New Zealand (n=1,600), which has incorporated NVPs into their “endgame” strategy; and Australia, which continues its more restrictive approach to these Alternative Nicotine Delivery Systems (ANDS) (n=1,500; grant application pending). The resulting 7-country ITC Nicotine Product Adult (NPA) Survey (total n=18,900) will represent an innovative international evaluation system that will allow the research team to conduct a comprehensive research program on the use of nicotine products, and transitions between cigarettes and nicotine products, building on the ITC Project's 18-year global experience in conducting rigorous evaluation of tobacco control policies, employing quasi-experimental analytic methods. The NPA Survey will provide important evidence to advance the science and understanding of nicotine products and policies during the next five years, which is certain to be a period of dynamic change in the nicotine product marketplace. Similar studies in the US such as the Population Assessment Tobacco and Health (PATH) are limited since they do not readily permit cross- country comparisons using harmonized measures as the NPA survey does. This innovative Project has three Specific Aims: 1) to describe patterns use of and transitions of use across different tobacco products among smokers and recent ex-smokers both over time and by key user characteristics within and between countries; 2) to examine how differences in current and future policies (e.g., taxes, flavor bans, product standards, health warnings) for cigarettes, NVPs, and HTPs are related to differences in patterns of use of these products over time; and 3) to examine the relative impact of policies on adults and youth (a Specific Aim shared with Project 2). Two exploratory aims will also be addressed given their likely impact on nicotine product use: (a) to examine how the COVID-19 pandemic is affecting smoking and ANDS use in the 7 countries over time; and (b) to examine the interplay between cannabis and smoking, vaping, and HTP use over time.

摘要/摘要 当前的P01赠款支持创建国际烟草控制政策评估（ITC） 项目四个国家吸烟和Vapi​​ng调查，这是首次吸烟和尼古丁的国际队列研究 VAPING产品（NVP）使用，该产品在P01 Grant支持的三个国家 /地区（美国） [美国]，加拿大，英格兰，加上澳大利亚，得到了其他资金的支持）。进行了三波， 在2016年，2018年和2020年平均相隔19个月。在此续签申请中，我们以这项工作为基础 通过添加着专注于加热的尼古丁市场的非凡国际扩张 除香烟和NVP外，烟草产品（HTPS）。我们建议继续进行成人队列调查 美国（n = 2,150），加拿大（n = 2,150）和英格兰（n = 2,300），相距19个月，相距19个月， 接下来的5年，通过添加来自其他4个ITC国家的成人队列调查，将大大扩展 在此提议的赠款之外得到资金来源的支持：日本（n = 4,500）和大韩民国 （n = 4,700），是烟草业引入HTP的国家的国家；新西兰 （n = 1,600），已将NVP纳入其“最终游戏”策略；和澳大利亚，继续 这些替代性尼古丁输送系统（and）的更限制方法（n = 1,500；授予申请 待办的）。由此产生的7个国家ITC尼古丁产品成人（NPA）调查（总计n = 18,900）将代表 一种创新的国际评估系统，该系统将允许研究团队进行全面的 关于使用尼古丁产品的研究计划，以及香烟和尼古丁产品之间的过渡， 以ITC项目的18年全球经验为基础进行烟草控制的严格评估 政策，采用准实验分析方法。 NPA调查将为 在接下来的五年中，促进对尼古丁产品和政策的科学和理解，这就是 肯定是尼古丁产品市场的动态变化时期。在美国的类似研究，例如 人口评估烟草和健康（路径）受到限制，因为它们不容易允许交叉 像NPA调查一样，使用统一措施进行了国家比较。这个创新的项目有三个 具体目的：1）描述在不同烟草产品中使用和过渡的模式使用和过渡 随着时间的推移和国家之间的关键用户特征，吸烟者和最近吸烟者都在国家内部和国家之间； 2）检查当前和未来政策的差异如何（例如税收，风味禁令，产品标准，健康状况 警告）针对香烟，NVP和HTP与这些产品使用模式的差异有关 时间; 3）检查政策对成人和青年的相对影响（与项目共享的特定目的 2）。鉴于它们可能对尼古丁产品的使用可能影响：（a）到达两个探索目标：（a） 研究199年大流行如何影响7个国家 /地区的吸烟和使用；和 （b）检查大麻与吸烟，蒸发和HTP随着时间的流逝之间的相互作用。