The Unvarnished Truth: Pursuing Health Equity by Correcting Disinformation Targeting African Americans about the FDA's Proposed Ban on Menthol Cigarettes and Flavored Cigars

赤裸裸的真相：通过纠正针对非裔美国人的关于 FDA 提议禁止薄荷卷烟和调味雪茄的虚假信息来追求健康公平

• 批准号: 10740281
• 负责人: Kymberle L Sterling
• 金额: $ 66.67万
• 依托单位: RUTGERS BIOMEDICAL AND HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-19 至 2028-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10740281
• 关键词: Address; Adult; African American; African American population; Age; American; Area; Attitude; Awareness; Behavior; Behavioral; Belief; Black Bear; Black Populations; Cessation of life; Cigar; Cigarette; Cities; Communication; Communication Research; Communities; Creativeness; Criminal Justice; Data; Decision Making; Development; Discrimination; Effectiveness; Electronic Mail; Enrollment; Environmental Risk Factor; Evaluation; Event; Flavoring; Focus Groups; Future; Government; Health; Heart Diseases; Individual; Industry; Intention; Intervention; Interview; Knowledge; Lobbying; Logic; Malignant Neoplasms; Marketing; Menthol; Methodology; Misinformation; Modeling; Movement; Neighborhoods; Participant; Perception; Planning Theory; Police; Politics; Privatization; Process; Protocols documentation; Public Health; Publishing; Randomized; Recording of previous events; Research; Research Methodology; Respondent; Risk Factors; Role; Sales; Sampling; Science; Scientist; Smoker; Smoking; Source; Structural Racism; Surveys; System; Testing; Tobacco; Tobacco Industry; Tobacco use; Trust; United States Food and Drug Administration; Vulnerable Populations; Work; Youth; cigarillos; community based participatory research; design; disinformation; distrust; effectiveness evaluation; effectiveness testing; efficacy testing; evidence base; experience; health disparity; health equity; informant; innovation; intervention mapping; member; news; peer; psychosocial; public policy on tobacco; research study; response; shared decision making; theories; therapy design; therapy development; tobacco advertising; tobacco flavor; tobacco products; trial design; Address; Adult; African American; African American population; Age; American; Area; Attitude; Awareness; Behavior; Behavioral; Belief; Black Bear; Black Populations; Cessation of life; Cigar; Cigarette; Cities; Communication; Communication Research; Communities; Creativeness; Criminal Justice; Data; Decision Making; Development; Discrimination; Effectiveness; Electronic Mail; Enrollment; Environmental Risk Factor; Evaluation; Event; Flavoring; Focus Groups; Future; Government; Health; Heart Diseases; Individual; Industry; Intention; Intervention; Interview; Knowledge; Lobbying; Logic; Malignant Neoplasms; Marketing; Menthol; Methodology; Misinformation; Modeling; Movement; Neighborhoods; Participant; Perception; Planning Theory; Police; Politics; Privatization; Process; Protocols documentation; Public Health; Publishing; Randomized; Recording of previous events; Research; Research Methodology; Respondent; Risk Factors; Role; Sales; Sampling; Science; Scientist; Smoker; Smoking; Source; Structural Racism; Surveys; System; Testing; Tobacco; Tobacco Industry; Tobacco use; Trust; United States Food and Drug Administration; Vulnerable Populations; Work; Youth; cigarillos; community based participatory research; design; disinformation; distrust; effectiveness evaluation; effectiveness testing; efficacy testing; evidence base; experience; health disparity; health equity; informant; innovation; intervention mapping; member; news; peer; psychosocial; public policy on tobacco; research study; response; shared decision making; theories; therapy design; therapy development; tobacco advertising; tobacco flavor; tobacco products; trial design

PROJECT ABSTRACT In April 2022, the U.S. Food and Drug Administration (FDA) announced a proposed ban on menthol cigarettes and all characterizing flavors in cigars. African Americans have high rates of menthol cigarette and flavored cigar use, which likely contributes to their disproportionate experience of tobacco-related health conditions. In response to the FDA’s announcement, the tobacco industry and its sources promulgated disinformation in African American communities about the increased criminalization and police discrimination for using tobacco products when the rules are enforced. Although the FDA has stated that it cannot and will not enforce actions against individual consumers for possessing or using menthol cigarettes or flavored cigars, disinformation about the flavor ban and its harmful impacts continues spreading among African American communities. The proposed study seeks to develop and evaluate the effectiveness of multi-level, anti-disinformation messages (ADM) to disrupt the spread and mitigate the detrimental effects of disinformation about the FDA’s proposed ban on menthol cigarettes and flavored cigars. In Aim 1, we will employ community-based participatory research methods to develop and engage with an Expert Advisory Board (EAB) that will engage in shared decision-making and provide their perspectives on all study activities. In Aim 2, we will conduct formative research to a) characterize the tobacco industry and its operatives’ rhetoric about the consequences of the anticipated flavor ban and b) elicit AA/Bs’ knowledge and perceptions about the anticipated flavor ban. Aim 2 data will inform the development of the Intervention Mapping (IM) logic models that depict the behavioral and environmental risk factors and determinants of respondents’ flavor ban receptivity. In Aim 3, we will use of IM process to develop, pre-test, and refine the individual and community-level ADM and creative concepts among AA/B participants. Finally, in Aim 4, we will conduct a randomized treatment and control evaluation design to test the effectiveness of our individual and community-based ADM campaign on AA/Bs’ receptivity to the flavor ban and counter- industry beliefs. Knowledge gained from this study will inform the FDA’s Center for Tobacco Products Communication Office and state and local public health departments regarding salient messages to communicate about the flavor ban to AA/B and other vulnerable populations.

项目摘要 2022年4月，美国食品药品监督管理局（FDA）宣布了拟议的禁止心态香烟的禁令 以及所有描述雪茄的口味。非洲裔美国人的香烟率很高，雪茄味 使用，这可能会导致他们在与烟草相关的健康状况方面的不成比例。在 对FDA公告，烟草业及其消息来源的回应爆发了 非裔美国人社区关于使用烟草的犯罪和警察歧视的增加 尽管FDA表示它不能也不会执行行动 反对个人消费者拥有或使用心态香烟或调味卷烟，对 风味禁令及其有害影响继续在非裔美国人社区中传播。提议 研究旨在开发和评估多层次，反分散信息（ADM）的有效性 破坏传播并减轻对FDA拟议禁令的虚假信息的有害影响 在AIM 1中，我们将采用基于社区的参与研究 开发和与专家顾问委员会（EAB）进行共同决策的方法 并提供他们对所有学习活动的看法。在AIM 2中，我们将对A进行形成性研究） 特征烟草业及其运营商对预期风味的后果的言论 禁令和b）引起了AA/BS对预期风味禁令的知识和看法。 AIM 2数据将告知 开发描述行为和环境风险的干预映射（IM）逻辑模型 因素并确定受访者的风味禁令识别。在AIM 3中，我们将使用IM流程来开发， 预测试，并在AA/B参与者中完善个人和社区级别的ADM和创造性概念。 最后，在AIM 4中，我们将进行随机治疗和控制评估设计以测试有效性 关于AA/BS接受风味禁令和反击的个人和社区的ADM运动 行业信念。从这项研究中获得的知识将为FDA烟草产品中心提供信息 通讯办公室以及州和地方公共卫生部门有关显着信息 与AA/B和其他弱势群体进行有关风味禁令的沟通。