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) 项目四国家吸烟和电子烟调查，第一个关于吸烟和尼古丁的国际队列研究 电子烟产品 (NVP) 的使用，在 P01 拨款支持的三个国家进行（美国 [美国]，加拿大，英国，加上澳大利亚，由其他资金支持）进行了三波， 2016 年、2018 年和 2020 年平均间隔 19 个月。在此续签申请中，我们在此基础上通过 通过增加对加热的关注来配合尼古丁市场的非凡国际扩张 除香烟和 NVP 外，我们建议继续开展成人队列调查。 美国 (n=2,150)、加拿大 (n=2,150) 和英格兰 (n=2,300) 在 19 个月内又进行了 3 波，间隔 19 个月 未来 5 年，通过添加来自其他 4 个 ITC 国家的成人队列调查进行大幅扩展，这些国家是 得到本次拟议赠款之外的资金来源的支持：日本 (n=4,500) 和韩国 (n=4,700)，是新西兰烟草业引进 HTP 的中心国家； （n=1,600），已将 NVP 纳入其“终局”战略；澳大利亚则继续其战略； 对这些替代尼古丁输送系统 (ANDS) 采取更严格的方法（n=1,500；拨款申请 由此产生的 7 个国家 ITC 尼古丁产品成人 (NPA) 调查（总数 = 18,900）将代表 创新的国际评估体系，使研究团队能够进行全面的评估 关于尼古丁产品的使用以及卷烟和尼古丁产品之间的过渡的研究计划， 以 ITC 项目 18 年严格烟草控制评估全球经验为基础 NPA 调查将采用准实验分析方法提供重要证据。 在未来五年内推进对尼古丁产品和政策的科学和理解，即 尼古丁产品市场肯定会经历一段动态变化的时期，例如美国的类似研究。 人口评估烟草与健康 (PATH) 是有限的，因为它们不容易允许交叉 像 NPA 调查那样使用统一的措施进行国家比较 该创新项目有三个。 具体目标： 1) 描述不同烟草制品的使用模式和使用转变 吸烟者和最近戒烟者随时间的变化以及国家内部和国家之间关键用户特征的情况； 2) 研究当前和未来政策（例如税收、香料禁令、产品标准、健康 香烟、NVP 和 HTP 的警告）与这些产品的使用模式差异有关 时间；3) 检查政策对成年人和青少年的相对影响（与项目共享的具体目标） 2) 鉴于对尼古丁产品使用可能产生的影响，还将解决两个探索性目标：(a) 研究 COVID-19 大流行如何影响这 7 个国家的吸烟和 ANDS 使用；以及 (b) 随着时间的推移，研究大麻与吸烟、电子烟和 HTP 使用之间的相互作用。