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

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，美国食品和药物管理局（FDA）宣布拟禁止薄荷卷烟 以及雪茄中的所有调味品 非裔美国人使用薄荷卷烟和调味雪茄的比例很高。 吸烟，这可能导致他们过多地经历与烟草相关的健康状况。 作为对 FDA 声明的回应，烟草业及其消息来源在 非裔美国人社区对烟草使用的刑事定罪和警察歧视的增加 尽管 FDA 已声明其不能也不会强制执行该规则。 针对个人消费者持有或使用薄荷卷烟或调味雪茄的虚假信息 香料禁令及其有害影响继续在非裔美国人社区中蔓延。 研究旨在开发和评估多层次反虚假信息信息（ADM）的有效性 扰乱传播并减轻有关 FDA 拟议禁令的虚假信息的有害影响 在目标 1 中，我们将采用基于社区的参与式研究。 建立专家咨询委员会 (EAB) 并与之互动的方法，该委员会将参与共同决策 并提供他们对所有研究活动的看法。在目标 2 中，我们将进行形成性研究： 描述烟草业及其操作人员关于预期风味后果的言论 禁令和 b) 引出 AA/B 对预期风味禁令的了解和看法，目标 2 数据将告知相关人员。 开发描述行为和环境风险的干预映射（IM）逻辑模型 在目标 3 中，我们将使用 IM 流程来制定受访者口味禁令接受度的因素和决定因素， 预测试并完善 AA/B 参与者中个人和社区层面的 ADM 和创意概念。 最后，在目标4中，我们将进行随机治疗和对照评估设计来测试有效性 我们以个人和社区为基础的 ADM 活动，探讨 AA/B 对风味禁令和反制措施的接受程度 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关于向 向 AA/B 和其他弱势群体传达有关口味禁令的信息。