Impact of Flavor on Youth & Young Adults use Intention, Abuse Liability and Perceptions of Cigarillos

摘要 雪茄在年轻人和年轻人中很受欢迎，这种烟草产品的味道占主导地位。 尽管有同样程度的健康风险，但香料烟草产品被年轻人误解为 比不加调味的产品危害小。目前的文献中存在一个空白，用来描述雪茄的味道 以及它们对产品吸引力、对营销的关注、产品认知、滥用责任以及随后的 在年轻人和年轻人中使用行为。目前还不能确定从食品中去除香料 雪茄会导致另一种烟草产品，如电子烟的停止使用或被取代，以及 这种选择将更多地受到人们对吸引力或风险的看法的影响。为了实现这一目标，我们 提出了三个综合目标，以收集数据，为加香烟草的CTP监管战略提供参考， 专门针对雪茄产品；在整个拟议的研究中，关于Juul的数据将作为一种高度 具有潜在替代性的受欢迎的替代产品。首先，取材于一位现有的年轻雪茄用户 样本，我们将评估对雪茄和雪茄的味道的感知、风险感知和成瘾性 其他烟草产品在青少年和年轻成年雪茄使用者中的使用。在相同的样本中，我们将 实验检测加香料雪茄和无香料雪茄在视觉注意力和风险知觉上的差异 和Juul广告在青少年和年轻的成年雪茄使用者中；将增加非使用者以探索 效果是否按用户类型修改。接下来，我们将使用一个复杂的实验烟草市场来 同时评估加香料雪茄与未加香料雪茄的滥用倾向/成瘾潜力 评估JUUL电子烟的替代性。通过这三个目标，这项建议采用了严格的 生物行为和行为经济学方法收集数据，为信息提供基础 以干预为主的研究。现在雪茄受到FDA监管机构的监管，这些调查结果将 答复ANPRM关于香料在青少年和年轻人雪茄使用中的作用的问题，并将为政策提供信息 制定产品标准和广告，以减少上诉和滥用责任，并 准确告知消费者雪茄对健康的风险。

ABSTRACT Cigarillos are popular among youth and young adults, and flavors predominate in this tobacco product type. Despite carrying the same level of health risk, flavored tobacco products are misperceived by youth as being less harmful than unflavored products. A gap in the current literature exists for characterizing flavors in cigarillos and their impact on product appeal, attention to marketing, product perceptions, abuse liability, and subsequent use behavior among youth and young adults. It has yet to be determined whether the removal of flavors from cigarillos would results in cessation or substitution of another tobacco product, such as e-cigarettes, and whether that choice would be more influenced by perceptions of appeal or perceptions of risk. To accomplish this, we have proposed three integrated aims to gather data to inform CTP regulation strategies on flavored tobacco, specifically for cigarillo products; throughout the proposed research, data on JUUL will be gathered as a highly popular alternative product with potential substitutability. First, drawing from an existing Young Cigarillo User Sample, we will evaluate perceptions of flavors on appeal, risk perceptions, and addictiveness of cigarillos and other tobacco products among youth and young adult cigarillo users. Within the same sample, we will experimentally examine differences in visual attention and risk perceptions of flavored and unflavored cigarillo and JUUL advertisements among youth and young adult cigarillo users; non-users will be added to explore whether effects are modified by user type. Next, we will use a complex Experimental Tobacco Marketplace to evaluate the abuse liability/addictive potential of flavored versus unflavored cigarillos while simultaneously evaluating substitutability of JUUL e-cigarettes. Through these three aims, this proposal employs rigorous biobehavioral and behavioral economic methods to gather data that will create a foundation to inform intervention-focused research. Now that cigarillos are subject to FDA regulatory authority, these findings will be responsive to the ANPRM on the role of flavors in youth and young adult cigarillo use, and will inform policy development regarding product standards and advertising to reduce both appeal and abuse liability and to accurately inform consumers regarding cigarillo risks to health.