Project RESIST: Increasing Resistance to Tobacco Marketing Among Young Adult Sexual Minority Women Using Inoculation Message Approaches

项目摘要。年轻的成年性少数群体妇女（SMW），包括女同性恋者和双性恋者， 特别高的风险，吸烟的几率比异性恋女性高4.8倍; 660，000名法定最低工资年轻人吸烟，患上与吸烟有关的癌症和心肺疾病的风险增加 疾病。接触烟草业营销、少数族裔压力源、酒精和毒品使用以及社会 决定因素是与这一人群吸烟行为增加有关的关键因素。反吸烟运动 利用接种信息（类似于疫苗）和文化定制（即，LGBT图像，符号， 和语言），以提高对烟草营销的影响在LGBT观众的弹性。然而，在这方面， 尚未研究针对不同文化的接种方法对年轻成年法定最低工资的影响。我们 长期目标是消除LGBT人群中与吸烟有关的健康差异。的目标 这项研究是为了确定使用文化定制接种方法来增加恢复力的效果 烟草营销对年轻成年人法定最低工资的影响，并获得利益相关者的关键投入， 后来通过和实施。我们的中心假设是，文化定制的接种信息 针对年轻成年法定最低工资的独特观点， 提高对烟草营销的抵御能力。科学的前提是支持1）运动促进 对烟草公司和LGBT人群吸烟的抵抗力，2）我们的试点研究显示年轻人 成年SMW对LGBT意象的相关性、积极态度和积极情绪感知较高 与控制意象相比，以及3）由传播科学告知的综合概念框架， 少数民族压力框架，和社会生态模型的弹性因素之间的法定最低工资。我们的具体 目标是：1）与关键利益攸关方接触，以优化信息构建，并收集试点数据， 未来的干预设计，2）评估针对不同文化的反吸烟信息对年轻人的影响 3）评估接种信息类型、剂量和 年轻成年法定最低工资对烟草营销、吸烟和戒烟意图的适应能力的潜伏期。我们将 每年举行两次会议，快速反馈，并与专家咨询机构进行关键线人访谈 委员会成员包括男女同性恋、双性恋和变性者组织领导人、性和性别少数群体健康调查员， 社区成员和国家机构（NCI、CDC和FDA）;使用 定性研究方法和随机调查实验。影响：这项研究的结果将 为制定基于证据和文化定制的接种方法提供基础， 在法定最低工资的年轻成年人中对烟草营销的适应能力，并满足未来采用者的需求， 执行者。研究方法和研究结果将进一步为反营销干预研究提供信息 减少所有性少数和性别少数人群中与吸烟有关的健康差距。

PROJECT SUMMARY. Young adult sexual minority women (SMW), including lesbians and bisexuals, are at particularly high risk, with up to 4.8 times increased odds of cigarette smoking than heterosexual women; up to 660,000 young adult SMW smoke and are at increased risks of smoking-related cancers and cardiopulmonary illnesses. Exposure to tobacco industry marketing, minority stressors, alcohol and drug use and social determinants are key factors linked to increased smoking behavior in this population. Anti-smoking campaigns utilized inoculation messages (analogous to vaccines) and culturally-tailoring (i.e., LGBT imagery, symbols, and language) to promote resilience against tobacco marketing influences among LGBT audiences. However, the effects of culturally tailored inoculation approaches in young adult SMW have not yet been examined. Our long-term goal is to eliminate smoking-related health disparities among LGBT populations. The objectives of this study are to determine the effects of using a culturally-tailored inoculation approach to increase resilience to tobacco marketing influences among young adult SMW and obtain stakeholders' critical inputs that support later adoption and implementation. Our central hypothesis is that culturally tailored inoculation messages addressing unique perspectives of young adult SMW will be more effective versus non-tailored messages to increase resilience to tobacco marketing. The scientific premise is supported by 1) campaigns promoting resilience against tobacco companies and smoking among LGBT audiences, 2) our pilot study showing young adult SMW perceive higher relevance, favorable attitudes, and positive emotions toward LGBT imagery compared to control imagery, and 3) an integrative conceptual framework informed by communication science, the minority stress framework, and the socioecological model of resilience factors among SMW. Our specific aims are: 1) Engage with key stakeholders to optimize message construction and collect pilot data to inform future intervention design, 2) Evaluate the effects of culturally tailored anti-smoking messages on young adult SMW's smoking and quitting intentions, and 3) Evaluate the effects of inoculation message type, dose, and latency on young adult SMW's resilience to tobacco marketing, smoking and quitting intentions. We will conduct twice-yearly meetings, rapid cycle feedback, and key informant interviews with an Expert Advisory Committee comprising LGBT organization leaders, investigators in sexual and gender minority health, community members, and national agencies (NCI, CDC, and FDA); message development and testing using qualitative research methods; and randomized survey experiments. Impact: Findings from this study will provide the foundation to develop an evidence-based and culturally tailored inoculation approach to increase resilience to tobacco marketing among young adult SMW and that addresses the needs of future adopters and implementers. The study methods and findings will further inform research on counter-marketing interventions to reduce smoking-related health disparities among all sexual and gender minority populations.