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

摘要 雪茄烟在年轻人和年轻人中很受欢迎，并且在这种烟草产品类型中风味占主导地位。 尽管具有相同水平的健康风险，但调味烟草产品被年轻人误解为 比不加香料的产品危害更小。在目前的文献中存在着一个空白，用于描述小雪茄的风味 以及它们对产品吸引力、对营销的关注度、产品认知、滥用责任以及随后的 青少年和年轻人的使用行为。目前还没有确定是否去除口味， 小雪茄会导致停止或替代另一种烟草产品，如电子烟，以及是否 这种选择将更多地受到对吸引力或风险的看法的影响。为了做到这一点，我们 提出了三个综合目标，以收集数据，为调味烟草的CTP监管策略提供信息， 特别是雪茄产品;在整个拟议的研究中，JUUL的数据将被收集作为一个高度 具有潜在替代性的流行替代产品。首先，从现有的年轻用户中提取 样本，我们将评估口味的吸引力，风险的看法，和上瘾的小雪茄和 在年轻人和年轻的成年雪茄使用者中使用其他烟草产品。在相同的样本中，我们将 实验性地研究了调味和原味小雪茄的视觉注意力和风险感知的差异 和JUUL广告在青年和年轻的成年雪茄用户;非用户将被添加到探索 是否按用户类型修改效果。接下来，我们将使用一个复杂的实验烟草市场， 评估调味与原味小雪茄的滥用倾向/成瘾潜力，同时 评估Juul电子烟的替代性。通过这三个目标，该提案采用了严格的 生物行为和行为经济学方法来收集数据， 以干预为重点的研究。既然小雪茄受到FDA监管，这些发现将是 响应ANPRM关于口味在青少年和年轻成人雪茄使用中的作用，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， 准确地告知消费者关于雪茄对健康的风险。

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.