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

项目摘要 大麻在青年和年轻人中很受欢迎，通常与大麻同时使用。共- 烟草和大麻的使用与烟草和大麻的使用频率和依赖性增加有关， 与单独使用任何一种物质相比，大麻可能增加健康风险。定性研究 表明调味小雪茄更适合大麻/钝性使用，因为调味剂掩盖了气味， 增强了制作和抽吸钝口烟的体验。目前的文献中存在一个空白，用于表征 小雪茄的口味及其对年轻人同时使用小雪茄和大麻的模式的影响。它有 尚未确定从小雪茄中去除香料是否会影响小雪茄的共同使用， 大麻，以及这种影响是否与对吸引力或风险的看法有关。为了实现这一目标，我们建议 两个综合目标，建立在母基金（R 01 DA 048529）的基础上，以收集数据，为CTP法规提供信息 特别是针对小雪茄产品的调味烟草战略。首先，通过对横截面的分析， 在父母研究中收集的年轻成年雪茄使用者的数据，我们将通过结构方程 建模，使用调味小雪茄和共同使用小雪茄和大麻（包括 blunts），包括放弃每种产品的动机。在同一样本中，我们将招募一组参与者 进行一对一的定性半结构化访谈。我们将探讨一些主题，以扩大从 家长研究，包括了解风味吸引力，感知伤害和产品替代品的组成部分。 我们还将在与大麻共同使用的背景下评估这些因素，以更深入地了解共同使用 在这个补充中使用模式。通过这两个目标，这一补充将扩大家长的目标， 通过研究风味对年轻人共同使用大麻和小雪茄的影响进行研究。产生的数据来自 这项研究将为制定有关烟草管制措施对共同使用的潜在影响的政策提供信息 大麻。

Project Abstract Cigarillos are popular among youth and young adults and are commonly concurrently used with cannabis. Co- use of tobacco and cannabis is associated with increased frequency of and dependence on both tobacco and cannabis, and possible increased health risk compared to use of either substance alone. Qualitative research suggests that flavored cigarillos are preferred for cannabis/blunt use because the flavoring masks the smell and enhances the experience of creating and smoking blunts. A gap in the current literature exists for characterizing flavors in cigarillos and their impact on patterns of co-use of cigarillos and cannabis among young adults. It has yet to be determined whether the removal of flavors from cigarillos would impact co-use of cigarillos and cannabis, and whether that impact is related perceptions of appeal or risk. To accomplish this, we have proposed two integrated aims, building off of the parent grant (R01DA048529), to gather data to inform CTP regulation strategies on flavored tobacco, specifically for cigarillo products. First, through an analysis of cross-sectional data on young adult cigarillos users collected in the parent study, we will examine, through structural equation modeling, the relationship between use of flavored cigarillos and co-use of cigarillos and cannabis (including blunts), including motivation to quit each product. Within the same sample, we will recruit a sub-set of participants to conduct one-on-one qualitative semi-structured interviews. We will explore topics to expand findings from the parent study, including understanding components of flavor appeal, perceived harm and product substitution. We will also assess these factors in the context of co-use with cannabis to gain a deeper understanding of co- use patterns in this supplement. Through these two aims, this supplement will extend the objectives of the parent study by examining the influence of flavor on young adult co-use of cannabis and cigarillos. Resulting data from this study will inform policy development regarding potential effects of tobacco regulatory measures on co-use with cannabis.