Little Cigar and Cigarillo Warnings to Reduce Tobacco-Related Cancers and Disease

小雪茄和小雪茄警告减少与烟草相关的癌症和疾病

• 批准号: 10461982
• 负责人: Adam O Goldstein
• 金额: $ 55.79万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-02 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10461982
• 关键词: Address; Adult; Affect; Affective; African American population; Arousal; Attention; Behavioral; Behavioral Research; Cancer Control; Cancer Etiology; Characteristics; Cigar; Cigarette; Consumption; Data; Descriptor; Development; Disease; Effectiveness; Electromyography; Elements; Excision; Face; Future; Goals; Health; Image; Influentials; Knowledge; Laboratory Study; Lead; Legal; Malignant Neoplasms; Malignant neoplasm of esophagus; Malignant neoplasm of larynx; Malignant neoplasm of lung; Malignant neoplasm of pancreas; Marketing; Measures; Online Systems; Outcome; Participant; Patient Self-Report; Persons; Policies; Probability Samples; Psychophysiology; Randomized Controlled Trials; Reaction; Regulation; Research; Research Project Grants; Risk; Smoke; Smoking; Smoking Behavior; Taxation; Taxes; Testing; Text; Tobacco; Tobacco-Related Carcinoma; United States Food and Drug Administration; behavior influence; behavioral outcome; cancer prevention; cancer risk; cigarette user; cigarette warning label; cigarillos; court; demographics; experimental study; improved; malignant mouth neoplasm; negative affect; novel; programs; research study; response; visual tracking; warning label

ABSTRACT Over 4 million US adults regularly smoke cigars, which causes multiple cancers, including oral, esophageal, pancreatic, laryngeal, and lung cancer. Little cigar and cigarillo (LCC) use among adults has dramatically increased over the last decade because of disparities in taxation between cigarettes and cigars, LCC pack sizes that make cigar products affordable, and regulations, such as flavor bans, that exist for cigarettes but not for cigars. Little research has examined the effectiveness of currently mandated little cigar and cigarillo (LCC) warnings. Research from studies of cigarette warnings suggests that effective LCC warnings should employ images that illustrate negative health effects associated with use and a large warning label prominently displayed on the pack, and that removal of flavor descriptors may improve attention to warning messages. However, research specific to cigarettes cannot adequately inform LCC warning development due to the differences in product characteristics, user demographics and high legal bar for tobacco warnings. No research exists on the potential impact of such changes on LCC use among current LCC users. Our proposed study will fill the existing gaps by understanding which LCC warning characteristics (i.e., content, format, size) are most influential in reducing LCC use, and how an additional LCC policy, the removal of flavor descriptors on packaging, influences the impact of LCC warnings. In Aim 1, we will use existing research and expert review to develop new text and pictorial LCC warnings and test the new warnings using online experiments to identify warnings that adult LCC users perceive as most effective. We will conduct a national, web-based RCT in Aim 2 to examine whether the most effective warnings with images from Aim 1 increase quit intentions among adult LCC users, compared to the currently mandated warnings and a control condition. While our Aim 2 study will assess how improved warnings influence LCC behavioral intentions, our Aim 3 will assess whether flavor descriptors on LCC packages distract from warnings, reducing their impact. In Aim 3, we will conduct an in-person laboratory study among adult LCC users using objective measures of attention (eye tracking), affect (facial electromyography), and arousal (electrodermal activity) to determine how flavor descriptors influence the effectiveness of improved warnings compared to currently mandated warnings. The proposed study will fill critical gaps regarding which characteristics make LCC warning labels most effective and provide needed evidence on how LCC warnings influence LCC behavioral intentions. Our overarching goal is to develop effective LCC warnings that reduce cancer and other health risks.

抽象的 超过400万的美国成年人经常抽雪茄，这会导致多种癌症，包括口服， 食管，胰腺，喉和肺癌。小雪茄和雪茄（LCC）在 由于税收差异，成年人在过去十年中大幅增加 在香烟和雪茄之间，LCC包装尺寸使雪茄产品负担得起，并且 香烟中存在的法规，例如风味禁令，但不适合雪茄。研究很少 检查了当前授权的小雪茄和雪茄（LCC）警告的有效性。 对香烟警告的研究的研究表明，有效的LCC警告应 采用图像说明与使用相关的负面影响和大警告 包装上突出显示标签，去除风味描述符可能会有所改善 注意警告消息。但是，特定于香烟的研究无法充分 由于产品特性的差异，用户，告知LCC警告开发 人口统计和高法律栏，用于烟草警告。没有关于潜力的研究 此类更改对当前LCC用户中LCC使用的影响。我们提出的研究将填补 通过了解哪些LCC警告特征（即内容，格式，大小）来实现现有差距 在减少LCC的使用以及额外的LCC政策，删除方面最有影响力 包装上的风味描述符，影响LCC警告的影响。在AIM 1中，我们将使用 现有的研究和专家审查，以开发新的文本和图形LCC警告并测试 使用在线实验的新警告以确定成年LCC用户认为是的警告 最有效。我们将在AIM 2中进行基于国家的国家，基于网络的RCT，以检查是否是否 最有效的警告AIM 1中的图像增加了成人LCC中的戒烟意图 用户，与当前授权的警告和控制条件相比。而我们的目标2 研究将评估改善警告如何影响LCC行为意图，我们的目标3将 评估LCC包装上的风味描述是否会分散警告的注意力，从而减少他们的注意力 影响。在AIM 3中，我们将对成人LCC用户进行实验室实验室研究 注意注意力（眼睛跟踪），情感（面部肌电图）和唤醒 （电肌活动）确定风味描述如何影响 与当前强制性警告相比，警告的改善。拟议的研究将填补 关于哪些特征使LCC警告标签最有效的关键差距，并且 提供有关LCC警告如何影响LCC行为意图的所需证据。我们的 总体目标是开发有效的LCC警告，以减少癌症和其他健康风险。