Project 1: Urban and Rural Male Youth Cohort Study of Tobacco Use p138-171

项目1：城乡男性青少年烟草使用队列研究 p138-171

• 批准号: 8595671
• 负责人: Peter G. Shields
• 金额: $ 23.63万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-19 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8595671
• 关键词: Address; Advertisements; Advertising; Affective; Age; Appalachian Region; Area; Attitude; Biological Markers; Camels; Cigarette; Cigarette Smoker; Cognitive; Cohort Studies; Communication Programs; Companions; Data; Decision Making; Environmental Risk Factor; Exposure to; Family; Flavoring; Genetic; Goals; High Prevalence; Lead; Longitudinal Studies; Marketing; Measures; Nature; Nicotine Dependence; Ohio; Oral Tobacco; Patient Self-Report; Positioning Attribute; Prevalence; Reaction; Research; Research Priority; Risk; Rural; Science; Smoke; Smokeless Tobacco; Smoker; Smoking; Taste Perception; Testing; Time; Tobacco; Tobacco smoking; Tobacco use; Vulnerable Populations; Woman; Youth; boys; cigarette smoking; cohort; density; high school; literacy; male; peer; response; rural area; snuff; snus; social; tobacco advertising; trend

The focus of this project is on youth initiators of smokeless tobacco (ST) and dual use of ST and cigarettes, arid the marketing, advertising and other environmental factors that may contribute to initiation. ST products include chewing tobacco, snuff, and snus, as well as the emerging dissolvable products. The rate of ST use among high school males in Ohio is nearly twice as high as the national rate. Moreover, two-thirds of ST users also smoke, and about one-third of smokers also use ST. With new snus products on the market and the shift in snus marketing that now targets urban users and smokers, youth may be even more likely to initiate ST and dual use. This project will establish a cohort of rural (the Appalachian region of Ohio) and urban (Columbus, Ohio) male youth ages 11-14, and their families, to examine ST and dual use initiation over 3 years. Project 1 will focus on environmental factors that may lead to ST and dual use initiation, such as retail outlet density and exposure to tobacco marketing. Other related measures will include cognitive and affective reactions youth have to tobacco advertising and smoking media literacy, or a youth's ability to critically evaluate media messages. The goal is to examine these marketing-related factors as predictors of ST and dual use initiation and compare them between rural and urban youth. This project will estimate the three-year initiation rate of ST use and dual use of ST and cigarettes among male youth in rural and urban regions of Ohio in order to complete the following aims 1) To examine how cognitive and affective responses and attitudes towards tobacco advertisements relate to initiation of ST and dual use of smoking and ST; 2) To examine how exposure to tobacco marketing and the level of smoking media literacy relate to initiation of ST and dual use; 3) Exploratory Aim: In an exploratory study we will use ecological momentary assessment (EMA) to compare real-time exposures between tobacco users and nonusers. This project addresses several FDA research priorities, namely in the areas of "Understanding the diversity of Tobacco Products" and "Understanding Tobacco Marketing." The data collected in this project are critical to FDA decision making regarding potential restrictions on ST marketing and advertising, and the FDA's analysis of new product applications and modified risk tobacco product claims for ST products. Project 1 data can also assist the FDA in developing more effective communication programs targeting youth.

该项目的重点是无烟烟草（ST）的青年发起人以及双重使用ST和香烟， 干旱营销，广告和其他可能导致启动的环境因素。 ST产品 包括咀嚼烟草，鼻烟和鼻烟，以及新兴的溶解产品。 ST使用率 在俄亥俄州的高中男性中，几乎是国家利率的两倍。而且，三分之二的ST用户 还吸烟，大约三分之一的吸烟者也使用st。随着新的Snus产品的市场和转变 在现在针对城市用户和吸烟者的SNUS营销中，青年可能更有可能启动ST和 双重用途。该项目将建立一个农村（俄亥俄州的阿巴拉契亚地区）和城市（哥伦布， 俄亥俄州）11-14岁的男性青年及其家人在3年内检查ST和双重使用启动。项目1 将重点关注可能导致ST和双重使用启动的环境因素，例如零售出口密度和 接触烟草营销。其他相关措施将包括认知和情感反应青年 必须必须进行烟草广告和吸烟媒体素养，或者青年对媒体信息进行批判性评估的能力。 目的是研究这些与营销相关的因素，作为ST和双重使用启动的预测因素以及 将它们在农村和城市青年之间进行比较。该项目将估计ST使用的三年开始率 在俄亥俄州的农村和城市地区的男性青年中双重使用ST和香烟，以完成 以下目的1）研究如何认知和情感回应和对烟草广告的态度 与ST的启动以及吸烟和ST双重使用有关； 2）检查如何接触烟草 营销和吸烟媒体素养的水平与ST的启动和双重使用有关； 3）探索目的： 一项探索性研究，我们将使用生态瞬时评估（EMA）比较实时暴露 在烟草用户和非用户之间。该项目解决了几个FDA研究的重点，即 “了解烟草产品多样性”和“了解烟草营销”的领域。数据 该项目中收集的对于FDA决策至关重要 广告，以及FDA对新产品应用程序的分析和改良的风险烟草产品索赔 ST产品。项目1数据还可以帮助FDA制定更有效的沟通计划 针对年轻人。