Improving U.S. health policy regarding water-pipe tobacco smoking

改善美国有关水烟吸烟的卫生政策

• 批准号: 8929177
• 负责人: Brian A. Primack
• 金额: $ 16.75万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-18 至 2018-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8929177
• 关键词: Accounting; Address; Adult; Advocacy; Advocate; Affect; Air; Area; Attitude; Behavior; Belief; Businesses; Carbon Monoxide; Cardiovascular Diseases; Categories; Cigarette; Code; Complex; Consensus; Controlled Environment; County; Data; Family Smoking Prevention and Tobacco Control Act; Flavoring; Future; Goals; Health; Health Policy; Human Resources; Individual; Influentials; Interest Group; Interview; Knowledge; Label; Laboratories; Language; Laws; Legal; Link; Literature; Malignant Neoplasms; Mediation; Municipalities; Nicotine; Nicotine Dependence; Pattern; Pennsylvania; Phase; Policies; Policy Making; Population; Positioning Attribute; Prevalence; Price; Process; Public Health; Recruitment Activity; Regulation; Reporting; Research; Research Personnel; Smoke; Statutes and Laws; Structure; Tars; Taxation; Text; Time; Tobacco; Tobacco smoking; Tobacco use; Work; Youth; authority; cigarette smoking; college; design; evidence based guidelines; federal policy; high school; hookah; improved; insight; member; public policy on tobacco; pulmonary function; rural area; socioeconomics; suburb; tobacco control; university student

DESCRIPTION (provided by applicant): While cigarette smoking is declining in the U.S., an emerging form of tobacco use, waterpipe tobacco smoking (WTS), is increasing. WTS is now nearly as common as cigarette use for college students, and it is also prevalent among high school and non-college adult populations. Because as many as 50% of WTS users do not smoke cigarettes, it affects many who would otherwise have been tobacco naive. This is of particular concern because a typical WTS session may deliver over 100 times the smoke volume of a single cigarette. Although clean indoor air policies and regulations have rapidly propagated throughout the U.S., more than 90% of these laws do not address WTS, possibly fueling increased WTS. Furthermore, the recently enacted FDA Family Smoking Prevention and Tobacco Control Act (FSPTCA, HR 1256) does not specifically include WTS in its stipulations. Therefore, we designed this project to generate in-depth information urgently needed to inform and clarify federal and state policy in this area. States often serve as laboratories for federal policy, and because states and municipalities directly regulate the businesses that sell tobacco, effective WTS policy will require combined state and federal authority. As a microcosm of the U.S.-both in terms of geopolitics and tobacco control policies-Pennsylvania is the ideal state to study these topics. Therefore, we designed a two-phase project which will enable us to provide detailed, evidence- based recommendations for future tobacco-control legislation that will take into account the complex dynamics of WTS and will allow us to proactively engage with policy leaders around WTS. First, we will comprehensively analyze all relevant extant tobacco policies of each of the 8 official Health Districts (HDs) sanctioned by PA. For each HD, we will simultaneously examine laws on the municipal and county level, including how they interact with state and federal policy. We will systematically assess how language within these texts applies to WTS regarding each of the primary ways tobacco is regulated, including use restrictions, youth access, price (e.g., taxation), flavorings, and labeling. Second, we will explore WTS and its associated legal issues with influential individuals who have been and/or may be in the future involved in tobacco-related legislation in Pennsylvania in the past, including (1) legislators and staff; (2) public health officials; and (3) advocacy group leaders. We will use structured templates for in-depth interviews to explore particular issues such as (1) knowledge, attitudes, and beliefs related to WTS; (2) clarification of intentions and realities of specific provisions and/or exemptions of prior legislation (3) perceived consequences of any legislation passed; and (4) interactions between municipal, state, and FSPTCA provisions. Synthesis of information from document analyses and in-depth interviews will directly inform optimal policy-making on multiple levels to reduce WTS.

描述（由申请人提供）：虽然美国吸烟正在减少，但烟草使用的一种新兴形式，水烟烟草吸烟（WTS）正在增加。 WTS现在几乎与大学生的香烟使用一样普遍，并且在高中和非大学成人人群中也很普遍。因为多达50％的WTS用户不抽烟，所以它会影响许多本来烟草天真的人。这是特别令人关注的，因为典型的WTS会话可能会提供单烟的烟雾量的100倍以上。 尽管清洁的室内空气政策和法规在美国各地迅速传播，但其中90％以上的法律无法解决WT，可能会增加WTS的增加。此外，最近颁布的FDA家族预防和烟草控制法案（FSPTCA，HR 1256）并未在其规定中特别纳入WTS。因此，我们设计了该项目，目的是生成深入的信息，以告知和澄清该领域的联邦和州政策。各州通常是联邦政策的实验室，并且由于各州和市政当局直接规范出售烟草的企业，因此有效的WTS政策将需要共同的州和联邦当局。在地缘政治和烟草控制政策方面，作为美国群岛的缩影是研究这些主题的理想状态。因此，我们设计了一个两阶段的项目，该项目将使我们能够为未来的烟草控制立法提供详细的基于证据的建议，该建议将考虑到WTS的复杂动态，并使我们能够主动与WTS周围的政策领导者互动。 首先，我们将全面分析PA批准的8个官方卫生区（HDS）的所有相关烟草政策。对于每个高清，我们将同时研究市政和县一级的法律，包括它们与州和联邦政策的互动方式。我们将系统地评估这些文本中的语言如何适用于WTS，涉及烟草的每种主要方式，包括使用限制，青年访问，价格（例如税收），调味剂和标签。 其次，我们将探索WTS及其与未来参与宾夕法尼亚州与烟草相关立法的有影响力的人的相关法律问题，包括（1）立法者和工作人员； （2）公共卫生官员； （3）倡导团体领导人。我们将使用结构化模板进行深入的访谈，以探讨（1）与WT相关的知识，态度和信念等特定问题； （2）阐明特定意图和现实 先前立法的规定和/或豁免（3）所通过的任何立法的后果； （4）市政，州和FSPTCA规定之间的相互作用。从文档分析和深入访谈中综合信息的综合将直接在多个层面上为最佳的政策制定提供信息，以减少WT。