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

该项目的重点是倡导无烟烟草以及无烟烟草和香烟双重使用的青年发起人， 以及可能有助于启动的营销、广告和其他环境因素。意法半导体产品 包括咀嚼烟草、鼻烟和鼻烟，以及新兴的可溶性产品。科技使用率 俄亥俄州高中男生的比例几乎是全国的两倍。此外，三分之二的ST用户 也吸烟，大约三分之一的吸烟者也使用ST。随着新鼻烟产品的上市和转变 在现在以城市用户和吸烟者为目标的鼻烟营销中，年轻人可能更有可能发起ST和 两用。该项目将建立一个农村(俄亥俄州阿巴拉契亚地区)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和两用启蒙。项目1 将重点关注可能导致ST和两用启动的环境因素，例如零售店密度和 暴露在烟草营销中。其他相关措施将包括认知和情感反应 必须具备烟草广告和吸烟媒体素养，或者青年批判性评价媒体信息的能力。 目标是检查这些营销相关因素作为ST和两用启动和双重用途的预测因素 将他们与农村和城市青年进行比较。该项目将估计三年的ST使用启动率 并在俄亥俄州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)检查对烟草广告的认知和情感反应和态度 与启动ST以及吸烟和ST的双重使用有关；2)审查接触烟草如何 市场营销和吸烟媒体素养水平与ST的启动和双重用途有关；3)探索目标：在 一项探索性研究，我们将使用生态瞬时评估(EMA)来比较实时暴露 在吸烟者和非吸烟者之间。该项目涉及FDA的几个研究优先事项，即 “了解烟草产品的多样性”和“了解烟草营销”。数据 在这个项目中收集的对于FDA关于ST营销和潜在限制的决策至关重要 广告，以及FDA对新产品应用和修改的风险烟草产品声明的分析 ST产品。项目1的数据还可以帮助FDA制定更有效的沟通计划 以年轻人为目标。

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.