Project RESIST: Increasing Resistance to Tobacco Marketing Among Young Adult Sexual Minority Women Using Inoculation Message Approaches

RESIST 项目：使用接种信息方法增强年轻性少数女性对烟草营销的抵制

• 批准号: 9887769
• 负责人: Andy SL Tan
• 金额: $ 17.44万
• 依托单位: DANA-FARBER CANCER INST
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-01-15 至 2020-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9887769
• 关键词: Address; Adoption; Advisory Committees; Alcohol consumption; Antismoking; Attitude; Behavior; Behavioral Research; Belief; Bisexual; Cancer Control; Cardiopulmonary; Centers for Disease Control and Prevention (U.S.); Communicable Diseases; Communication; Communities; Data; Development; Dose; Drug usage; Emotions; Environmental Risk Factor; Feedback; Foundations; Future; Goals; Health; Heterosexuals; Homophobia; Imagery; Immunity; Industry; Intention; Intervention; Interview; Knowledge; Language; Lesbian; Lesbian Gay Bisexual Transgender; Lesbian Gay Bisexual Transgender Queer; Link; Longitudinal Surveys; Malignant Neoplasms; Marketing; Methods; Minority; Outcome; Outcome Study; Pilot Projects; Population; Public Health; Qualitative Research; Randomized; Research; Research Methodology; Research Personnel; Resistance; Risk; Risk Behaviors; Science; Sexual and Gender Minorities; Smoke; Smoking; Smoking Behavior; Surveys; Testing; Time; Tobacco Industry; Tobacco smoking behavior; Tobacco use; Vaccines; Victimization; Woman; Work; cancer prevention; cigarette smoking; cisgender; design; evidence base; experimental study; health disparity; high risk; informant; meetings; member; minority health; positive emotional state; prevent; resilience; sexual minority; social; social determinants; stress resilience; stressor; theories; therapy design; tobacco advertising; tobacco exposure; young adult

Young adult sexual minority women (SMW), including lesbians and bisexuals, are at particularly high risk, with up to 4.8 times increased odds of cigarette smoking than heterosexual women; up to 660,000 young adult SMW smoke and are at increased risks of smoking-related cancers and cardiopulmonary illnesses. Exposure to tobacco industry marketing, minority stressors, alcohol and drug use and social determinants are key factors linked to increased smoking behavior in this population. Anti-smoking campaigns utilized inoculation messages (analogous to vaccines) and culturally-tailoring (i.e., LGBT imagery, symbols, and language) to promote resilience against tobacco marketing influences among LGBT audiences. However, the effects of culturally tailored inoculation approaches in young adult SMW have not yet been examined. Our long-term goal is to eliminate smoking-related health disparities among LGBTQ populations. The objectives of this study are to determine the effects of using a culturally-tailored inoculation approach to increase resilience to tobacco marketing influences among young adult SMW and obtain stakeholders’ critical inputs that support later adoption and implementation. These objectives are directly responsive to the priorities of PAR-18-559 for behavioral research in cancer prevention and control, development and testing of interventions addressing tobacco use, and communication aimed at altering tobacco use. Our central hypothesis is that culturally tailored inoculation messages will be more effective versus non-tailored messages to increase resilience to tobacco marketing. The scientific premise for this work is supported by 1) campaigns promoting resilience against tobacco companies and smoking among LGBTQ audiences, 2) our pilot study showing young adult SMW perceive higher relevance, favorable attitudes, and positive emotions toward LGBTQ imagery compared to control imagery, and 3) an integrative conceptual framework informed by communication science, minority stress and resilience framework among SMW. Our specific aims are: 1) Engage with key stakeholders to optimize message construction and collect pilot data to inform future intervention design, 2) Evaluate the effects of culturally tailored anti-smoking messages on young adult SMWs’ smoking and quitting intentions, and 3) Evaluate the effects of inoculation message type, dose, and latency on young adult SMWs’ resilience to tobacco marketing, smoking and quitting intentions. We will conduct twice-yearly meetings, rapid cycle feedback, field pilot testing, and key informant interviews with an Expert Advisory Committee comprising LGBT organization leaders, investigators in sexual and gender minority health, community members, and national agencies (NCI, CDC, and FDA); message development and testing using qualitative research methods; and randomized survey experiments. Impact: Findings from this study will provide the foundation to develop an evidence-based and culturally tailored inoculation approach to increase resilience to tobacco marketing among young adult SMW and that addresses the needs of future adopters and implementers.

年轻的性少数女性（SMW），包括女同性恋和双性恋者，吸烟的风险特别高，吸烟的几率是异性恋女性的 4.8 倍；多达 660,000 名中低收入青年吸烟，患与吸烟相关的癌症和心肺疾病的风险增加。接触烟草业营销、少数族裔压力源、酗酒和吸毒以及社会决定因素是导致该人群吸烟行为增加的关键因素。反吸烟运动利用接种信息（类似于疫苗）和文化定制（即 LGBT 图像、符号和语言）来提高 LGBT 受众抵御烟草营销影响的能力。然而，针对年轻成年 SMW 的文化定制接种方法的效果尚未得到检验。我们的长期目标是消除 LGBTQ 人群中与吸烟相关的健康差异。本研究的目的是确定使用针对文化的接种方法来提高年轻成年 SMW 对烟草营销影响的抵御能力的效果，并获得利益相关者支持以后采用和实施的关键投入。这些目标直接响应 PAR-18-559 的优先事项，即癌症预防和控制的行为研究、针对烟草使用的干预措施的开发和测试以及旨在改变烟草使用的沟通。我们的中心假设是，与非定制信息相比，根据文化定制的接种信息将更有效地提高烟草营销的弹性。这项工作的科学前提得到以下因素的支持：1) 提高 LGBTQ 受众对烟草公司和吸烟的抵御能力的运动，2) 我们的试点研究显示，与对照图像相比，年轻的成年 SMW 对 LGBTQ 图像感知到更高的相关性、良好态度和积极情绪，以及 3) 由传播科学、少数民族压力和 SMW 中的复原力框架提供的综合概念框架。我们的具体目标是：1) 与主要利益相关者合作，优化信息构建并收集试点数据，为未来的干预设计提供信息；2) 评估文化定制的反吸烟信息对年轻成年 SMW 吸烟和戒烟意图的影响；以及 3) 评估接种信息类型、剂量和潜伏期对年轻 SMW 抵御烟草营销、吸烟和戒烟意图的影响。我们将每年举行两次会议、快速循环反馈、现场试点测试以及与专家咨询委员会的关键知情人访谈，该专家咨询委员会由 LGBT 组织领导人、性少数群体健康调查员、社区成员和国家机构（NCI、CDC 和 FDA）组成；使用定性研究方法进行消息开发和测试；和随机调查实验。影响：这项研究的结果将为开发基于证据和文化定制的接种方法奠定基础，以提高年轻成年 SMW 对烟草营销的适应能力，并满足未来采用者和实施者的需求。