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.

年轻的成年性少数民族妇女（SMW），包括女同性恋和双性恋者，尤其高的风险，吸烟的几率高达4.8倍。多达660,000名年轻的成年SMW烟雾，并且有与吸烟有关的癌症和心肺疾病的风险增加。接触烟草行业营销，少数群体压力源，酒精和吸毒和社会决定者是与该人群中吸烟行为增加有关的关键因素。反吸烟的运动利用接种消息（类似于疫苗）和文化销售（即LGBT图像，符号和语言）来促进LGBT受众中烟草营销影响的弹性。但是，尚未检查成人SMW的文化量身定制接种方法的影响。我们的长期目标是消除LGBTQ人群中与吸烟有关的健康差异。这项研究的目标是确定使用文化定制的接种方法来提高对烟草营销影响的年轻成人SMW的韧性，并获得利益相关者的关键投入，以支持后来的采用和实施。这些目标直接响应PAR-18-559的优先级，用于预防癌症的癌症预防和控制，开发和测试解决烟草使用的干预措施以及旨在改变烟草使用的交流。我们的核心假设是，根据文化量身定制的接种消息将更有效，而不是量身定制的消息，以提高对烟草营销的弹性。 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 attendees, and positive emotions towards LGBTQ imagery compared to control imagery, and 3) an integrated 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 quieting intentions, and 3) Evaluate the effects of inoculation message type, dose, and latency on young adult SMWs’ resilience to tobacco marketing, smoking and quiet intentions.我们将每年举行两次会议，快速周期的反馈，现场试点测试以及与专家咨询委员会完成LGBT组织领导者，性和性别少数民族健康研究人员，社区成员和国家机构（NCI，CDC和FDA）的主要知情人访谈；使用定性研究方法的消息开发和测试；和随机调查实验。影响：这项研究的结果将为开发一种基于证据和文化量身定制的接种方法的基础，以提高年轻成人SMW中烟草营销的韧性，并满足未来采用者和实施者的需求。