E-Cigarette Vaping in Advertising Portrayals and Behavioral Outcomes Research (E-VAPOR Study)

项目摘要 在电视电子烟广告中描绘vaping，目前不受监管并广泛传播， 对年轻成年吸烟者使用传统香烟产生负面影响，引发吸烟欲望，等等 强烈的吸烟行为。人们对接触电子烟图像之间的因果关系知之甚少 在电子烟广告中，敦促人们吸传统香烟，并客观地衡量传统香烟 吸烟强度这种知识的缺乏阻碍了保护年轻人的努力，年轻人的死亡率最高。 香烟和电子烟双重使用的流行率（目前吸烟者也使用电子烟）， 电子烟广告的主要目标。我们的长期目标是制定更有效的战略， 在吸烟率最高的年轻人中吸烟。这项研究的目的是， 是实现这一目标的下一步，是确定烟草广告中影响年轻人的关键因素， 吸烟，以便为有针对性的干预措施提供信息。我们的中心假设是，电子烟描绘有类似的 作为吸烟线索对吸烟冲动的影响，并可促进年轻人更密集的吸烟 吸烟者。我们对这一假设的基本原理是基于线索反应研究和理论。为了验证这一 假设，我们将在年轻的成年双重用户中进行随机对照实验（当前 吸烟者也是vape）年龄在21-30岁之间。参与者将被随机分配到3个视频条件之一 查看：1）包含vaping描绘的电子烟广告，2）控制编辑以删除vaping的电子烟广告 肖像，或3）控制中性视频。我们的具体目标是证明vaping之间的因果关系 电子烟广告中的描绘和双重使用者吸烟欲望的主观测量（QSU简介）（目标1） 并证明电子烟广告中的vaping描绘与 吸烟强度的基础上膨化地形措施（目标2）。该研究具有创新性 因为这将是第一个应用随机对照实验直接观察吸烟行为的实验， 在电子烟线索反应性研究范式中，这本身就是一个新兴的调查领域。本研究是 重要的是，它将提供第一个因果证据，以检查电子邮件中的特定内容是否 香烟广告直接增加了年轻人的吸烟行为，这解决了一个优先研究的问题。 美国国立卫生研究院-FDA烟草监管科学计划（烟草营销的影响）的兴趣。影响：The 这项研究的成功完成将提供证据，以确定是否vaping描绘电子烟 广告在年轻人中宣传吸烟。这些证据将支持开发和实施 政策干预，包括广告限制，以及反吸烟健康宣传 这些活动将减轻电子烟广告对公众健康的危害。

PROJECT SUMMARY Portrayals of vaping in televised e-cigarettes ads, which are currently unregulated and broadcast widely, could adversely impact young adult smokers’ use of conventional cigarettes by triggering urges to smoke, and more intensive smoking behaviors. There is little known about the causal links between exposure to vaping images in e-cigarette ads, urge to smoke a conventional cigarette, and objective measures of conventional cigarette smoking intensity. This lack of knowledge impedes efforts to protect young adults, who have the highest prevalence of dual-use of cigarettes and e-cigarettes (current smokers who also use e-cigarettes) and are the primary target of e-cigarette advertising. Our long-term goal is to generate more effective strategies to reduce smoking among young adults who have the highest prevalence of smoking. The objective of this study, which is the next step toward this goal, is to identify key factors within tobacco advertising that influence young adult smoking in order to inform targeted interventions. Our central hypothesis is that vaping portrayals have similar effects as smoking cues on urge to smoke and can promote more intensive smoking among young adult smokers. Our rationale for this hypothesis is based on cue reactivity research and theory. To test this hypothesis, we will conduct a randomized controlled experiment among young adult dual-users (current smokers who also vape) aged 21-30 years. Participants will be randomly assigned to one of 3 video conditions to view: 1) e-cigarette ads containing vaping portrayals, 2) control e-cigarette ads edited to remove vaping portrayals, or 3) control neutral videos. Our specific aims are to demonstrate the causal link between vaping portrayals in e-cigarette ads and subjective measures of urge to smoke among dual-users (QSU-brief) (Aim 1) and demonstrate the causal link between vaping portrayals in e-cigarette ads and objective measures of smoking intensity based on puffing topography measures (Aim 2). The proposed research is innovative because it will be the first to apply a randomized controlled experiment to directly observe smoking behavior within the e-cigarette cue reactivity research paradigm, itself a newly emerging area of inquiry. This research is significant because it will provide the first causal evidence to examine whether specific content within e- cigarette ads directly increases smoking behavior among young adults, which addresses a priority research interest of the NIH-FDA Tobacco Regulatory Science Program (the impact of tobacco marketing). Impact: The successful completion of this study will provide evidence to determine whether vaping portrayals in e-cigarette ads promote smoking among young adults. This evidence will support the development and implementation of policy interventions, including advertising restrictions, as well as anti-smoking health communication campaigns that would mitigate harm to public health from e-cigarette ads.