AppalTRuST Project 2: Exposure to tobacco marketing for novel tobacco products and associations with future tobacco use in Appalachian young adults: tobacco regulatory science implications

AppalTrust 项目 2：接触新型烟草产品的烟草营销以及与阿巴拉契亚年轻人未来烟草使用的关联：烟草监管科学影响

• 批准号: 10665321
• 负责人: Shyanika W Rose
• 金额: $ 67.76万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2028-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10665321
• 关键词: Adult; Advertising; Affect; Age; Appalachian Region; Area; Attitude; Authorization documentation; Baseline Surveys; Behavior; Cancer Burden; Catchment Area; Censuses; Cigar; Cigarette; Cities; Communities; County; Data; Disparity; Ecological momentary assessment; Electronic cigarette; Environment; Epidemic; Equity; Exposure to; Frequencies; Future; Geography; Goals; Individual; Industry; Influentials; Kentucky; Learning; Link; Marketing; Menthol; Modified Risk Tobacco Product; Nicotine; Outcome; Participant; Patient Self-Report; Pattern; Perception; Persuasive Communication; Policies; Population; Population Density; Predisposition; Prevalence; Price; Regulation; Reporting; Research; Risk; Rural; Rural Appalachia; Rural Community; Rural Population; Sampling; Smokeless Tobacco; Smoking; Source; Time; Time trend; Tobacco; Tobacco use; United States Food and Drug Administration; Work; age group; authority; cancer health disparity; density; digital; economic disparity; electronic liquid; evidence base; experience; federal policy; follow-up; geographic disparity; health disparity; innovation; low nicotine content cigarette; novel; peri-urban; public policy on tobacco; reduce tobacco use; response; rural area; rural counties; rural disparities; rurality; smoking cessation; social media; socioeconomic disadvantage; theories; tobacco advertising; tobacco exposure; tobacco flavor; tobacco products; tobacco regulation; tobacco regulatory science; tobacco user; urban area; web site; young adult

ABSTRACT – Project 2 Federal tobacco regulatory policies enacted by the US Food and Drug Administration (FDA) are critical to curb the tobacco epidemic in rural Appalachia and reduce cancer burden. Kentucky (KY) is 50th in the nation for adult smoking rates with 21.4% of KY adults smoking cigarettes, a rate not seen nationally in 20 years. Kentucky also has wide geographic disparities between rural and urban residents particularly in Appalachian KY, an economically disadvantaged part of the state. In this context, Federal policies can be particularly influential in areas with weak tobacco control policies and high rates of tobacco use. In particular, (1) the introduction of novel non-combustible products, (2) product standards on flavored cigars/menthol cigarettes and (3) lowering nicotine in cigarettes have great potential to shift the tobacco marketplace, moving rural Appalachian residents to quit smoking, switch to potentially less harmful products, or never initiate tobacco use at all. Project 2 seeks to expand the evidence base about the extent to which marketing exposure, tobacco use behaviors, and attitude towards tobacco products differ across rural communities and the extent to which regulatory actions by the FDA can potentially reduce use of tobacco among young adults in these areas. Additionally, few studies examine how the retail environment, novel products, and potential policies could interact to reduce tobacco-related health disparities among young adult populations by rurality. Tobacco retailer density is higher in rural areas by population but little is known about how retailers’ market in stores in this region. The purpose of the study is to examine how marketing and product availability of such novel tobacco products may change over time and how these patterns may influence tobacco use attitudes and patterns in rural communities, providing guidance on future policy targets. To accomplish the study purpose, we will conduct several aims. (1) We will assess marketing trends over time in retail store and digital audits (store websites and social media) in tobacco retailers in 2 rural catchment areas of KY. (2) We will compare marketing exposure to and appeal and harm perceptions of novel products in young adults through ecological momentary assessment (EMA), evaluating differences by rurality at the individual and census tract level. (3) Finally, among EMA participants, we will assess the predictive validity of exposure to novel product marketing exposure on use of tobacco at 6-month and 12-month follow-up, and evaluate whether these outcomes are associated with rurality. For all of these activities, we will partner closely with the AppalTRUST team, cores, and local community advisory boards to disseminate lessons learned to communities about industry actions and potential regulatory policies. Achieving the aims of this Project will expand the evidence base of the potential impacts of FDA policies on reducing tobacco use and potential geographic equity impact of these policies to reduce tobacco, and ultimately cancer disparities.

摘要-项目2 美国食品和药物管理局（FDA）制定的联邦烟草监管政策对遏制 阿巴拉契亚农村地区的烟草流行和减少癌症负担。肯塔基州（KY）在全国排名第50位， 21.4%的肯塔基州成年人吸烟，这是20年来全国范围内未见的。 肯塔基州也有广泛的农村和城市居民之间的地理差距，特别是在阿巴拉契亚 肯塔基州是该州经济上处于不利地位的地区。在这种情况下，联邦政策可能特别 在烟草控制政策薄弱和烟草使用率高的地区，具体而言，（1） 引进新型不燃产品，（2）加香雪茄/薄荷烟产品标准 降低香烟中的尼古丁含量有很大的潜力改变烟草市场， 阿巴拉契亚居民戒烟，改用潜在危害较小的产品，或从不开始使用烟草 根本项目2旨在扩大证据基础，说明营销暴露、烟草使用 行为和对烟草产品的态度在农村社区各不相同， FDA的监管行动可能会减少这些地区年轻人的烟草使用。 此外，很少有研究探讨零售环境，新产品和潜在的政策如何 相互作用，以减少农村年轻成年人与烟草有关的健康差距。烟草 按人口计算，农村地区的零售商密度较高，但人们对零售商在农村地区的商店销售情况知之甚少。 这一区域本研究的目的是探讨如何营销和产品的可用性，这样的小说 烟草制品可能会随着时间的推移而改变，以及这些模式如何影响烟草使用态度， 农村社区的模式，为未来的政策目标提供指导。为达到研究目的， 我们将实现几个目标。(1)我们将在零售店和数字审计中评估随着时间推移的营销趋势 （商店网站和社交媒体）在肯塔基州2个农村集水区的烟草零售商中。(2)我们将比较 营销接触和吸引力和伤害观念的新产品在年轻的成年人通过生态 瞬时评估（EMA），评估个人和人口普查区层面的乡村差异。（三） 最后，在EMA参与者中，我们将评估新产品营销暴露的预测有效性 6个月和12个月随访时的烟草使用暴露，并评估这些结果是否 与农村有关。对于所有这些活动，我们将与AppalTRUST团队，核心， 和地方社区咨询委员会，向社区传播有关工业行动的经验教训 潜在的监管政策。实现本项目的目标将扩大 FDA政策对减少烟草使用的潜在影响以及这些政策对地理公平的潜在影响 减少烟草的政策，最终减少癌症的差异。