Electronic Nicotine Delivery Systems (ENDS) Use and Access in Florida's Tobacco Regulatory Environment

项目摘要 虽然随着时间的推移，美国年轻人中吸烟和无烟烟草的使用量有所下降，但使用 年轻人中的电子烟--或称电子烟--大幅增加。最近与蒸发相关的急性 肺损伤和死亡以及首个将蒸气与癌症联系起来的动物研究突显了 对年轻人中电子烟的使用作出回应。 在目标1中，该项目将评估烟草/电子烟的空间密度和邻近程度之间的关系。 在佛罗里达州，学校周围的零售商和县级青年电子烟的使用和营销风险，总体和 按县一级的社会人口特征和种族/族裔隔离分类。在目标2中，它将定性地 探索年轻人在哪里、如何、为什么以及从谁那里获得电子烟、与烟草/电子烟的互动 零售商、接触电子烟营销和联合使用物质，以及这些因素是否不同 利用参与性地图和焦点小组研究社区的社会人口学特征。最后， 在目标3中，我将利用佛罗里达州三个县的烟草监管自然实验来评估 T21+TRL在减少青少年终端使用和营销风险方面是否比单独使用T21更有效 准实验方法--比较间断时间序列和差异性分析。 本文作者是西尔维斯特大学杰伊·韦斯健康公平研究所的助理科学家 迈阿密大学米勒医学院的综合癌症中心。作为一名黑人女性 在黑人女性代表不足的学术界，贝利博士寻找K01指导的研究科学家 发展奖，以促进多样性，以获得技能、经验和初步数据 在转化性癌症差异研究中独立的、以政策为重点的研究计划。贝利医生会 将她在社会流行病学和吸烟行为方面的背景与方法和理论相结合 捕捉烟草管制的社会生态复杂性及其对社区的潜在影响。 为了实现这一目标，贝利博士建议通过使用准 实验设计、地理信息系统和通过导师参与的研究， 课程作业、工作坊/研讨会和科学会议。她的职业发展目标包括(1) 获得用于政策分析的准实验设计培训，(2)提高我的评估专业知识 地方、州和联邦烟草政策和法规，(3)接受与政策有关的正式培训 地理信息系统(地理信息系统)和空间计量经济学，以及(4)开展关于 定性的、参与性的方法。 这项研究将为以烟草法规为导向的研究项目奠定基础，该项目将混合 政策分析方法，以指导将注重差异的研究转化为以证据为基础的政策。

PROJECT ABSTRACT While cigarette smoking and smokeless tobacco use has declined among American youth over time, use of electronic cigarettes – or vaping – among youth has increased tremendously. The recent vaping-related acute lung injuries and deaths as well as the first animal studies linking vaping to cancer have highlighted the need to respond to e-cigarette use among youth. In Aim 1, the project will assess the relationship between spatial density and proximity of tobacco/e-cigarette retailers around schools and county-level youth e-cigarette use and marketing exposure in Florida, overall and by county-level sociodemographic characteristics and racial/ethnic segregation. In Aim 2, it will qualitatively explore where, how, why, and from whom youth access e-cigarettes, interactions with tobacco/e-cigarette retailers, exposure to e-cigarette marketing, and combined substance use, as well as whether these factors differ across neighborhood sociodemographic characteristics using participatory mapping and focus groups. Finally, in Aim 3, I will leverage a natural experiment in tobacco regulation across three Florida counties to assess whether T21+TRL is more effective in reducing youth ENDS use and marketing exposure than T21 alone using quasi-experimental methods – comparative interrupted time series and difference-in-differences analysis. Dr. Zinzi Bailey is an Assistant Scientist in the Jay Weiss Institute for Health Equity at the Sylvester Comprehensive Cancer Center at the University of Miami Miller School of Medicine. As a Black woman in academia where Black women are underrepresented, Dr. Bailey seeks a K01 Mentored Research Scientist Development Award to Promote Diversity to gain the skills, experience, and preliminary data needed for an independent, policy-focused research program in translational cancer disparities research. Dr. Bailey will integrate her background in social epidemiology and tobacco smoking behavior with methods and theories that capture the socio-ecological complexity of tobacco regulation and its potential impact across communities. To achieve this goal, Dr. Bailey proposes to gain the training and experience in policy analysis using quasi- experimental designs, geographic information systems, and participatory research through mentorship, coursework, workshops/seminars, and scientific meetings. Her career development objectives include (1) obtaining training in quasi-experimental designs for policy analysis, (2) advancing my expertise in assessing local, state, and federal tobacco policies and regulations, (3) receiving formal policy-relevant training in geographic information systems (GIS) and spatial econometrics, and (4) developing methodological training on qualitative, participatory methods. This study will lay the groundwork for a tobacco regulation-oriented research program that blends multiple methods of policy analysis to guide the translation of disparities-focused research to evidence-based policy.