Examining transitions between cigarettes and other nicotine delivery products among adults in countries with different regulatory environments: the ITC Nicotine Product Adult Survey

检查不同监管环境国家的成年人中卷烟和其他尼古丁输送产品之间的转变：ITC 尼古丁产品成人调查

• 批准号: 10693253
• 负责人: GEOFFREY T FONG
• 金额: $ 61.67万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-04-19 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10693253
• 关键词: Address; Adult; Affect; Age; Alternative Nicotine Delivery Systems; Applications Grants; Articulation; Australia; COVID-19 pandemic; Canada; Cannabis; Characteristics; Cigarette; Cigarette Smoker; Cohort Studies; Consumption; Country; Data; Electronic cigarette; England; Environment; Environmental Risk Factor; Evaluation; Foundations; Funding; Funding Agency; Future; Gender; Government; Grant; Heart; Income; Industry; Integration Host Factors; International; Japan; Longitudinal Studies; Manufacturer; Marketing; Measures; Methods; Modeling; New Zealand; Nicotine; Nicotine Dependence; Pattern; Policies; Policy Analysis; Policy Maker; Population; Population Assessment of Tobacco and Health; Population Group; Public Health; Quasi-experiment; Relapse; Research; Research Project Grants; Sampling; Science; Smoker; Smoking; South Korea; Surveys; System; Taxes; Time; Tobacco Industry; Tobacco use; United States; Work; Youth; age group; aged; analytical method; cigarette smoking; cohort; design; electronic liquid; experience; former smoker; health warning; heated tobacco products; innovation; nicotine use; nicotine vapor; programs; public policy on tobacco; sex; smoking cessation; symposium; tobacco control; tobacco products; vaper; vaping; vaping nicotine; vector; young adult

SUMMARY/ABSTRACT The current P01 grant supported the creation of the International Tobacco Control Policy Evaluation (ITC) Project Four Country Smoking and Vaping Survey, the first international cohort study of smoking and nicotine vaping product (NVP) use, which was conducted in three countries supported by the P01 grant (United States [US], Canada, England, plus Australia, which was supported by other funding). Three waves were conducted, an average of 19 months apart, in 2016, 2018, and 2020. In this renewal application, we build on that work by matching the extraordinary international expansion of the nicotine marketplace by adding a focus on heated tobacco products (HTPs) in addition to cigarettes and NVPs. We propose to continue the adult cohort survey in US (n=2,150), Canada (n=2,150), and England (n=2,300) for 3 additional waves, 19 months apart, over the next 5 years, with a substantial expansion by adding adult cohort surveys from 4 other ITC countries, which are being supported by funding sources outside this proposed grant: Japan (n=4,500) and the Republic of Korea (n=4,700), countries that are the epicenter of the tobacco industry's introduction of HTPs; New Zealand (n=1,600), which has incorporated NVPs into their “endgame” strategy; and Australia, which continues its more restrictive approach to these Alternative Nicotine Delivery Systems (ANDS) (n=1,500; grant application pending). The resulting 7-country ITC Nicotine Product Adult (NPA) Survey (total n=18,900) will represent an innovative international evaluation system that will allow the research team to conduct a comprehensive research program on the use of nicotine products, and transitions between cigarettes and nicotine products, building on the ITC Project's 18-year global experience in conducting rigorous evaluation of tobacco control policies, employing quasi-experimental analytic methods. The NPA Survey will provide important evidence to advance the science and understanding of nicotine products and policies during the next five years, which is certain to be a period of dynamic change in the nicotine product marketplace. Similar studies in the US such as the Population Assessment Tobacco and Health (PATH) are limited since they do not readily permit cross- country comparisons using harmonized measures as the NPA survey does. This innovative Project has three Specific Aims: 1) to describe patterns use of and transitions of use across different tobacco products among smokers and recent ex-smokers both over time and by key user characteristics within and between countries; 2) to examine how differences in current and future policies (e.g., taxes, flavor bans, product standards, health warnings) for cigarettes, NVPs, and HTPs are related to differences in patterns of use of these products over time; and 3) to examine the relative impact of policies on adults and youth (a Specific Aim shared with Project 2). Two exploratory aims will also be addressed given their likely impact on nicotine product use: (a) to examine how the COVID-19 pandemic is affecting smoking and ANDS use in the 7 countries over time; and (b) to examine the interplay between cannabis and smoking, vaping, and HTP use over time.

总结/摘要 目前的P01赠款支持创建国际烟草控制政策评估（ITC） 项目四国家吸烟和电子烟调查，第一个吸烟和尼古丁的国际队列研究 电子烟产品（NVP）的使用，这是在三个国家进行的P01赠款（美国）的支持下， [US]加拿大、英国和澳大利亚，后者得到了其他资金的支持）。进行了三波， 2016年、2018年和2020年，平均间隔19个月。在此更新应用程序中，我们通过以下方式在此工作的基础上进行扩展 与尼古丁市场的非凡国际扩张相匹配， 烟草制品（HTPs），除了香烟和NVP。我们建议在一九九九年继续进行成人群组调查。 美国（n= 2，150）、加拿大（n= 2，150）和英国（n= 2，300），3次额外波，间隔19个月， 未来5年，通过增加来自其他4个ITC国家的成人队列调查， 由本拟议赠款以外的资金来源支持：日本（n= 4，500）和大韩民国 （n= 4，700），烟草业采用有害传统做法的中心国家;新西兰 （n= 1，600），已将NVP纳入其“残局”战略;澳大利亚继续其 对这些替代尼古丁给药系统（ANDS）采取更严格的方法（n= 1，500;资助申请 待定）。由此产生的7国ITC尼古丁产品成人（NPA）调查（总计n= 18，900）将代表 一个创新的国际评估系统，将允许研究团队进行全面的 关于尼古丁产品使用的研究计划，以及香烟和尼古丁产品之间的过渡， 在ITC项目18年严格评估烟草控制的全球经验的基础上， 政策，采用准实验分析方法。NPA调查将提供重要证据， 在未来五年内，推进对尼古丁产品和政策的科学和理解， 这肯定是尼古丁产品市场动态变化的时期。美国的类似研究， 人口评估烟草与健康（PATH）是有限的，因为它们不容易允许交叉- 与国家行动计划调查一样，使用统一的衡量标准进行国家比较。这个创新项目有三个 具体目标：1）描述不同烟草产品的使用模式和使用过渡， 吸烟者和新近戒烟者，包括在一段时间内以及按国家内和国家间的关键使用者特征分列; 2)研究当前和未来政策的差异（例如，税收，风味禁令，产品标准，健康 警告）与这些产品使用模式的差异有关， 时间;以及3）检查政策对成年人和青年的相对影响（与项目共享的具体目标 2）。鉴于其对尼古丁产品用途：的可能影响，还将讨论两个探索性目的：（a） 研究COVID-19大流行如何随着时间的推移影响7个国家的吸烟和ANDS使用;以及 (b)研究大麻与吸烟，vaping和HTP使用之间的相互作用。