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: 10238178
• 负责人: Andy SL Tan
• 金额: $ 73.92万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 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 2024-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10238178
• 关键词: Address; Adoption; Advisory Committees; Alcohol consumption; Ally; Antismoking; Attitude; Belief; Bisexual; 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; Marketing; Methods; Minority; Minority Groups; Modeling; Peat; Pilot Projects; Population; Public Health; Qualitative Research; Randomized; Research; Research Methodology; Research Personnel; Resistance; Risk; Risk Behaviors; Science; Sexual and Gender Minorities; Smoke; Smoker; Smoking; Smoking Behavior; Stress; Surveys; Testing; Time; Tobacco Industry; Tobacco smoking behavior; Vaccines; Victimization; Woman; Work; cigarette smoking; cisgender; evidence base; experimental study; health disparity; high risk; informant; meetings; member; minority health; non-smoker; positive emotional state; resilience; sexual minority; smoking-related cancer; social; social determinants; stress resilience; stressor; therapy design; tobacco advertising; tobacco exposure; young adult

PROJECT SUMMARY. 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 LGBT 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. Our central hypothesis is that culturally tailored inoculation messages addressing unique perspectives of young adult SMW will be more effective versus non-tailored messages to increase resilience to tobacco marketing. The scientific premise is supported by 1) campaigns promoting resilience against tobacco companies and smoking among LGBT audiences, 2) our pilot study showing young adult SMW perceive higher relevance, favorable attitudes, and positive emotions toward LGBT imagery compared to control imagery, and 3) an integrative conceptual framework informed by communication science, the minority stress framework, and the socioecological model of resilience factors 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 SMW's smoking and quitting intentions, and 3) Evaluate the effects of inoculation message type, dose, and latency on young adult SMW's resilience to tobacco marketing, smoking and quitting intentions. We will conduct twice-yearly meetings, rapid cycle feedback, 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. The study methods and findings will further inform research on counter-marketing interventions to reduce smoking-related health disparities among all sexual and gender minority populations.

项目摘要。年轻的成年性少数民族妇女（SMW），包括女同性恋和双性恋，在 特别是高风险，吸烟的几率是异性恋女性的4.8倍；到 660,000名成人SMW烟雾，并且有与吸烟有关的癌症和心肺的风险增加 疾病。接触烟草行业营销，少数压力源，酒精和吸毒以及社会 决定因素是与该人群中吸烟行为增加有关的关键因素。反吸烟运动 利用接种消息（类似于疫苗）和文化销售（即LGBT图像，符号， 语言），以促进对LGBT受众群体烟草营销影响的弹性。然而， 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LGBT人群中与吸烟有关的健康差异。目标的目标 这项研究是为了确定使用文化定制的接种方法来提高弹性的影响 烟草营销影响年轻成人SMW的影响，并获得利益相关者的关键投入来支持 后来采用和实施。我们的核心假设是根据文化量身定制的接种消息 解决年轻成人SMW的独特观点将更有效，而不是未限制的消息 提高对烟草营销的弹性。科学前提得到1）促进运动的支持 针对烟草公司和LGBT观众中吸烟的韧性，2）我们的试点研究表明年轻 成人SMW感知到更高的相关性，有利的态度和对LGBT图像的积极情绪 与控制图像相比，以及3）通信科学告知的一个综合概念框架， SMW中的少数压力框架以及弹性因素的社会生态模型。我们的具体 目的是：1）与主要利益相关者互动以优化消息构建并收集飞行员数据以告知 未来的干预设计，2）评估文化量身定制的反吸烟信息对年轻人的影响 SMW的吸烟和退出意图，以及3）评估接种消息类型，剂量和 年轻成人SMW对烟草营销，吸烟和戒烟意图的韧性的延迟。我们将 与专家咨询 由LGBT组织领导人，性别和性别少数民族健康的研究人员组成的委员会， 社区成员和国家机构（NCI，CDC和FDA）；使用消息开发和测试 定性研究方法；和随机调查实验。影响：这项研究的发现将 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增加 年轻成人SMW中对烟草营销的韧性，这解决了未来采用者和 实施者。研究方法和发现将进一步告知有关反营销干预措施的研究 为了减少与吸烟相关的健康差异，在所有性别少数人群中。