The Impact of Cigarillo Warnings on Purchasing and Smoking Behaviors Among Young Adult Cigarillo Users

项目摘要 使用大麻仍然是一个公共卫生问题，特别是在弱势群体中。年轻人， 包括那些黑人或非裔美国人，雪茄的使用率最高。黑烟 有许多负面的健康影响，与使用其他烟草产品有关，如香烟， 雪茄烟含有许多有毒化学物质。此外，一些年轻人认为小雪茄 它比香烟更有害，更少上瘾，鼓励吸收和继续使用。重大知识差距 存在于我们对如何有效地传达吸烟的风险的理解中，但一个有效的 战略是通过警告标签。在食品和药物管理局的监管下， 美国食品和药物管理局（FDA），和FDA已授权实施六个纯文本警告的小雪茄。 该R 01应用程序将通过以下方式解决文献中关于小雪茄警告有效性的空白： 扩展了我们之前的研究，我们为小雪茄开发了图片警告。的具体目标 建议的研究是：（1）检查图片小雪茄警告政策在年轻成年小雪茄中的影响 使用行为经济学框架研究吸烟者的购买行为;（2）研究 反复接触图片与小雪茄警告对吸烟意图和行为的影响。我们 这项研究的重点是21-34岁的年轻人和黑人/非洲裔美国人经常抽雪茄，因为他们 雪茄的使用率最高我们将首先开发一个在线购物任务，使用实验 烟草市场，并检查不同的小雪茄警告操纵的影响（图片，FDA文本- 只有，外科医生只有文本）对小雪茄购买，小雪茄需求，和其他烟草的替代品 产品.然后，我们将招募另一个年轻的成年人和黑人/非洲裔美国人经常雪茄样本 使用者参加一项为期6周的随机对照试验，在试验中他们将接触到雪茄警告 每周检查警告对吸烟意图和行为的影响。这个目标 研究是为了提高警告标签的有效性，以阻止年轻人使用雪茄， 包括黑人和非裔美国人。这一及时项目的结果可以告知FDA的 制定小雪茄警示规则，从而减少与烟草有关的发病率和死亡率。

Project Summary Cigarillo use remains a public health concern, particularly among vulnerable populations. Young adults, including those who are Black or African American, have the highest rates of cigarillo use. Cigarillo smoking has many negative health effects, is associated with using other tobacco products, such as cigarettes, and cigarillo smoke contains many toxic chemicals. Additionally, some young adults believe cigarillos to be less harmful and less addictive than cigarettes, encouraging uptake and continued use. Significant knowledge gaps exist in our understanding of how to effectively communicate the risks of cigarillo smoking , but one effective strategy is through warning labels. Cigarillos are under the regulatory authority of the Food and Drug Administration (FDA), and the FDA has mandated the implementation of six text-only warnings for cigarillos. This R01 application will address gaps in the literature about the effectiveness of cigarillo warnings by extending our previous research where we developed pictorial warnings for cigarillos. The specific aims of the proposed study are to: (1) Examine the impact of a pictorial cigarillo warning policy among young adult cigarillo smokers’ purchasing behaviors using a behavioral economics framework; and (2) examine the impact of repeated exposure to pictorial versus cigarillo warnings on cigarillo smoking intentions and behaviors. Our study focuses on young adult and Black/African American frequent cigarillo users ages 21-34 because they have the highest rates of cigarillo use. We will first develop an online shopping task using the Experimental Tobacco Marketplace and examine the impact of different cigarillo warning manipulations (pictorial, FDA text- only, Surgeon General text-only) on cigarillo purchasing, cigarillo demand, and substitution of other tobacco products. We will then recruit another sample of young adult and Black/African American frequent cigarillo users to participate in a 6-week randomized control trial where they will be exposed to cigarillo warnings weekly to examine the impact of the warnings on cigarillo smoking intentions and behaviors. The goal of this research is to increase the effectiveness of warning labels to discourage cigarillo use among young adults, including those who are Black or African American. The results of this timely project could inform the FDA’s rulemaking for cigarillo warnings, thereby reducing tobacco-related morbidity and mortality.