The Unvarnished Truth: Pursuing Health Equity by Correcting Disinformation Targeting African Americans about the FDA's Proposed Ban on Menthol Cigarettes and Flavored Cigars

项目摘要 2022年4月，美国食品和药物管理局(FDA)宣布了一项禁止薄荷醇香烟的提议 所有雪茄特有的味道。非裔美国人的薄荷醇香烟和调味雪茄的比例很高 使用，这可能导致他们对与烟草有关的健康状况的不成比例的体验。在……里面 作为对FDA声明的回应，烟草行业及其消息来源在#年发布了虚假信息 非洲裔美国人社区对使用烟草的刑事化和警察歧视增加的关注 当规则被执行时，产品。尽管FDA已经声明，它不能也不会强制采取行动 针对个人消费者拥有或使用薄荷醇香烟或调味雪茄，虚假信息 香料禁令及其有害影响继续在非裔美国人社区中传播。建议数 这项研究旨在开发和评估多级别反虚假信息(ADM)的有效性，以 中断传播并减轻关于FDA拟议的禁令的虚假信息的有害影响 薄荷醇香烟和调味雪茄。在目标1中，我们将采用基于社区的参与性研究 发展和参与参与共同决策的专家咨询委员会(EAB)的方法 并提供他们对所有学习活动的看法。在目标2中，我们将对a)进行形成性研究 描述烟草行业及其经营者对预期味道后果的言辞 BAN和b)引出AA/BS对预期的风味禁令的知识和看法。AIM 2的数据将告知 描述行为和环境风险的干预映射(IM)逻辑模型的发展 受访者对风味禁忌接受度的影响因素和决定因素。在目标3中，我们将使用IM过程来开发， 在AA/B学员中预先测试和提炼个人和社区层面的ADM和创造性概念。 最后，在目标4中，我们将进行随机治疗和对照评价设计，以检验其有效性 我们以个人和社区为基础的ADM运动，关于AA/BS对香料禁令的接受度和反 行业信念。从这项研究中获得的知识将通知FDA的烟草产品中心 通信办公室与州和地方公共卫生部门就突出信息向 向AA/B和其他易受伤害人群传达关于香料禁令的信息。

PROJECT ABSTRACT In April 2022, the U.S. Food and Drug Administration (FDA) announced a proposed ban on menthol cigarettes and all characterizing flavors in cigars. African Americans have high rates of menthol cigarette and flavored cigar use, which likely contributes to their disproportionate experience of tobacco-related health conditions. In response to the FDA’s announcement, the tobacco industry and its sources promulgated disinformation in African American communities about the increased criminalization and police discrimination for using tobacco products when the rules are enforced. Although the FDA has stated that it cannot and will not enforce actions against individual consumers for possessing or using menthol cigarettes or flavored cigars, disinformation about the flavor ban and its harmful impacts continues spreading among African American communities. The proposed study seeks to develop and evaluate the effectiveness of multi-level, anti-disinformation messages (ADM) to disrupt the spread and mitigate the detrimental effects of disinformation about the FDA’s proposed ban on menthol cigarettes and flavored cigars. In Aim 1, we will employ community-based participatory research methods to develop and engage with an Expert Advisory Board (EAB) that will engage in shared decision-making and provide their perspectives on all study activities. In Aim 2, we will conduct formative research to a) characterize the tobacco industry and its operatives’ rhetoric about the consequences of the anticipated flavor ban and b) elicit AA/Bs’ knowledge and perceptions about the anticipated flavor ban. Aim 2 data will inform the development of the Intervention Mapping (IM) logic models that depict the behavioral and environmental risk factors and determinants of respondents’ flavor ban receptivity. In Aim 3, we will use of IM process to develop, pre-test, and refine the individual and community-level ADM and creative concepts among AA/B participants. Finally, in Aim 4, we will conduct a randomized treatment and control evaluation design to test the effectiveness of our individual and community-based ADM campaign on AA/Bs’ receptivity to the flavor ban and counter- industry beliefs. Knowledge gained from this study will inform the FDA’s Center for Tobacco Products Communication Office and state and local public health departments regarding salient messages to communicate about the flavor ban to AA/B and other vulnerable populations.