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

赤裸裸的真相：通过纠正针对非裔美国人的关于 FDA 提议禁止薄荷卷烟和调味雪茄的虚假信息来追求健康公平

• 批准号: 10740281
• 负责人: Kymberle L Sterling
• 金额: $ 66.67万
• 依托单位: RUTGERS BIOMEDICAL AND HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-19 至 2028-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10740281
• 关键词: Address; Adult; African American; African American population; Age; American; Area; Attitude; Awareness; Behavior; Behavioral; Belief; Black Bear; Black Populations; Cessation of life; Cigar; Cigarette; Cities; Communication; Communication Research; Communities; Creativeness; Criminal Justice; Data; Decision Making; Development; Discrimination; Effectiveness; Electronic Mail; Enrollment; Environmental Risk Factor; Evaluation; Event; Flavoring; Focus Groups; Future; Government; Health; Heart Diseases; Individual; Industry; Intention; Intervention; Interview; Knowledge; Lobbying; Logic; Malignant Neoplasms; Marketing; Menthol; Methodology; Misinformation; Modeling; Movement; Neighborhoods; Participant; Perception; Planning Theory; Police; Politics; Privatization; Process; Protocols documentation; Public Health; Publishing; Randomized; Recording of previous events; Research; Research Methodology; Respondent; Risk Factors; Role; Sales; Sampling; Science; Scientist; Smoker; Smoking; Source; Structural Racism; Surveys; System; Testing; Tobacco; Tobacco Industry; Tobacco use; Trust; United States Food and Drug Administration; Vulnerable Populations; Work; Youth; cigarillos; community based participatory research; design; disinformation; distrust; effectiveness evaluation; effectiveness testing; efficacy testing; evidence base; experience; health disparity; health equity; informant; innovation; intervention mapping; member; news; peer; psychosocial; public policy on tobacco; research study; response; shared decision making; theories; therapy design; therapy development; tobacco advertising; tobacco flavor; tobacco products; trial design

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.

项目摘要 2022年4月，美国食品和药物管理局（FDA）宣布了对薄荷香烟的拟议禁令 以及雪茄的所有特征性口味。非裔美国人有很高的比率薄荷香烟和调味雪茄 这可能导致他们患上与烟草有关的健康状况的比例过高。在 作为对FDA声明的回应，烟草业及其消息来源在 非裔美国人社区对使用烟草的刑事定罪和警察歧视增加表示担忧 当规则被执行时，产品。尽管FDA已经声明它不能也不会强制执行行动 针对个人消费者拥有或使用薄荷香烟或调味雪茄， 风味禁令及其有害影响继续在非裔美国人社区中蔓延。拟议 一项研究旨在开发和评估多层次的反虚假信息信息（ADM）的有效性， 扰乱传播，减轻有关FDA拟议禁令的虚假信息的有害影响， 薄荷香烟和调味雪茄。在目标1中，我们将采用以社区为基础的参与性研究 制定并与专家咨询委员会（EAB）合作的方法，该委员会将参与共同决策 并提供他们对所有研究活动的看法。在目标2中，我们将进行形成性研究，以a） 描述烟草业及其操作人员关于预期味道后果的言论 禁令和B）引出AA/B关于预期的风味禁令的知识和感知。目标2数据将告知 开发描述行为和环境风险的干预映射（IM）逻辑模型 受访者的口味禁令接受的因素和决定因素。在目标3中，我们将使用IM过程来开发， 预测试，并在AA/B参与者中完善个人和社区层面的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估设计，以测试有效性 我们的个人和社区为基础的ADM运动对AA/B的接受口味禁令和反- 行业信仰。从这项研究中获得的知识将告知FDA的烟草产品中心 通讯办公室和州和地方公共卫生部门关于突出的信息， 向AA/B和其他弱势群体传达风味禁令。