Effective Cigarillo Public Education Messaging for Black Young Adults

修改项目摘要/摘要部分 项目摘要 黑人/非洲裔美国人（黑人）年轻人在美国吸烟率最高。 与香烟相比，烟草中含有更多的烟草和每克更高的致癌物质， 与吸烟一样高或超过吸烟的水平。吸雪茄会导致多种癌症， 肺和心血管疾病。预期结果（例如，效用值和预期情绪） 与黑人年轻人抽雪茄有关此外，一些黑人青年人误解了 小雪茄的危害和成瘾性比香烟小，这与小雪茄的使用有关。小雪茄 受食品和药物管理局（FDA）的监管。FDA的定位是告知这一点 向弱势群体宣传小雪茄的健康危害和成瘾可能性。公共教育信息是 一项有效的战略，以提供准确的健康信息和增加伤害的认识，预防和 减少烟草使用，减少与烟草有关的健康差距。然而，没有健康 传播研究，研究黑人年轻人有效的小雪茄公共教育信息， 如何优化这种信息传递。这个K99/R 00职业奖将有助于填补这些差距， 健康传播战略，向18至30岁的黑人年轻人宣传小雪茄的危害。 这项拟议研究的具体目标是：1）开发和试点测试候选雪茄危害信息 在黑人年轻人中，有使用小雪茄的风险; 2）测试小雪茄危害的有效性 信息的伤害感知和使用意图，并探讨其对黑人使用行为的影响 年轻的成年人在建立雪茄使用的风险。与我的导师，我将开发和测试公众的影响， 关于小雪茄的健康危害和成瘾潜力的教育信息， 解决黑人年轻人的预期结果。我将试点测试候选人的信息与黑人青年 成年人在建立雪茄使用的风险，以检查他们的视觉注意力和自我报告的感知等级 信息有效性。通过一项在线随机对照试验，黑人年轻人有患 建立雪茄使用将被随机分配到接收3个消息条件之一：1）伤害; 2）伤害 与结果预期相关联;或3）控制信息，以测试干预信息对 小雪茄会损害认知、使用意图和使用行为。参与者将查看两条条件消息 每天在线四周，并完成自我报告的小雪茄伤害的看法，使用意图和 基线、1个月和3个月随访时的使用行为。这个K99/R 00职业奖将把我定位为烟草行业 研究人员专注于种族/少数民族年轻人的健康传播。它将为FDA提供 为黑人年轻人提供有效的小雪茄公共教育信息的坚实科学基础。这些发现 还将为其他雪茄和烟草产品设计有效的公众教育信息提供信息。

Modified Project Summary/Abstract Section Project Summary Black/African American (Black) young adults have among the highest cigarillo smoking prevalence in the U.S. Cigarillos contain more tobacco and higher levels of carcinogens per gram than cigarettes, with inhalation levels as high as or exceeding that of cigarette smoking. Cigarillo smoking causes multiple cancers and pulmonary and cardiovascular diseases. Outcome expectancies (e.g., utility values and anticipated emotions) are associated with Black young adults’ cigarillo smoking. Additionally, some Black young adults misperceive cigarillos to be less harmful and addictive than cigarettes, which is associated with their cigarillo use. Cigarillos are under the Food and Drug Administration (FDA)’s regulatory authority. The FDA is positioned to inform this vulnerable population about the health harm and addiction potential of cigarillos. Public education messaging is one effective strategy to provide accurate health information and increase harm perceptions, prevent and reduce tobacco use, and reduce tobacco-related health disparities. However, there has not been health communication studies examining effective cigarillo public education messaging for Black young adults, and how to optimize such messaging. This K99/R00 career award will help fill these gaps in identifying effective health communication strategies to communicate cigarillos’ harms to Black young adults ages 18 to 30 years. The specific aims of this proposed study are to: 1) develop and pilot test candidate cigarillo harm messaging among Black young adults at-risk for established cigarillo use; and 2) test the efficacy of cigarillo harm messaging on harm perceptions and use intentions, and explore its effects on use behaviors among Black young adults at-risk for established cigarillo use. With my mentors, I will develop and test the effects of public education messaging about cigarillos’ health harm and addiction potential alone as well as contextualized to address Black young adults’ outcome expectancies. I will pilot test candidate messages with Black young adults at-risk for established cigarillo use to examine their visual attention and self-report rating of perceived message effectiveness. Through an online randomized controlled trial, Black young adults at-risk for established cigarillo use will be randomly assigned to receive 1 of 3 message conditions: 1) harm; 2) harm contextualized with outcome expectancies; or 3) control messages to test intervention message effects on cigarillo harm perceptions, use intentions, and use behaviors. Participants will view two condition messages daily online for four weeks and complete self-report measures of cigarillo harm perceptions, use intentions and use behaviors at baseline, 1- and 3-month follow up. This K99/R00 career award will position me as a tobacco researcher focused on health communication for racial/ethnic minority young adults. It will provide the FDA with a sound scientific base on effective cigarillo public education messaging for Black young adults. These findings will also inform designing effective public education messages for other cigar and tobacco products.