Impact of Retail Tobacco Advertising on Youth Smoking

 描述（由申请人提供）：淡味烟草产品便宜，甜，吸引年轻人。2009年，《联邦吸烟预防和烟草控制法》禁止了除薄荷醇以外的其他口味的香烟，但小雪茄和小雪茄（简称小雪茄）仍然以各种水果、甜味和酒精/鸡尾酒口味出售。电子烟有7,500多种口味，包括多汁桃子，非常香草和Tutti Frutti Gumballs。此外，小雪茄和电子烟作为吸烟的低成本替代品的零售营销可能有助于它们在青少年中越来越受欢迎。该提案寻求继续提供资金，以更好地了解零售烟草营销对青少年烟草使用的影响，重点从研究卷烟转向卷烟替代品/补充品。具体来说，这项纵向研究旨在：（1）测试青少年接触调味小雪茄和电子烟的零售营销是否与过去一个月和过去两个时间点使用这些产品的几率较高有关;（2）研究风味小雪茄和电子烟的促销和价格如何随着时间的推移而变化，以及作为附近学校学生人口统计和学校比例的函数-调查的目的是：（1）确定烟草零售商的许可证制度是否有效;（2）确定烟草零售商的许可证制度是否有效;（3）确定当地烟草零售商的许可证制度是否有效，并测试许可证制度是否有效预示着调味产品的价格会上涨;（4）将研究结果传播给联邦、州和当地与烟草产品监管和营销有关的利益相关者。为了实现这些目标，有关青少年使用小雪茄和电子烟的数据将从加州学生烟草调查（CSTS）中获得，这是一项为加州烟草控制计划进行的两年一次的监测调查（2015-16和2017-18学年）。每一届中央统计局都将收到按地区分层的140所学校的大约25 000名学生（6-12年级）的答复。在CSTS调查的同时，经过培训的观察员将在接受调查的学校步行距离内随机抽取500家持牌烟草零售商，评估调味小雪茄和电子烟的供应、放置、促销和价格。烟草零售商与学校的接近程度将使用校园边界文件的地理信息系统数据集来确定，该数据集比以前的方法更能反映学校环境。多层次模型将测试调味小雪茄和电子烟的更大促销和更低价格是否与附近学校学生当前和曾经使用的更高几率相关，同时调整个人层面的特征和学校层面的人口统计数据。拟议的研究将通过促进我们对与零售和促销调味烟草产品相关的健康风险的理解，为烟草控制政策和监管科学提供信息。 学校附近。

 DESCRIPTION (provided by applicant): Flavored tobacco products are cheap, sweet, and appealing to youth. The Federal Smoking Prevention and Tobacco Control Act banned flavored cigarettes other than menthol in 2009, but little cigars and cigarillos (referred to as small cigar) are still sold in a variety of fruit, sweet, and alcohol/cocktail flavors. Electronic cigarettes ar sold in more than 7,500 flavors, including Juicy Peach, Very Vanilla, and Tutti Frutti Gumballs. In addition, retail marketing of small cigars and e-cigarettes as low-cost alternatives to cigarette smoking likely contributes to their growing popularity among adolescents. This proposal seeks continued funding to better understand the impact of retail tobacco marketing on adolescent tobacco use, with a change in focus from studying cigarettes to cigarette substitutes/complements. Specifically, this longitudinal study aims to: (1) test whether adolescents' exposure to retail marketing for flavored small cigars and e-cigarettes is associated with higher odds of past-month and ever use of these products at two timepoints; (2) examine how promotion and price of flavored small cigars and e-cigarettes change over time and as a function of student demography at nearby schools and the proportion of school-age residents in the neighborhood; (3) characterize the strength of local tobacco retailer licensing and test whether stronger licensing predicts higher prices for flavored products; and (4) disseminate research results to federal, state and local stakeholders concerned with regulating tobacco products and marketing. To accomplish these aims, data about adolescents' use of small cigars and e- cigarettes will be obtained from the California Student Tobacco Survey (CSTS), a biennial surveillance survey conducted for the California Tobacco Control Program (in academic years 2015-16 and 2017-18). Each administration of the CSTS will yield responses from approximately 25,000 students (grades 6-12) attending 140 schools that are stratified by region. In conjunction with the CSTS surveys, trained observers will assess the availability, placement, promotion and price of flavored small cigars and e-cigarettes in a random sample of 500 licensed tobacco retailers within walking distance of the surveyed schools. The proximity of tobacco retailers to schools will be determined using a GIS dataset of campus boundary files that better reflects the school environment than previous methods. Multilevel modeling will test whether greater promotion and lower prices of flavored small cigars and e-cigarettes is associated with higher odds of current and ever use by students at nearby schools, adjusting for both individual-level characteristics and school-level demographics. The proposed research would inform tobacco control policy and regulatory science by advancing our understanding of the health risks associated with the retail availability and promotion of flavored tobacco products near schools.