Social Interventions to address disparities In young adult tobacco use

解决年轻人烟草使用差异的社会干预措施

• 批准号: 9032361
• 负责人: Pamela May Ling
• 金额: $ 15.51万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至 2019-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9032361
• 关键词: Address; Adolescent; Adult; Age; Area; California; Child; Chronic Disease; Cigarette; Clinical; Communities; Counseling; Cross-Sectional Studies; Data; Disease; Focus Groups; Health; Health Campaign; Industry; Instruction; Intervention; Interview; Life Style; Light; Market Research; Marketing; Minority; Minority Groups; Morbidity - disease rate; Music; Patients; Pattern; Population; Public Health; Recording of previous events; Research; Research Design; Resources; San Francisco; Smoking; Smoking Behavior; Social Marketing; Teenagers; Testing; Time; Tobacco; Tobacco Dependence; Tobacco Industry; Tobacco use; Vulnerable Populations; addiction; age group; ethnic diversity; health disparity; improved; mortality; novel; prevent; programs; racial and ethnic; research study; smoking prevalence; social; tobacco advertising; tobacco prevention; young adult

PROJECT SUMMARY (See instructions): This project develops novel bar and nightclub interventions to address tobacco use disparities In young adults (age 18-25). Almost all tobacco prevention efforts concentrate on preventing children and adolescents from experimenting with cigarettes despite the fact that the transition from experimentation to regular smoking and addiction often occurs during young adulthood. The tobacco industry has invested millions of dollars in sophisticated marketing research on young adults, and has a long history of campaigns targeting minority and other vulnerable populations. We hypothesize that successfully competing with industry promotion in social venues will prevent transitions to regular tobacco use among young adults, and promote early cessation efforts, preventing both long term morbidity and mortality from smoking. Preliminary data: We evaluated a social marketing intervention for young adult Hipsters (a trendsetter community focused on the alternative music scene) in San Diego utilizing industry market segmentation strategies to define the target audience and directly countering tobacco industry lifestyle marketing. We found a significant 14% reduction in current smoking in the target community with a larger reduction (22%) among opinion leaders. We now propose to apply the intervention strategy to address tobacco use disparities in minority communities in the San Francisco/Bay Area. Study Design: (1) market segmentation study of young adults socializing in San Francisco/Bay Area to describe the number and size of bar subcultures, their demographic profile including racial/ethnic diversity, and smoking behavior (2) pilot test the feasibility and acceptability of novel social marketing interventions developed for specific subcultures with the greatest potential to impact tobacco disparities. We will utilize quantitative repeated cross sectional surveys and qualitative interviews, focus groups and observations. Cessation by age 30 avoids nearly all the long term health consequences of smoking. The results of this research will improve efforts to eliminate tobacco disparities in young adults and to develop novel targeted message strategies for public health campaigns and for clinical patient counseling.

项目概述（见说明）：