Comparing Graphic to Text-Only Warning Labels to Discourage Cigarillo Smoking by Young Adults

项目摘要 虽然吸烟人数有所减少，但其他烟草产品的使用有所增加，特别是在 年轻人第二种最常见的烟草产品是雪茄产品。使用雪茄是 特别值得关注的是，它们对健康有许多负面影响，含有有毒化学物质， 与使用其他烟草产品有关，如香烟。此外，一些年轻人认为， 它们比香烟危害小，成瘾性也小，鼓励人们吸收和继续使用。小雪茄 根据《烟草控制法》，目前不包括在联邦法规中，但将属于 美国食品和药物管理局（FDA），一旦拟议的推定规则最终确定。这将给FDA 向公众宣传小雪茄的风险，使用（除其他手段外）必要的警告 标签然而，在我们对如何有效地传达信息的理解方面存在着重大的知识差距。 吸烟的风险该R 03申请将通过测试FDA 可以传达吸烟的风险：警告标签。因此，拟议研究的具体目标 （1）制定图形雪茄警告，以最有效地传达吸烟的风险，通过 将现有图像与推定规则中提出的5个文本警告配对;以及（2）比较相对 纯文字与图文小雪茄警告标签对劝阻青少年吸烟成效比较 雪茄使用者和高危非使用者。在推定规则中提出的5个文本警告将在本 study.在第一年，我们将召集目前使用或有使用风险的年轻人（18-29岁）的焦点小组 cigarillos通过选择代表5个文本警告的图像来开发图形警告 提出了推定规则。随后，我们将使用具有全国代表性的面板进行实验 年轻的成年雪茄使用者和有风险的非使用者，以评估 纯文字与图形警告，以阻止他们从雪茄吸烟。这项研究的最终目的是 是为了更好地了解警告标签如何阻止年轻人使用雪茄。的结果 这个及时的项目可以为FDA关于小雪茄警告标签的决策和教育工作提供信息， 宣传，从而最终减少与烟草有关的发病率和死亡率。此R 03应用程序来自 新调查员直接响应FDA烟草产品中心10个关注领域中的3个， 根据RFA-OD-15-004提交。

Project Summary Although cigarette smoking has declined, use of other tobacco products has increased, particularly among young adults. The second most common tobacco product used is cigar products. Use of cigarillos is of particular concern because they have many negative health effects, contain toxic chemicals, and are associated with using other tobacco products, such as cigarettes. Additionally, some young adults believe them to be less harmful and less addictive than cigarettes, encouraging uptake and continued use. Cigarillos are currently not included in federal regulation under the Tobacco Control Act, but will fall under the authority of the Food and Drug Administration (FDA) once the proposed Deeming Rule is finalized. This will give the FDA the task of communicating the risks of cigarillos to the public, using (among other means) required warning labels. However, significant knowledge gaps exist in our understanding of how to effectively communicate the risks of cigarillo smoking. This R03 application will address these gaps by testing a specific way that the FDA can communicate the risks of cigarillo smoking: warning labels. Thus, the specific aims of the proposed study are to: (1) develop graphic cigarillo warnings to most effectively communicate the risks of cigarillo smoking, by pairing existing images with the 5 text warnings proposed in the Deeming Rule; and (2) compare the relative effectiveness of text-only versus graphic cigarillo warning labels to discourage cigarillo smoking by young adult cigarillo users and at-risk nonusers. The 5 text warnings proposed in the Deeming Rule will be tested in this study. In Year 1, we will convene focus groups of young adults (18-29) who are current users or at-risk of using cigarillos to develop the graphic warnings by choosing images that represent the 5 text warnings in the proposed Deeming Rule. Subsequently, we will conduct an experiment using a nationally-representative panel of young adult cigarillo users and at-risk nonusers to assess differences between the relative effectiveness of text-only versus graphic warnings to discourage them from cigarillo smoking. The ultimate goal of this research is to better understand how warning labels might discourage cigarillo use among young adults. The results of this timely project could inform the FDA's policymaking and educational efforts on cigarillo warning labels and messaging, and thereby ultimately reduce tobacco-related morbidity and mortality. This R03 application from a New Investigator is directly responsive to 3 of the 10 FDA Center for Tobacco Products interest areas, and is submitted in response to RFA-OD-15-004.