Nicotine and Tobacco Misinformation on Youth-Oriented Social Media Platforms

摘要 在美国，青少年使用尼古丁和烟草产品(NTP)是一个长期的公共卫生问题。 各州。在青春期开始使用NTP与使用频率的增加有关，对 大脑发育，尼古丁成瘾，癌症风险增加。与NTP使用相关的主要因素 包括针对这些产品的针对青年的营销和媒体广告；对于 黑人、西班牙裔、性和性别少数群体(SGM)青年。这些年轻人是故意针对 尼古丁和烟草公司通过精心策划的媒体广告和营销传递信息 旨在建立信任并招募新用户。随着社交媒体的激增，这一点更加普遍，因为 这些年轻人现在接触到来自烟草公司营销和自创内容的消息 来自社交媒体用户。然而，这些年轻人是如何接触NTP相关的还不是很清楚 社交媒体上的错误信息以及这些暴露与NTP启动的易感性之间的关系。 因此，这项建议的目标是首先识别与NTP相关的各种面向青年的错误信息 社交媒体平台，然后评估错误信息暴露与易感性之间的关联 在青年中启动NTP，特别是那些认为自己是黑人、西班牙裔和/或SGM的青年。由这些信息提供信息 结果，我们将开发健康沟通信息来抵消错误信息，并评估他们的 对年轻人的接受度。这项建议的核心是使用青年参与性行动研究方法，通过 青年协作组的发展(n=20)。由13-17岁的青年组成的包容性群体， 青年协作将在完成以下具体目标方面发挥不可或缺的作用：(1)分类最多 在面向青年的社交媒体平台上，NTP相关错误信息通过人- 以设计为中心(HCD)活动、社交媒体数据收集、定性和自动化数据分析 流程和社交网络分析；(2)评估基于社交媒体的NTP相关风险暴露 通过对700名13-17岁青年的横断面调查，发现错误信息及其与易感性的关联 对黑人、西班牙裔和SGM青年进行过度抽样；以及(3)利用 HCD活动，并评估这些信息的可接受性，来自Aim 2的青年为 易受NTP启动的影响。我们的跨学科团队已经合作了十多年来检查年轻人 关于尼古丁和烟草产品的态度和行为、社交媒体的使用、与媒体的接触、 和基于社区的参与性研究。我们将利用这些知识和经验来完成 这些目标，其结果可用于开发可扩展的干预措施，以抵消有针对性的 在黑人、西班牙裔和SGM青年中误传和防止NTP启动，并最终消除 在这些人群中，与烟草有关的发病率和死亡率，包括癌症，差异很大。

ABSTRACT Use of nicotine and tobacco products (NTPs) among youth is a persistent public health problem in the United States. Initiation of NTPs in adolescence is associated with increased frequency of use, adverse impacts on brain development, nicotine addiction, and increased risk of cancer. Major factors associated with NTP use include youth-targeted marketing and media advertisements for these products; this is particularly true for Black, Hispanic, and sexual and gender minority (SGM) youth. These youth are intentionally targeted with messaging by nicotine and tobacco companies through carefully curated media advertisements and marketing meant to build trust and recruit new users. With the proliferation of social media, this is more pervasive as these youth are now exposed to messaging from both tobacco company marketing and self-generated content from social media users. However, it is not well known how these youth are exposed to NTP-related misinformation on social media and how these exposures are associated with susceptibility to NTP initiation. Therefore, the goal of this proposal is to first identify NTP-related misinformation on a variety of youth-oriented social media platforms and then assess associations between misinformation exposure and susceptibility to NTP initiation among youth, particularly youth who identify as Black, Hispanic, and/or SGM. Informed by these results, we will develop health communication messages to counteract misinformation and assess their acceptability to youth. Core to this proposal is the use of a Youth Participatory Action Research approach via the development of a Youth Collaborative (n=20). Comprised of an inclusive group of youth ages 13-17, the Youth Collaborative will play an integral role in completing the following specific aims: (1) classify the most pervasive and salient NTP-related misinformation on youth-oriented social media platforms via human- centered design (HCD) activities, social media data collection, qualitative and automated data analysis processes, and social network analysis; (2) assess social media-based exposure to NTP-related misinformation and associations with susceptibility via a cross-sectional survey of with 700 youth ages 13-17 with oversampling of Black, Hispanic, and SGM youth; and (3) develop health communication messages using HCD activities and assess the acceptability of these messages with a subsample of youth from Aim 2 who are susceptible to NTP initiation. Our interdisciplinary team has collaborated for over a decade to examine youth attitudes and behaviors related to nicotine and tobacco products, social media use, engagement with media, and community-based participatory research. We will leverage this knowledge and experience to complete these aims, the results of which can be used to develop scalable interventions that can counteract targeted misinformation and prevent NTP initiation among Black, Hispanic, and SGM youth and ultimately eliminate disparities in tobacco-related morbidity and mortality, including cancer, among these populations.