The Impact of Cigarillo Warnings on Purchasing and Smoking Behaviors Among Young Adult Cigarillo Users

项目摘要 雪茄的使用仍然是一个公共卫生问题，特别是在脆弱人群中。年轻的成年人， 包括黑人或非裔美国人在内，雪茄的使用率最高。抽雪茄 对健康有许多负面影响，与使用其他烟草产品有关，如香烟，以及 雪茄烟中含有许多有毒化学物质。此外，一些年轻人认为雪茄的数量要少一些 有害且比香烟更不容易上瘾，鼓励吸食和继续使用。重大的知识差距 存在于我们对如何有效地传达吸烟雪茄的风险的理解中，但有一个是有效的 策略是通过警告标签。雪茄受食品和药物管理局的监管 美国食品和药物管理局(FDA)，FDA已经要求对雪茄实施六个纯文本警告。 此R01应用程序将通过以下方式解决有关雪茄警告有效性的文献中的空白 扩展了我们之前的研究，我们开发了雪茄的图片警告。《公约》的具体目标 建议的研究是：(1)研究图画雪茄警示政策对青少年雪茄的影响。 使用行为经济学框架研究吸烟者的购买行为；以及(2)检验以下因素的影响 反复接触关于雪茄吸烟意图和行为的图片警告与雪茄警告。我们的 这项研究的重点是21-34岁的年轻人和黑人/非裔美国人经常吸食雪茄，因为他们 有最高的雪茄使用率。我们将首先使用实验版开发一个在线购物任务 烟草市场，并检查不同雪茄警告操作的影响(图片，FDA文本- 仅限卫生局局长纯文字版)关于雪茄购买、雪茄需求和其他烟草的替代 产品。然后，我们将招募另一名年轻人和黑人/非裔美国人经常抽雪茄 用户参加为期6周的随机对照试验，在试验中，他们将接触到雪茄警告 每周审查警告对雪茄吸烟意图和行为的影响。这样做的目的是 研究旨在提高警告标签的有效性，以阻止年轻人使用雪茄， 包括那些黑人或非裔美国人。这一及时项目的结果可能会为FDA的 为雪茄警告制定规则，从而减少与烟草有关的发病率和死亡率。

Project Summary Cigarillo use remains a public health concern, particularly among vulnerable populations. Young adults, including those who are Black or African American, have the highest rates of cigarillo use. Cigarillo smoking has many negative health effects, is associated with using other tobacco products, such as cigarettes, and cigarillo smoke contains many toxic chemicals. Additionally, some young adults believe cigarillos to be less harmful and less addictive than cigarettes, encouraging uptake and continued use. Significant knowledge gaps exist in our understanding of how to effectively communicate the risks of cigarillo smoking , but one effective strategy is through warning labels. Cigarillos are under the regulatory authority of the Food and Drug Administration (FDA), and the FDA has mandated the implementation of six text-only warnings for cigarillos. This R01 application will address gaps in the literature about the effectiveness of cigarillo warnings by extending our previous research where we developed pictorial warnings for cigarillos. The specific aims of the proposed study are to: (1) Examine the impact of a pictorial cigarillo warning policy among young adult cigarillo smokers’ purchasing behaviors using a behavioral economics framework; and (2) examine the impact of repeated exposure to pictorial versus cigarillo warnings on cigarillo smoking intentions and behaviors. Our study focuses on young adult and Black/African American frequent cigarillo users ages 21-34 because they have the highest rates of cigarillo use. We will first develop an online shopping task using the Experimental Tobacco Marketplace and examine the impact of different cigarillo warning manipulations (pictorial, FDA text- only, Surgeon General text-only) on cigarillo purchasing, cigarillo demand, and substitution of other tobacco products. We will then recruit another sample of young adult and Black/African American frequent cigarillo users to participate in a 6-week randomized control trial where they will be exposed to cigarillo warnings weekly to examine the impact of the warnings on cigarillo smoking intentions and behaviors. The goal of this research is to increase the effectiveness of warning labels to discourage cigarillo use among young adults, including those who are Black or African American. The results of this timely project could inform the FDA’s rulemaking for cigarillo warnings, thereby reducing tobacco-related morbidity and mortality.