Predicting and Understanding the Use of Nicotine Products In a Rapidly Evolving Nicotine Marketplace: The International Nicotine Product, Policy, and Market (INPAM) Study

项目摘要 我们要求考虑行政补充（即，参见PA-20-272），以支持额外的 与项目2（检查香烟和其他尼古丁的摄入和使用模式）相关的数据收集 在监管环境不同的国家，尼古丁产品在青年中的使用： 和青年调查）在我们目前的计划项目赠款（P01 CA 200512）。该研究计划将 发展项目2的每一个目标，进一步增加第四个国家，新西兰，到目前计划的青年 美国、加拿大和英国的烟草使用数据收集。最近，新西兰宣布， 国家无烟新西兰2025行动计划和我们提出的研究旨在为政策提供信息 这是行动计划的一部分。新西兰加入ITC青年和年轻人调查 在行动计划的实施阶段开始之前， 2023年，并提供有关青年和年轻人的态度和行为的详细信息， 帮助为行动计划提案的实施提供信息。从长远来看，新西兰青年和 青年人样本将使ITC项目能够比较政策在青年人和 新西兰的成年吸烟者--这两个群体都是拟议政策的重要目标群体 措施国家间的设计为评估具体的贸易和投资的影响提供了一个独特的框架。 针对烟草和尼古丁市场更广泛变化的政策，包括出现的 烟草产品和新形式的口服尼古丁。新西兰，美国和其他国家之间的比较 参加ITC青年和青年调查的国家也有可能直接为烟草控制提供信息 政策在美国。例如，迄今为止，几乎所有关于降低香烟尼古丁含量的研究都 对成年吸烟者进行了研究;新西兰的提案是一个独特的机会， “真实的世界”这一政策对年轻人烟草使用的影响。每一项核心政策措施， 新西兰的《2025年行动计划》正在联邦审议中，但尚未得到全面实施， 州或地方一级。最后，该项目提供了一个很好的机会来检查小说的有效性， 减少烟草使用方面的种族和族裔差异的政策，特别是在土著人民中， 烟草使用给健康造成的负担继续大得多。

PROJECT SUMMARY We are requesting consideration of an Administrative Supplement (i.e., see PA-20-272) to support additional data collection associated with Project 2 (Examining uptake and use patterns of cigarettes and other nicotine delivery products among youth in countries with different regulatory environments: The Nicotine Product Youth and Young Adult Survey) in our current Program Project Grant (P01CA200512). The research proposed will develop each aim in Project 2, further by adding a 4th country, New Zealand, to the currently planned youth tobacco use data collections in the US, Canada, and England. Recently, New Zealand has announced their national Smokefree New Zealand 2025 Action Plan and the research we propose aims to inform the policy discussions that are part of the Action Plan. Adding New Zealand to the ITC Youth & Young Adult Surveys would provide critically important ‘baseline’ data, before the implementation phase of the Action Plan begins in 2023 as well as providing detailed information on youth and young adult attitudes and behaviors that could help inform implementation of the action plan proposals. Over the longer term, a New Zealand youth and young adult sample would allow the ITC Project to compare the relative effects of policies among youth versus adult smokers in New Zealand—both of which are critically important target groups for the proposed policy measures. The between-country design provides a unique framework for assessing the impact of specific policies against the broader changes in the tobacco and nicotine market, including the emergence of heated tobacco products and newer forms of oral nicotine. Comparisons between New Zealand, the US, and the other countries in the ITC Youth & Young Adult Surveys also has the potential to directly inform tobacco control policy in the US. For example, virtually all of the research to date on reducing nicotine content cigarettes has been conducted on adult smokers; the New Zealand proposals represent a unique opportunity to examine the ‘real world’ impact of this policy on tobacco use among young people. Each of the core policy measures in New Zealand’s 2025 Action Plan are being considered, but have yet to be fully implemented, at the federal, state, or local levels. Finally, the project provides an excellent opportunity to examine effectiveness of novel policies in reducing racial and ethnic disparities in tobacco use, particularly among Indigenous peoples, who continue to experience a substantially greater health burden from tobacco use.