Effective Cigarillo Public Education Messaging for Black Young Adults

修改后的项目摘要/摘要部分 项目摘要 黑人/非裔美国人(黑人)年轻人是美国雪茄吸烟率最高的人群之一。 与吸入香烟相比，每克雪茄含有更多的烟草和更高水平的致癌物质 与吸烟水平相当或超过吸烟水平的。抽雪茄会导致多种癌症 肺部和心血管疾病。结果预期(例如，效用价值和预期情绪) 与黑人年轻人抽雪茄有关。此外，一些黑人年轻人误解了 雪茄比香烟危害更小，也更容易上瘾，这与雪茄的使用有关。雪茄 都在食品药品监督管理局S的监管机构之下。FDA有能力告知这一点 弱势人群对雪茄的健康危害和成瘾潜力的认识。公众教育讯息是 提供准确的健康信息和增加伤害感知的有效战略，预防和 减少烟草使用，减少与烟草相关的健康差距。然而，一直没有健康 传播学研究，考察对黑人年轻人有效的雪茄公众教育信息，以及 如何优化这样的消息传递。这项K99/R00职业生涯奖将有助于填补这些空白，以确定有效的 健康传播战略，向18至30岁的黑人年轻人传播雪茄的危害。 这项拟议研究的具体目标是：1)开发和试验候选雪茄危害信息 在有可能使用雪茄的黑人年轻人中；以及2)测试雪茄危害的效果 关于伤害感知和使用意图的消息传递，并探讨其对黑人使用行为的影响 年轻人对已确定的雪茄使用存在风险。在我的导师们的指导下，我将开发和测试公众 关于雪茄的健康危害和成瘾潜力的教育信息，以及与背景相关的信息 解决黑人年轻人对结果的预期。我会试播一下黑杨的候选人信息 已确定使用雪茄的高危成年人检查他们的视觉注意力和自我报告感知评级 信息有效性。通过一项在线随机对照试验，有患病风险的黑人年轻成年人 已确定的雪茄使用将被随机分配到3种情况中的1种：1)伤害；2)伤害 以结果预期为背景；或3)用于测试干预消息效果的控制消息 雪茄危害认知、使用意图和使用行为。参与者将查看两条条件消息 连续四周每天在线，并完成雪茄危害感知、使用意图和 在基线、1个月和3个月的随访中使用行为。K99/R00职业生涯奖将把我定位为一名烟草人 研究人员重点关注种族/少数民族青年的健康沟通。它将向FDA提供 为黑人年轻人提供有效的雪茄公共教育信息的坚实的科学基础。这些发现 还将为其他雪茄和烟草产品设计有效的公共教育信息提供信息。

Modified Project Summary/Abstract Section Project Summary Black/African American (Black) young adults have among the highest cigarillo smoking prevalence in the U.S. Cigarillos contain more tobacco and higher levels of carcinogens per gram than cigarettes, with inhalation levels as high as or exceeding that of cigarette smoking. Cigarillo smoking causes multiple cancers and pulmonary and cardiovascular diseases. Outcome expectancies (e.g., utility values and anticipated emotions) are associated with Black young adults’ cigarillo smoking. Additionally, some Black young adults misperceive cigarillos to be less harmful and addictive than cigarettes, which is associated with their cigarillo use. Cigarillos are under the Food and Drug Administration (FDA)’s regulatory authority. The FDA is positioned to inform this vulnerable population about the health harm and addiction potential of cigarillos. Public education messaging is one effective strategy to provide accurate health information and increase harm perceptions, prevent and reduce tobacco use, and reduce tobacco-related health disparities. However, there has not been health communication studies examining effective cigarillo public education messaging for Black young adults, and how to optimize such messaging. This K99/R00 career award will help fill these gaps in identifying effective health communication strategies to communicate cigarillos’ harms to Black young adults ages 18 to 30 years. The specific aims of this proposed study are to: 1) develop and pilot test candidate cigarillo harm messaging among Black young adults at-risk for established cigarillo use; and 2) test the efficacy of cigarillo harm messaging on harm perceptions and use intentions, and explore its effects on use behaviors among Black young adults at-risk for established cigarillo use. With my mentors, I will develop and test the effects of public education messaging about cigarillos’ health harm and addiction potential alone as well as contextualized to address Black young adults’ outcome expectancies. I will pilot test candidate messages with Black young adults at-risk for established cigarillo use to examine their visual attention and self-report rating of perceived message effectiveness. Through an online randomized controlled trial, Black young adults at-risk for established cigarillo use will be randomly assigned to receive 1 of 3 message conditions: 1) harm; 2) harm contextualized with outcome expectancies; or 3) control messages to test intervention message effects on cigarillo harm perceptions, use intentions, and use behaviors. Participants will view two condition messages daily online for four weeks and complete self-report measures of cigarillo harm perceptions, use intentions and use behaviors at baseline, 1- and 3-month follow up. This K99/R00 career award will position me as a tobacco researcher focused on health communication for racial/ethnic minority young adults. It will provide the FDA with a sound scientific base on effective cigarillo public education messaging for Black young adults. These findings will also inform designing effective public education messages for other cigar and tobacco products.