||5R01CA251478-02 Interpret this number
||University Of Kentucky
||Local Flavor Policies to Enhance Equity in Tobacco
Policies restricting the sale of flavored tobacco products (FTP) are being enacted in localities around the US.
We seek to expand the evidence base about the extent to which these policies decrease access to FTPs and
exposure to flavored tobacco marketing and would likely reduce use of tobacco among youth and young adults.
Additionally, few studies examine the potential of these policies to reduce tobacco-related health disparities
among youth/young adult populations of color and those of lower socioeconomic status (SES). These vulnerable
populations use flavored products at higher rates and FTPs are heavily marketed in communities where these
vulnerable groups live. Determining the impact of FTP policies overall and on populations of color and lower SES
youth/young adults in these communities can make sure that policies are structured to ensure equitable reach
and reduce tobacco use disparities. The purpose of this study is to determine the impact of flavor policies on
reducing exposure to and use of FTPs among vulnerable youth/young adults. Using the Policy Implementation
Framework and the Elaboration Likelihood Model as our theoretical guides, we combine national, local and
individual data to examine the equity impact of flavor policies around the US. To accomplish the study purpose
we will conduct several aims. (1) We will use a longitudinal national dataset of youth and young adults (n=13,892)
followed for nine waves twice a year from 2014 to examine changes in tobacco marketing exposure and FTP
and non-FTP use in those exposed to an FTP policy with no FTP policy exposure over time, focusing on
differences by race/ethnicity and SES. (2) We will compare marketing exposure to and appeal of FTP/non-FTPs
between emerging adults in communities covered by flavor policy variants through ecological momentary
assessment (EMA), evaluating differences in outcomes by SES and race/ethnicity at the individual and
neighborhood level. (3) Finally, among EMA participants, we will assess the predictive validity of exposure to
FTP/non-FTP marketing exposure on use of FTP and non-FTPs at 6-month follow-up, and evaluate whether
these outcomes are associated with SES and race/ethnicity. For all of these activities, we will partner with
national and local FTP policy experts who will disseminate lessons learned to communities who have or are
considering an FTP policy. Achieving the aims of this R01 will expand the evidence base of the impacts of FTP
policies on reducing tobacco use and potential equity impact of these policies to reduce tobacco, and ultimately
Centering equity in flavored tobacco ban policies: Implications for tobacco control researchers.
, Ickes M.
, Patel M.
, Rayens M.K.
, van de Venne J.
, Annabathula A.
, Schillo B.
Preventive medicine, 2022 Dec; 165(Pt B), p. 107173.
US Food and Drug Administration Action on Menthol Cigarettes and Flavored Cigars-A Pivotal Moment for Health Equity.
, Sterling K.
, Rose S.W.
JAMA network open, 2022-06-01; 5(6), p. e2217150.
Inequitable Distribution of FTP Marketing by Neighborhood Characteristics: Further Evidence for Targeted Marketing.
, Anesetti-Rothermel A.
, Westneat S.
, van de Venne J.
, Folger S.
, Rahman B.
, Azam T.
, Zhou Y.
, Debnam C.
, Ribisl K.
, et al.
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2022-03-01; 24(4), p. 484-492.