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Grant Details

Grant Number: 7R00CA242589-03 Interpret this number
Primary Investigator: Chen-Sankey, Julia
Organization: Rutgers Biomedical And Health Sciences
Project Title: Understanding the Influence of E-Cigarette Advertisement Features
Fiscal Year: 2022


Modified Project Summary/Abstract Section Project Summary Young adults’ initiation and use of e-cigarettes are on the rise in the U.S. E-cigarette use produces toxicants, is addictive, and is associated with future use of combustible tobacco products among young adults. The situation is compounded by aggressive e-cigarette marketing, which often features flavors, models, marketing claims, and price promotions. Evidence has shown the strong influence of tobacco marketing on the initiation and use of tobacco products among young adults, especially young adults who are naïve to tobacco. Thus, a timely public health response comprising more regulation on e-cigarette marketing is needed to prevent and reduce e-cigarette uptake among this group. Although e-cigarette marketing has been pervasive and is rapidly growing, studies to examine the influence of e-cigarette advertisement features on young adults’ reactions have been virtually nonexistent. The proposed project will examine the influence of four e-cigarette advertisement features (flavors, models, marketing claims, and price promotions) among young adult non- tobacco users who are susceptible to e-cigarette use. This study will pursue three Specific Aims: (1) Identify key features of e-cigarette advertisements that lead to greater attention. (2) Examine the associations between key features of e-cigarette advertisements and positive neurocognitive responses. (3) Determine whether edited advertisements without key features lead to reduced positive e-cigarette perceptions and behavioral intentions compared to original advertisements. Study on Aim 1 (K99 Phase) will use eye-tracking technology with a between-subject design among 70 young adults. Study on Aim 2 (R00 Phase) will apply electroencephalogram (EEG) technology with a fractional factorial study design among 120 young adults. Study on Aim 3 (R00 Phase) will adopt a comparative randomized experiment among 900 nationally representative young adults enrolled in an online panel. Individual differences in neuro-cognitive reactions and e-cigarette related perceptions and behavioral intentions will also be assessed throughout the three studies. The proposed studies will innovatively use neuroscience technologies to objectively measure young adults’ neuro-cognitive reactions to e-cigarette advertisements. It will be guided by a new conceptual framework comprising the communication model of the Limited Capacity Model of Mediated Message Processing. This proposal will enable me to expand my training in tobacco control, regulatory science, neuroscience-based experiments, and tobacco marketing and counter-marketing research under the mentorship of a multidisciplinary team of experts in tobacco control, and provide critical preliminary data to launch my independent research career. This research is directly relevant to the development of FDA’s policymaking and educational efforts to reduce the impact of e-cigarette advertisements on young adults’ potential uptake of e-cigarettes.


Associations between living in localities with e-cigarette sales restrictions and e-cigarette use change among young adults in Los Angeles County.
Authors: Chen-Sankey J. , Cruz-Cano R. , Pakdaman S. , Wong N. , Unger J.B. , Barrington-Trimis J. , Pentz M.A. .
Source: Tobacco control, 2022 Nov; 31(Suppl 3), p. s187-s196.
PMID: 36328463
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Longitudinal associations between U.S. youth exposure to E-cigarette marketing and E-cigarette use harm perception and behavior change.
Authors: Stanton C.A. , Pasch K.E. , Pericot-Valverde I. , Cruz-Cano R. , Moran M.B. , Abadi M.H. , Mays D. , Mercincavage M. , Tang Z. , Chen-Sankey J. .
Source: Preventive medicine, 2022 Nov; 164, p. 107266.
EPub date: 2022-09-22.
PMID: 36152822
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U.S. Trends in Age of Cigar Smoking Initiation by Race/Ethnicity and Education.
Authors: Phan L. , McNeel T.S. , Chen-Sankey J. , Niederdeppe J. , Tan A.S.L. , Choi K. .
Source: American journal of preventive medicine, 2022 Oct; 63(4), p. 624-629.
EPub date: 2022-05-23.
PMID: 35618548
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How the Other Half Sees It: E-cigarette Advertising Exposure and Subsequent E-cigarette Use Among U.S. Young Adult Cigarette Smokers.
Authors: Chen-Sankey J. , Lopez M. , Elhabashy M. , Broun A. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2022-07-08; , .
EPub date: 2022-07-08.
PMID: 35802421
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Real-Time Context of Tobacco Marketing Exposure and Community Vulnerability-An Ecological Momentary Assessment Among Young Adults.
Authors: Chen-Sankey J.C. , van de Venne J. , Westneat S. , Rahman B. , Folger S. , Anesetti-Rothermel A. , Debnam C. , Ribisl K.M. , Cohn A. , Rose S.W. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2022-06-29; 56(6), p. 620-631.
PMID: 34323267
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Noticing people, discounts and non-tobacco flavours in e-cigarette ads may increase e-cigarette product appeal among non-tobacco-using young adults.
Authors: Chen-Sankey J. , Jeong M. , Wackowski O.A. , Unger J.B. , Niederdeppe J. , Bernat E. , Bansal-Travers M. , Moran M. , Kennedy R.D. , Broun A. , et al. .
Source: Tobacco control, 2022-06-07; , .
EPub date: 2022-06-07.
PMID: 35672144
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Exploring the Experiences and Perceptions of Cigar Craving and Addiction among Young Adult Black Cigar Smokers.
Authors: Elhabashy M. , Phan L. , Hamilton-Moseley K.R. , Broun A. , Duarte D.A. , Ajith A. , Jewett B. , Mead-Morse E.L. , Choi K. , Chen-Sankey J. .
Source: International journal of environmental research and public health, 2022-05-30; 19(11), .
EPub date: 2022-05-30.
PMID: 35682264
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Examining the Survey Setting Effect on Current E-Cigarette Use Estimates among High School Students in the 2021 National Youth Tobacco Survey.
Authors: Chen-Sankey J. , Bover Manderski M.T. , Young W.J. , Delnevo C.D. .
Source: International journal of environmental research and public health, 2022-05-26; 19(11), .
EPub date: 2022-05-26.
PMID: 35682059
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Physical and Sociocultural Community-Level Influences on Cigar Smoking among Black Young Adults: An In-Depth Interview Investigation.
Authors: Broun A. , Phan L. , Duarte D.A. , Ajith A. , Jewett B. , Mead-Morse E.L. , Choi K. , Chen-Sankey J. .
Source: International journal of environmental research and public health, 2022-04-07; 19(8), .
EPub date: 2022-04-07.
PMID: 35457307
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E-cigarette initiation predicts subsequent academic performance among youth: Results from the PATH Study.
Authors: Dearfield C.T. , Chen-Sankey J.C. , McNeel T.S. , Bernat D.H. , Choi K. .
Source: Preventive medicine, 2021 Dec; 153, p. 106781.
EPub date: 2021-09-03.
PMID: 34487749
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Effect of a 'tobacco-free nicotine' claim on intentions and perceptions of Puff Bar e-cigarette use among non-tobacco-using young adults.
Authors: Chen-Sankey J. , Ganz O. , Seidenberg A. , Choi K. .
Source: Tobacco control, 2021-10-25; , .
EPub date: 2021-10-25.
PMID: 34697090
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#FlavorsSaveLives: An Analysis of Twitter Posts Opposing Flavored E-cigarette Bans.
Authors: Kirkpatrick M.G. , Dormanesh A. , Rivera V. , Majmundar A. , Soto D.W. , Chen-Sankey J.C. , Cruz T.B. , Unger J.B. , Allem J.P. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2021-08-04; 23(8), p. 1431-1435.
PMID: 33394024
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Price promotion receipt and use progression of any tobacco, cigarettes, e-cigarettes and cigars among US youth between 2016 and 2018.
Authors: Chen-Sankey J. , Unger J.B. , Bernat E. , Niederdeppe J. , Bansal-Travers M. , Choi K. .
Source: Tobacco control, 2021-07-22; , .
EPub date: 2021-07-22.
PMID: 34301838
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Cigar-Smoking-Cessation Interest and Experience among Black Young Adults: A Semi-Structured In-Depth Interview Investigation.
Authors: Ajith A. , Broun A. , Duarte D.A. , Jewett B. , Phan L. , Mead-Morse E.L. , Guy M.C. , Choi K. , Chen-Sankey J. .
Source: International journal of environmental research and public health, 2021-07-08; 18(14), .
EPub date: 2021-07-08.
PMID: 34299759
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Effect of a hypothetical modified risk tobacco product claim on heated tobacco product use intention and perceptions in young adults.
Authors: Chen-Sankey J.C. , Kechter A. , Barrington-Trimis J. , McConnell R. , Krueger E.A. , Cruz T.B. , Unger J.B. , Chaffee B.W. , Leventhal A. .
Source: Tobacco control, 2021-05-31; , .
EPub date: 2021-05-31.
PMID: 34059552
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Categorizing IQOS-Related Twitter Discussions.
Authors: Barker J.O. , Vassey J. , Chen-Sankey J.C. , Allem J.P. , Cruz T.B. , Unger J.B. .
Source: International journal of environmental research and public health, 2021-04-30; 18(9), .
EPub date: 2021-04-30.
PMID: 33946546
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Variations in Substance Use and Disorders Among Sexual Minorities by Race/Ethnicity.
Authors: Freitag T.M. , Chen-Sankey J.C. , Duarte D.A. , Ramsey M.W. , Choi K. .
Source: Substance use & misuse, 2021; 56(7), p. 921-928.
EPub date: 2021-04-06.
PMID: 33821743
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Exploring changes in cigar smoking patterns and motivations to quit cigars among black young adults in the time of COVID-19.
Authors: Chen-Sankey J.C. , Broun A. , Duarte D.A. , Ajith A. , Jewett B. , Smiley S.L. , Mead-Morse E.L. , Guy M.C. , Choi K. .
Source: Addictive behaviors reports, 2020 Dec; 12, p. 100317.
EPub date: 2020-11-12.
PMID: 33364325
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