Grant Number:	5R01CA251478-04 Interpret this number
Primary Investigator:	Rose, Shyanika
Organization:	University Of Kentucky
Project Title:	Local Flavor Policies to Enhance Equity in Tobacco
Fiscal Year:	2024

ABSTRACT 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 cancer disparities.




What Will It Take to Achieve Equity in Policies Restricting Menthol and Other Flavored Nicotine and Commercial Tobacco Products?
Authors: Smiley S.L. , Rose S.W. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2024-05-31 00:00:00.0; 26(Supplement_2), p. S61-S64.
PMID: 38817029
Related Citations

Examining the relationship of flavored tobacco product policy restrictions and flavored tobacco product use, among adolescents and young adults in the U.S.
Authors: Patel M. , Kierstead E.C. , Liu M.S. , Schillo B. , Rose S.W. .
Source: Preventive Medicine, 2024 May; 182, p. 107947.
EPub date: 2024-04-02 00:00:00.0.
PMID: 38574971
Related Citations

Recommendations for Centering Equity to Advance Federal and Local US Policies Regulating the Availability and Sale of Flavored Tobacco Products.
Authors: Kierstead E.C. , Smiley S.L. , Kucherlapaty P. , Kingsley M. , Rogers T. , Schillo B. , Rose S.W. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2024-04-23 00:00:00.0; , .
EPub date: 2024-04-23 00:00:00.0.
PMID: 38652492
Related Citations

Incorporating Intersectionality as a Framework for Equity-Minded Tobacco Control Research: A Call for Collective Action Toward a Paradigm Shift.
Authors: Tan A.S.L. , Hinds J.T. , Smith P.H. , Antin T. , Lee J.P. , Ostroff J.S. , Patten C. , Rose S.W. , Sheffer C.E. , Fagan P. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2023-01-01 00:00:00.0; 25(1), p. 73-76.
PMID: 35439321
Related Citations

Centering equity in flavored tobacco ban policies: Implications for tobacco control researchers.
Authors: Rose S.W. , Ickes M. , Patel M. , Rayens M.K. , van de Venne J. , Annabathula A. , Schillo B. .
Source: Preventive Medicine, 2022-07-20 00:00:00.0; , p. 107173.
EPub date: 2022-07-20 00:00:00.0.
PMID: 35870576
Related Citations

US Food and Drug Administration Action on Menthol Cigarettes and Flavored Cigars-A Pivotal Moment for Health Equity.
Authors: Villanti A.C. , Sterling K. , Rose S.W. .
Source: Jama Network Open, 2022-06-01 00:00:00.0; 5(6), p. e2217150.
EPub date: 2022-06-01 00:00:00.0.
PMID: 35666505
Related Citations

Inequitable distribution of FTP marketing by neighborhood characteristics: further evidence for targeted marketing.
Authors: Rose S.W. , Anesetti-Rothermel A. , Westneat S. , van de Venne J. , Folger S. , Rahman B. , Azam T. , Zhou Y. , Debnam C. , Ribisl K. , et al. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2021-10-23 00:00:00.0; , .
EPub date: 2021-10-23 00:00:00.0.
PMID: 34687204
Related Citations