Grant Number:	5U01CA154240-05 Interpret this number
Primary Investigator:	Ling, Pamela
Organization:	University Of California, San Francisco
Project Title:	Countering Young Adult Tobacco Marketing in Bars
Fiscal Year:	2015

This project addresses the prevention of tobacco related diseases by developing an intervention to block tobacco industry marketing to young adults (age 18-25). Almost all tobacco prevention efforts concentrate on preventing children and adolescents from experimenting with cigarettes despite the fact that the transition from experimentation to regular smoking and addiction often occurs during young adulthood. The tobacco industry has invested millions of dollars in sophisticated marketing research on young adults. Because of current restrictions on marketing to youth, young adults have become an even more important focus of tobacco marketing efforts, which often emphasize events at "adult only" venues (bars, nightclubs and casinos), which are exempt from these restrictions. We hypothesize that successfully competing with industry promotion in these venues will prevent smoking among young adults, preventing both long term morbidity and mortality from smoking. Preliminary data: In our prior research, we identified a high risk subpopulation of young adults in San Diego, CA: the "hipster" subculture, a group focused on the alternative music scene, local artists and designers, and eclectic self expression. We developed a year long pilot social branding intervention to decrease smoking among this group, using social events and social leaders to promote a strong nonsmoking lifestyle. The intervention rationale is based on utilizing industry market research tools to define the target audience and directly countering tobacco industry lifestyle marketing strategies. We now propose to leverage contracts from three additional States to extend this intervention and evaluate it in a multicenter quasi-experimental controlled trial. Study Design: 1) cross-sectional repeated measures design with random samples ofthe population attending bars and nightclubs in four intervention cities and four comparison communities at baseline, during, and after the intervention. The main outcome is self-reported past 30 day smoking prevalence. Cessation by age 30 avoids nearly all the long term health consequences of smoking. The results of this research will improve approaches to young adult targeted messaging both for public health campaigns and for clinical patient counseling to block the transition from experimentation to becoming established addicted smokers. RELEVANCE (See instructions): Tobacco use is responsible for 35% of cancer deaths, and young adults (age 18-25) have the highest smoking prevalence of any age group. All tobacco-related cancers are affected by preventing people from becoming long-term addicted smokers, and cessation by age 30 avoids nearly all the long term ill effects of smoking. This research will evaluates a novel interventions in four States to counter the aggressive tobacco marketing efforts targeting young adults in bars and nightclubs to augment tobacco control policies and block the transition from experimentation to becoming established addicted smokers.




Quantity of cigarettes smoked when co-used with alcohol and cannabis: Consideration of different definitions of co-use based on daily diary data.
Authors: Waring J.J.C. , Nguyen N. , Ling P.M. , Thrul J. .
Source: Drug And Alcohol Dependence, 2024-03-12 00:00:00.0; 258, p. 111264.
EPub date: 2024-03-12 00:00:00.0.
PMID: 38547786
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Changes in perceived harms of tobacco and cannabis and their correlations with use: A panel study of young adults 2014-2020.
Authors: Nguyen N. , Holmes L.M. , Pravosud V. , Cohen B.E. , Ling P.M. .
Source: Addictive Behaviors, 2023 Sep; 144, p. 107758.
EPub date: 2023-05-26 00:00:00.0.
PMID: 37263178
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Associations Between Product Type and Intensity of Tobacco and Cannabis Co-use on the Same Day Among Young Adult Smokers: Smartphone-Based Daily-Diary Study.
Authors: Nguyen N. , Thrul J. , Neilands T.B. , Ling P.M. .
Source: Jmir Mhealth And Uhealth, 2023-02-20 00:00:00.0; 11, p. e40736.
EPub date: 2023-02-20 00:00:00.0.
PMID: 36806440
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Purposeful play: exploring a bar-based, anti-tobacco intervention for young adults.
Authors: McQuoid J. , Keane H. , Ling P.M. .
Source: Drugs (abingdon, England), 2022; 29(5), p. 545-558.
EPub date: 2021-06-07 00:00:00.0.
PMID: 41836217
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Local variation in cannabis use patterns among young adults in the San Francisco Bay Area.
Authors: Holmes L.M. , Thrul J. , Warren N.K. , Ling P.M. .
Source: Spatial And Spatio-temporal Epidemiology, 2021 Jun; 37, p. 100418.
EPub date: 2021-03-17 00:00:00.0.
PMID: 33980412
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Perceived reward from using cigarettes with alcohol or cannabis and concurrent use: A smartphone-based daily diary study.
Authors: Thrul J. , Gubner N.R. , Nguyen N. , Nguyen C. , Goodell E.A. , Holmes L.M. , Vandrey R.G. , Ling P.M. .
Source: Addictive Behaviors, 2021 Mar; 114, p. 106747.
EPub date: 2020-11-29 00:00:00.0.
PMID: 33307406
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Using Peer Crowd Affiliation to Address Dual Use of Cigarettes and E-Cigarettes among San Francisco Bay Area Young Adults: A Cross Sectional Study.
Authors: Nguyen N. , Holmes L.M. , Kim M. , Ling P.M. .
Source: International Journal Of Environmental Research And Public Health, 2020-10-20 00:00:00.0; 17(20), .
EPub date: 2020-10-20 00:00:00.0.
PMID: 33092106
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Assessing young adults' ENDS use via Ecological Momentary Assessment and a Smart Bluetooth enabled ENDS device.
Authors: Li Z. , Benowitz-Fredericks C. , Ling P.M. , Cohen J.E. , Thrul J. .
Source: Nicotine & Tobacco Research : Official Journal Of The Society For Research On Nicotine And Tobacco, 2020-10-08 00:00:00.0; , .
EPub date: 2020-10-08 00:00:00.0.
PMID: 33031497
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Same-day use of cigarettes, alcohol, and cannabis among sexual minority and heterosexual young adult smokers.
Authors: Nguyen N. , McQuoid J. , Neilands T.B. , Dermody S.S. , Holmes L.M. , Ling P.M. , Thrul J. .
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PMID: 32804517
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'Being politically active does not have to be difficult.' A content analysis of tobacco industry-sponsored advocacy websites.
Authors: Lewis M.J. , Ackerman C. , Ling P. .
Source: Tobacco Control, 2020-04-20 00:00:00.0; , .
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PMID: 32312796
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"It's Not Too Aggressive": Key Features of Social Branding Anti-Tobacco Interventions for High-Risk Young Adults.
Authors: Toledo G. , McQuoid J. , Ling P.M. .
Source: Health Promotion Practice, 2020-02-28 00:00:00.0; , p. 1524839920910372.
EPub date: 2020-02-28 00:00:00.0.
PMID: 32111139
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Join the Commune: A Controlled Study of Social Branding Influencers to Decrease Smoking Among Young Adult Hipsters.
Authors: Ling P.M. , Lisha N.E. , Neilands T.B. , Jordan J.W. .
Source: American Journal Of Health Promotion : Ajhp, 2020-02-20 00:00:00.0; , p. 890117120904917.
EPub date: 2020-02-20 00:00:00.0.
PMID: 32077305
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Drifting Tobacco Smoke Exposure among Young Adults in Multiunit Housing.
Authors: Holmes L.M. , Llamas J.D. , Smith D. , Ling P.M. .
Source: Journal Of Community Health, 2019-09-18 00:00:00.0; , .
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PMID: 31535264
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Young adults report increased pleasure from using e-cigarettes and smoking tobacco cigarettes when drinking alcohol.
Authors: Thrul J. , Gubner N.R. , Tice C.L. , Lisha N.E. , Ling P.M. .
Source: Addictive Behaviors, 2019 Jun; 93, p. 135-140.
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PMID: 30710807
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Differential Associations Between Anti-Tobacco Industry Attitudes and Intention to Quit Smoking Across Young Adult Peer Crowds.
Authors: Nguyen N. , Lisha N.E. , Neilands T.B. , Jordan J.W. , Ling P.M. .
Source: American Journal Of Health Promotion : Ajhp, 2019-02-12 00:00:00.0; , p. 890117119829676.
EPub date: 2019-02-12 00:00:00.0.
PMID: 30754982
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Tobacco use in the sexual borderlands: The smoking contexts and practices of bisexual young adults.
Authors: McQuoid J. , Thrul J. , Ozer E. , Ramo D. , Ling P.M. .
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EPub date: 2019-01-10 00:00:00.0.
PMID: 30639203
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Does Experienced Discrimination Explain Patterns of Menthol Use Among Young Adults? Evidence from the 2014 San Francisco Bay Area Young Adult Health Survey.
Authors: Holmes L.M. , Lea Watkins S. , Lisha N.E. , Ling P.M. .
Source: Substance Use & Misuse, 2019; 54(7), p. 1106-1114.
EPub date: 2019-02-12 00:00:00.0.
PMID: 30747029
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Latent Class Analysis to Examine Patterns of Smoking and Other Tobacco Products in Young Adult Bar Patrons.
Authors: Lisha N.E. , Thrul J. , Ling P.M. .
Source: The Journal Of Adolescent Health : Official Publication Of The Society For Adolescent Medicine, 2018-09-22 00:00:00.0; , .
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PMID: 30254010
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Real-time predictors of smoking among sexual minority and heterosexual young adults: An ecological momentary assessment study.
Authors: Nguyen N. , McQuoid J. , Ramo D. , Holmes L.M. , Ling P.M. , Thrul J. .
Source: Drug And Alcohol Dependence, 2018-08-30 00:00:00.0; 192, p. 51-58.
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PMID: 30212756
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A geographically explicit ecological momentary assessment (GEMA) mixed method for understanding substance use.
Authors: McQuoid J. , Thrul J. , Ling P. .
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Effects of Large Cigarette Warning Labels on Smokers' Expected Longevity.
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Source: American Journal Of Health Behavior, 2018-03-01 00:00:00.0; 42(2), p. 85-92.
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Voluntary Smoke-Free Measures Among Oklahoma Nightlife Owners: Barriers and Facilitators.
Authors: Benowitz-Fredericks C. , McQuoid J. , Sheon N. , Olson S. , Ling P.M. .
Source: Health Promotion Practice, 2018-03-01 00:00:00.0; , p. 1524839918764897.
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Other Tobacco Product Use Among Sexual Minority Young Adult Bar Patrons.
Authors: Fallin-Bennett A. , Lisha N.E. , Ling P.M. .
Source: American Journal Of Preventive Medicine, 2017 Sep; 53(3), p. 327-334.
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Bars, Nightclubs, and Cancer Prevention: New Approaches to Reduce Young Adult Cigarette Smoking.
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Source: American Journal Of Preventive Medicine, 2017 Sep; 53(3S1), p. S78-S85.
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Source: Journal Of Ethnicity In Substance Abuse, 2017-07-14 00:00:00.0; , p. 1-20.
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Authors: Popova L. , McDonald E.A. , Sidhu S. , Barry R. , Richers Maruyama T.A. , Sheon N.M. , Ling P.M. .
Source: Addiction (abingdon, England), 2017-04-27 00:00:00.0; , .
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