PDF(Pubmed)
Abstract：
BACKGROUND: The Food and Drug Administration (FDA) has proposed banning cigarettes and cigars with characterizing flavors-products used disproportionately by African American/black (AA/B) individuals. Little is known about how AA/B individuals who smoke menthol cigarettes will respond to flavor bans or how to amplify the intended benefits. This study explored predictors of quit intentions following a hypothetical flavor ban and further probed anticipated ban-related responses.
OBJECTIVE: We recruited 213 AA/B individuals who use menthol cigarettes from Richmond, VA (September 2021-August 2022) for a mixed-methods study. Participants rated seven motivations for quitting and six barriers to quitting (Not a motivation or challenge[1]-Major motivation or challenge[4]), then reported how likely they were to quit smoking if characterizing flavors were banned in cigarettes and cigars. A subsample of 31 participants completed semi-structured interviews to further explore reactions to flavor restriction policies.
RESULTS: Multivariable linear regressions suggested that participants who were more motivated to quit smoking because of \"information about health hazards\" and the \"cost of cigarettes\" reported higher quit intentions following a hypothetical menthol ban (p < .05). Additionally, those with cessation-related weight concerns reported lower post-ban quit intentions (p < .05). Interview themes highlighted smoking for stress reduction, harm/addiction perceptions of flavored tobacco products, trusted sources of tobacco-related information (including testimonials from people who formerly smoked), potential ban responses, and varying experiences with cessation strategies.
CONCLUSIONS: Culturally specific cessation strategies that emphasize the health-related benefits of quitting, particularly those featuring the experiences of people who formerly smoked, may help AA/B individuals who smoke menthol cigarettes quit following a menthol ban.
CONCLUSIONS: For the FDA\'s proposed bans on characterizing flavors in cigarettes and cigars to advance racial health equity, they must maximize cessation among African American/black (AA/B) individuals who use menthol cigarettes. This work suggests information on the health hazards and costs of smoking, as well as concerns over gaining weight, were predictors of quit intentions in a hypothetical flavor ban. Qualitative data suggest messaging highlighting the experiences of individuals who successfully quit may constitute an effective communication strategy. These insights can be used in the development of culturally specific cessation strategies for AA/B individuals who smoke menthol cigarettes.
OBJECTIVE: We recruited 213 AA/B individuals who use menthol cigarettes from Richmond, VA (September 2021-August 2022) for a mixed-methods study. Participants rated seven motivations for quitting and six barriers to quitting (Not a motivation or challenge[1]-Major motivation or challenge[4]), then reported how likely they were to quit smoking if characterizing flavors were banned in cigarettes and cigars. A subsample of 31 participants completed semi-structured interviews to further explore reactions to flavor restriction policies.
RESULTS: Multivariable linear regressions suggested that participants who were more motivated to quit smoking because of \"information about health hazards\" and the \"cost of cigarettes\" reported higher quit intentions following a hypothetical menthol ban (p < .05). Additionally, those with cessation-related weight concerns reported lower post-ban quit intentions (p < .05). Interview themes highlighted smoking for stress reduction, harm/addiction perceptions of flavored tobacco products, trusted sources of tobacco-related information (including testimonials from people who formerly smoked), potential ban responses, and varying experiences with cessation strategies.
CONCLUSIONS: Culturally specific cessation strategies that emphasize the health-related benefits of quitting, particularly those featuring the experiences of people who formerly smoked, may help AA/B individuals who smoke menthol cigarettes quit following a menthol ban.
CONCLUSIONS: For the FDA\'s proposed bans on characterizing flavors in cigarettes and cigars to advance racial health equity, they must maximize cessation among African American/black (AA/B) individuals who use menthol cigarettes. This work suggests information on the health hazards and costs of smoking, as well as concerns over gaining weight, were predictors of quit intentions in a hypothetical flavor ban. Qualitative data suggest messaging highlighting the experiences of individuals who successfully quit may constitute an effective communication strategy. These insights can be used in the development of culturally specific cessation strategies for AA/B individuals who smoke menthol cigarettes.
摘要：
背景：美国食品和药物管理局（FDA）已提议禁止非裔美国人/黑人（AA/B）个人不成比例地使用具有特征风味产品的香烟和雪茄。关于吸食薄荷醇香烟的AA/B个体将如何对风味禁令做出反应或如何扩大预期的益处知之甚少。这项研究探讨了假设性禁酒后戒烟意向的预测因素，并进一步探讨了与禁酒相关的预期反应。
目标：我们从里士满招募了213名使用薄荷醇香烟的AA/B个体，VA（2021年9月至2022年8月）进行混合方法研究。参与者评估了7种戒烟动机和6种戒烟障碍（不是动机或挑战[1]-主要动机或挑战[4]）。然后报告说，如果香烟和雪茄中禁止特征口味，他们戒烟的可能性有多大。31名参与者的子样本完成了半结构化访谈，以进一步探索对风味限制政策的反应。
结果：多变量线性回归表明，由于“关于健康危害的信息”和“香烟成本”而更有动力戒烟的参与者在假设的薄荷醇禁令后报告了更高的戒烟意愿（p<.05）。此外,那些与戒烟相关的体重担忧的人报告了较低的禁令后戒烟意向(p<.05)。采访主题强调吸烟以减轻压力，加味烟草产品的危害/成瘾观念，烟草相关信息的可信来源（包括以前吸烟的人的证明），潜在的禁令回应，以及戒烟策略的不同经验。
结论：针对文化的戒烟策略，强调戒烟与健康相关的益处，特别是那些以前吸烟的人的经历，可以帮助吸薄荷醇香烟的AA/B个人在薄荷醇禁令后戒烟。
结论：对于FDA提议的禁止在香烟和雪茄中表征风味以促进种族健康平等的禁令，他们必须在使用薄荷醇香烟的非裔美国人/黑人（AA/B）人群中最大限度地戒烟。这项工作提供了有关吸烟对健康危害和成本的信息，以及对体重增加的担忧，是假设的味道禁令中戒烟意图的预测因子。定性数据表明，强调成功戒烟的个人经历的消息传递可能构成有效的沟通策略。这些见解可用于制定针对吸烟薄荷醇香烟的AA/B个体的文化特定戒烟策略。
目标：我们从里士满招募了213名使用薄荷醇香烟的AA/B个体，VA（2021年9月至2022年8月）进行混合方法研究。参与者评估了7种戒烟动机和6种戒烟障碍（不是动机或挑战[1]-主要动机或挑战[4]）。然后报告说，如果香烟和雪茄中禁止特征口味，他们戒烟的可能性有多大。31名参与者的子样本完成了半结构化访谈，以进一步探索对风味限制政策的反应。
结果：多变量线性回归表明，由于“关于健康危害的信息”和“香烟成本”而更有动力戒烟的参与者在假设的薄荷醇禁令后报告了更高的戒烟意愿（p<.05）。此外,那些与戒烟相关的体重担忧的人报告了较低的禁令后戒烟意向(p<.05)。采访主题强调吸烟以减轻压力，加味烟草产品的危害/成瘾观念，烟草相关信息的可信来源（包括以前吸烟的人的证明），潜在的禁令回应，以及戒烟策略的不同经验。
结论：针对文化的戒烟策略，强调戒烟与健康相关的益处，特别是那些以前吸烟的人的经历，可以帮助吸薄荷醇香烟的AA/B个人在薄荷醇禁令后戒烟。
结论：对于FDA提议的禁止在香烟和雪茄中表征风味以促进种族健康平等的禁令，他们必须在使用薄荷醇香烟的非裔美国人/黑人（AA/B）人群中最大限度地戒烟。这项工作提供了有关吸烟对健康危害和成本的信息，以及对体重增加的担忧，是假设的味道禁令中戒烟意图的预测因子。定性数据表明，强调成功戒烟的个人经历的消息传递可能构成有效的沟通策略。这些见解可用于制定针对吸烟薄荷醇香烟的AA/B个体的文化特定戒烟策略。
