Understanding how perceptions of tobacco constituents and the FDA relate to effective and credible tobacco risk messaging: A national phone survey of U.S. adults, 2014-2015

doi:10.1186/s12889-016-3151-5

. 2016 Jun 23:16:516.

doi: 10.1186/s12889-016-3151-5.

Understanding how perceptions of tobacco constituents and the FDA relate to effective and credible tobacco risk messaging: A national phone survey of U.S. adults, 2014-2015

Marcella H Boynton^{1

2}, Robert P Agans^{3

4}, J Michael Bowling^{1

2

3

4}, Noel T Brewer^{1

2}, Erin L Sutfin⁵, Adam O Goldstein^{2

6}, Seth M Noar^{2

7}, Kurt M Ribisl^{8

9}

Affiliations

¹ Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill (UNC), CB #7440, Chapel Hill, NC, 27599-7440, USA.
² Lineberger Comprehensive Cancer Center, UNC, CB #7295, Chapel Hill, NC, 27599-7295, USA.
³ Carolina Survey Research Laboratory, UNC, 730 Martin Luther King Jr Blvd, Chapel Hill, NC, 27514, USA.
⁴ Department of Biostatistics, Gillings School of Global Public Health, CB #7420, 3101 McGavran-Greenberg Hall, Chapel Hill, NC, 27599-7420, USA.
⁵ Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
⁶ Department of Family Medicine, School of Medicine, UNC, CB #7595, Manning Drive, Chapel Hill, NC, 27599-7595, USA.
⁷ School of Media and Journalism, UNC, CB #3365, Chapel Hill, NC, 27599-7440, USA.
⁸ Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill (UNC), CB #7440, Chapel Hill, NC, 27599-7440, USA. kurt_ribisl@unc.edu.
⁹ Lineberger Comprehensive Cancer Center, UNC, CB #7295, Chapel Hill, NC, 27599-7295, USA. kurt_ribisl@unc.edu.

PMID: 27333921
PMCID: PMC4918079
DOI: 10.1186/s12889-016-3151-5

Understanding how perceptions of tobacco constituents and the FDA relate to effective and credible tobacco risk messaging: A national phone survey of U.S. adults, 2014-2015

Marcella H Boynton et al. BMC Public Health. 2016.

. 2016 Jun 23:16:516.

doi: 10.1186/s12889-016-3151-5.

Authors

Marcella H Boynton^{1

2}, Robert P Agans^{3

4}, J Michael Bowling^{1

2

3

4}, Noel T Brewer^{1

2}, Erin L Sutfin⁵, Adam O Goldstein^{2

6}, Seth M Noar^{2

7}, Kurt M Ribisl^{8

9}

Affiliations

¹ Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill (UNC), CB #7440, Chapel Hill, NC, 27599-7440, USA.
² Lineberger Comprehensive Cancer Center, UNC, CB #7295, Chapel Hill, NC, 27599-7295, USA.
³ Carolina Survey Research Laboratory, UNC, 730 Martin Luther King Jr Blvd, Chapel Hill, NC, 27514, USA.
⁴ Department of Biostatistics, Gillings School of Global Public Health, CB #7420, 3101 McGavran-Greenberg Hall, Chapel Hill, NC, 27599-7420, USA.
⁵ Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, 27157, USA.
⁶ Department of Family Medicine, School of Medicine, UNC, CB #7595, Manning Drive, Chapel Hill, NC, 27599-7595, USA.
⁷ School of Media and Journalism, UNC, CB #3365, Chapel Hill, NC, 27599-7440, USA.
⁸ Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill (UNC), CB #7440, Chapel Hill, NC, 27599-7440, USA. kurt_ribisl@unc.edu.
⁹ Lineberger Comprehensive Cancer Center, UNC, CB #7295, Chapel Hill, NC, 27599-7295, USA. kurt_ribisl@unc.edu.

PMID: 27333921
PMCID: PMC4918079
DOI: 10.1186/s12889-016-3151-5

Erratum in

Erratum to: understanding how perceptions of tobacco constituents and the FDA relate to effective and credible tobacco risk messaging: a national phone survey of U.S. adults, 2014-2015.
Boynton MH, Agans RP, Michael Bowling J, Brewer NT, Sutfin EL, Goldstein AO, Noar SM, Ribisl KM. Boynton MH, et al. BMC Public Health. 2017 Sep 20;17(1):726. doi: 10.1186/s12889-017-4760-3. BMC Public Health. 2017. PMID: 28931386 Free PMC article. No abstract available.

Abstract

Background: The passage of the 2009 Family Smoking Prevention and Tobacco Control Act has necessitated the execution of timely, innovative, and policy-relevant tobacco control research to inform Food and Drug Administration (FDA) regulatory and messaging efforts. With recent dramatic changes to tobacco product availability and patterns of use, nationally representative data on tobacco-related perceptions and behaviors are vital, especially for vulnerable populations.

Methods: The UNC Center for Regulatory Research on Tobacco Communication conducted a telephone survey with a national sample of adults ages 18 and older living in the United States (U.S.). The survey assessed regulatory relevant factors such as tobacco product use, tobacco constituent perceptions, and tobacco regulatory agency credibility. The study oversampled high smoking/low income areas as well as cell phone numbers to ensure adequate representation among smokers and young adults, respectively. Coverage extended to approximately 98 % of U.S. households.

Results: The final dataset (N = 5,014) generated weighted estimates that were largely comparable to other national demographic and tobacco use estimates. Results revealed that over one quarter of U.S. adults, and over one third of smokers, reported having looked for information about tobacco constituents in cigarette smoke; however, the vast majority was unaware of what constituents might actually be present. Although only a minority of people reported trust in the federal government, two thirds felt that the FDA can effectively regulate tobacco products.

Conclusions: As the FDA continues their regulatory and messaging activities, they should expand both the breadth and availability of constituent-related information, targeting these efforts to reach all segments of the U.S. population, especially those disproportionately vulnerable to tobacco product use and its associated negative health outcomes.

Keywords: Cigarette smoking; Communication; Constituents; Non-cigarette tobacco product; Tobacco use.

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References

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1. Fagan P, King G, Lawrence D, et al. Eliminating tobacco-related health disparities: Directions for future research. Am J Public Health. 2004;94(2):211–7. doi: 10.2105/AJPH.94.2.211. - DOI - PMC - PubMed
1. Ward E, Jemal A, Cokkinides V, et al. Cancer disparities by race/ethnicity and socioeconomic status. CA Cancer J Clin. 2004;54(2):78–93. doi: 10.3322/canjclin.54.2.78. - DOI - PubMed
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[1] U.S. Surgeon General. The health consequences of smoking – 50 years of progress: a report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 2014. http://www.surgeongeneral.gov/library/reports/50-years-of-progress/full-.... Accessed on 21 Jan 2016.

[2] U.S. Surgeon General. The health consequences of smoking – 50 years of progress: a report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. 2014. http://www.surgeongeneral.gov/library/reports/50-years-of-progress/full-.... Accessed on 21 Jan 2016.

[3] Carter BD, Freedman ND, Jacobs EJ. Smoking and mortality--beyond established causes. N Engl J Med. 2015;372(22):2170. doi: 10.1056/NEJMc1503813. - DOI - PubMed

[4] Carter BD, Freedman ND, Jacobs EJ. Smoking and mortality--beyond established causes. N Engl J Med. 2015;372(22):2170. doi: 10.1056/NEJMc1503813. - DOI - PubMed

[5] Fagan P, King G, Lawrence D, et al. Eliminating tobacco-related health disparities: Directions for future research. Am J Public Health. 2004;94(2):211–7. doi: 10.2105/AJPH.94.2.211. - DOI - PMC - PubMed

[6] Fagan P, King G, Lawrence D, et al. Eliminating tobacco-related health disparities: Directions for future research. Am J Public Health. 2004;94(2):211–7. doi: 10.2105/AJPH.94.2.211. - DOI - PMC - PubMed

[7] Ward E, Jemal A, Cokkinides V, et al. Cancer disparities by race/ethnicity and socioeconomic status. CA Cancer J Clin. 2004;54(2):78–93. doi: 10.3322/canjclin.54.2.78. - DOI - PubMed

[8] Ward E, Jemal A, Cokkinides V, et al. Cancer disparities by race/ethnicity and socioeconomic status. CA Cancer J Clin. 2004;54(2):78–93. doi: 10.3322/canjclin.54.2.78. - DOI - PubMed

[9] Garrett BE, Dube SR, Babb S, et al. Addressing the social determinants of health to reduce tobacco-related disparities. Nicotine Tob Res. 2015;17(8):892–7. doi: 10.1093/ntr/ntu266. - DOI - PMC - PubMed

[10] Garrett BE, Dube SR, Babb S, et al. Addressing the social determinants of health to reduce tobacco-related disparities. Nicotine Tob Res. 2015;17(8):892–7. doi: 10.1093/ntr/ntu266. - DOI - PMC - PubMed

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Understanding how perceptions of tobacco constituents and the FDA relate to effective and credible tobacco risk messaging: A national phone survey of U.S. adults, 2014-2015

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Understanding how perceptions of tobacco constituents and the FDA relate to effective and credible tobacco risk messaging: A national phone survey of U.S. adults, 2014-2015

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