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Smokers? Decision-Making about Tobacco Use: The Interplay of Affective and Cognitive Factors with Product Characteristics

Award Number: R01CA235719
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Project Abstract This application is being submitted in response to the Notice of Special Interest (NOSI) identified as NOT-CA- 20-039. Smokers commonly report co-use with alcohol, and linkages between alcohol use and tobacco use are well-established at multiple levels in the research literature. Tobacco is often used concurrently while drinking alcohol, which influences subsequent co-use behaviors and transitions. For instance, smoking quit attempts are less likely to be successful in the context of alcohol use, and policies targeting use of one product have shown spillover effects on use of the other. However, there has been limited research on the co-use of electronic nicotine delivery systems (ENDS) or heated tobacco products (HTP) and alcohol, and whether alcohol use patterns, including co-use with tobacco, influences tobacco use trajectories and outcomes among smokers who use ENDS. It is similarly unclear how regulatory policies for ENDS and HTPs affect alcohol use. The objective of this project is to provide timely evidence on patterns of tobacco and alcohol co-use among smokers who use ENDS or HTP; how these patterns affect smokers’ decisions to reject ENDS/HTP, substitute them for only a few cigarettes, switch exclusively to them, or use them to completely quit using tobacco; and evaluate how excise taxes and tobacco use restrictions in restaurants and bars affect stated preferences for alcohol and impact tobacco and alcohol co-use. Guided by our prior research, our Aim 1 will examine alcohol and tobacco co-use behaviors among dual users of cigarettes and ENDS/HTP and test whether alcohol-tobacco co-use affects tobacco use transition-probabilities and long-term outcomes. Aim 2 will evaluate the impact of excise taxes, tobacco use restrictions in restaurants and bars, and regulations of the availability of alcohol flavors in tobacco products on behavioral outcomes including tobacco and alcohol co-use and consumption levels. These aims will be accomplished by leveraging the parent grant’s intensive longitudinal study of 300 smokers who recently initiated ENDS or HTP use by adding an additional assessment with a volumetric choice experiment and focus on tobacco and alcohol co-use and by embedding alcohol related questions in existing assessments of the longitudinal study. Data generated by this administrative supplement will provide a more complete understanding of the decision-making processes and factors involved in smokers’ use of ENDS and HTP and the likelihoods that ENDS/HTP use will lead to complete quitting of cigarettes or to sustained dual use, and how the tobacco control policies could have spillover effects on alcohol use. The high impact of this research will be produced by study findings that improve the evidentiary base and quality of local, state, and federal policies and regulations and translatable knowledge that guides future research and clinical practice to encourage less dual use and more switching exclusively from combusted tobacco products to ENDS/HTP or complete cessation of all tobacco products.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $476,795 )
2023	2023	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION INC	58 EDGEWOOD AVE NE	ATLANTA	GA	30303	FULTON	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	5	8/25/2023	NON-COMPETING CONTINUATION	$476,795
														Subtotal = $476,795

Issue Date FY: 2022 ( Subtotal = $620,540 )
2022	2022	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION, INC.	58 EDGEWOOD AVE NE 3RD FL	ATLANTA	GA	30303	FULTON	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	001	4	8/26/2022	NON-COMPETING CONTINUATION	$620,540
2022	2021	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION, INC.	58 EDGEWOOD AVE NE 3RD FL	ATLANTA	GA	30303	FULTON	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	3	6/3/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $620,540

Issue Date FY: 2021 ( Subtotal = $603,917 )
2021	2021	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION, INC.	58 EDGEWOOD AVE NE 3RD FL	ATLANTA	GA	30303	FULTON	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	001	3	8/17/2021	NON-COMPETING CONTINUATION	$603,917
2021	2020	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION, INC.	58 EDGEWOOD AVE NE 3RD FL	ATLANTA	GA	30303	FULTON	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	2	4/23/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $603,917

Issue Date FY: 2020 ( Subtotal = $721,785 )
2020	2020	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION, INC.	58 EDGEWOOD AVE NE 3RD FL	ATLANTA	GA	30303	FULTON	USA	Cancer Cause and Prevention Research	001	2	8/14/2020	SUPPLEMENT FOR EXPANSION	$99,734
2020	2020	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION, INC.	58 EDGEWOOD AVE NE 3RD FL	ATLANTA	GA	30303	FULTON	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	2	7/31/2020	NON-COMPETING CONTINUATION	$622,051
														Subtotal = $721,785

Issue Date FY: 2019 ( Subtotal = $675,831 )
2019	2019	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION, INC.	58 EDGEWOOD AVE NE 3RD FL	ATLANTA	GA	30303	FULTON	USA	Family Smoking Prevention and Tobacco Control Act Regulatory Research	000	1	9/19/2019	NEW	$675,831
														Subtotal = $675,831

Grand Total All Awards = $3,098,868

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Smokers? Decision-Making about Tobacco Use: The Interplay of Affective and Cognitive Factors with Product Characteristics

Award Number: R01CA235719

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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