1 00:00:06,607 --> 00:00:07,642 >> GOOD MORNING, EVERYONE. 2 00:00:07,642 --> 00:00:12,547 WELCOME TO THE NIMHD DIR 3 00:00:12,547 --> 00:00:13,347 SEMINAR. 4 00:00:13,347 --> 00:00:16,050 I'M YOUR HOST AND SCIENTIFIC 5 00:00:16,050 --> 00:00:17,251 DIRECTOR OF THE NIMHD DIVISION 6 00:00:17,251 --> 00:00:19,120 OF INTRAMURAL RESEARCH. 7 00:00:19,120 --> 00:00:20,788 TODAY I AM VERY EXCITED TO BRING 8 00:00:20,788 --> 00:00:22,724 YOU OUR SPEAKER. 9 00:00:22,724 --> 00:00:24,125 NOW BEFORE I GO ON, I JUST WANT 10 00:00:24,125 --> 00:00:26,994 TO WISH EVERYBODY AN EARLY 11 00:00:26,994 --> 00:00:29,864 VALENTINE'S DAY, HOPE YOU HAVE A 12 00:00:29,864 --> 00:00:31,032 SWEET DAY TOMORROW. 13 00:00:31,032 --> 00:00:31,933 OUR SPEAKER TODAY IS 14 00:00:31,933 --> 00:00:34,802 DR. LILIANNA PHAN, WHO IS A 15 00:00:34,802 --> 00:00:37,805 SOCIAL AND BEHAVIORAL SCIENTIST 16 00:00:37,805 --> 00:00:46,681 FOCUSED ON -- SHE UTILIZES 17 00:00:46,681 --> 00:00:49,217 COMMUNITY ENGAGED MIXED 18 00:00:49,217 --> 00:00:50,618 METHOD -- APPROACHES TO 19 00:00:50,618 --> 00:00:51,719 UNDERSTANDING PSYCHOLOGICAL AND 20 00:00:51,719 --> 00:00:54,122 SOCIAL FACTORS ASSOCIATED WITH 21 00:00:54,122 --> 00:00:55,990 COMMERCIAL TOBACCO USE AND TO 22 00:00:55,990 --> 00:00:57,492 DEVELOP HEALTH EDUCATION 23 00:00:57,492 --> 00:00:58,593 INTERVENTION. 24 00:00:58,593 --> 00:01:04,499 HER ONGOING NIH FDA FUNDED AWARD 25 00:01:04,499 --> 00:01:07,001 K99/R00 FOCUSES ON DEVELOPING 26 00:01:07,001 --> 00:01:08,970 CIGARETTE SMOKING PREVENTION 27 00:01:08,970 --> 00:01:11,105 MESSAGES AMONG BLACK YOUNG 28 00:01:11,105 --> 00:01:17,311 ADULTS. 29 00:01:17,311 --> 00:01:19,814 -- AMONG RACIALLY MINORITIZED 30 00:01:19,814 --> 00:01:20,715 POPULATIONS, PARTICULARLY YOUNG 31 00:01:20,715 --> 00:01:21,682 ADULTS, BOTH LOCALLY AND 32 00:01:21,682 --> 00:01:23,751 NATIONALLY. 33 00:01:23,751 --> 00:01:24,852 DR. PHAN IS AN ASSISTANT 34 00:01:24,852 --> 00:01:26,053 PROFESSOR AT DREXEL UNIVERSITY 35 00:01:26,053 --> 00:01:28,656 THROUGH THE NIH COMMON FUND 36 00:01:28,656 --> 00:01:29,991 FACULTY INSTITUTIONAL 37 00:01:29,991 --> 00:01:33,060 RECRUITMENT FOR SUSTAINABLE 38 00:01:33,060 --> 00:01:35,196 TRANSFORMATION PROGRAM, THE 39 00:01:35,196 --> 00:01:37,965 FIRST PROGRAM, AT DREXEL 40 00:01:37,965 --> 00:01:38,733 UNIVERSITY. 41 00:01:38,733 --> 00:01:40,601 THE NIH FIRST PROGRAM AIMS TO 42 00:01:40,601 --> 00:01:44,872 ENHANCE AND MAINTAIN CULTURES OF 43 00:01:44,872 --> 00:01:48,576 INCLUSIVE LENS IN THE COMMUNITY. 44 00:01:48,576 --> 00:01:50,678 SHE COMPLETED POSTDOCTORAL 45 00:01:50,678 --> 00:01:53,447 TRAINING AT NIMHD DIVISION OF 46 00:01:53,447 --> 00:01:54,916 INTRAMURAL RESEARCH THROUGH THE 47 00:01:54,916 --> 00:01:56,017 INTRAMURAL RESEARCH TRAIN AIG 48 00:01:56,017 --> 00:01:56,784 WARD. 49 00:01:56,784 --> 00:02:01,189 AND SHE RECEIVED THE 2022 50 00:02:01,189 --> 00:02:04,892 RESEARCH INNOVATION AWARD, AND 51 00:02:04,892 --> 00:02:06,961 ALSO THE NIH SUMMER RESEARCH 52 00:02:06,961 --> 00:02:08,396 MENTOR AWARD FOR THREE 53 00:02:08,396 --> 00:02:10,231 CONSECUTIVE YEARS. 54 00:02:10,231 --> 00:02:11,899 NOW ONE LITTLE LAST THING I 55 00:02:11,899 --> 00:02:15,503 WOULD ADD IS THAT I HAD THE 56 00:02:15,503 --> 00:02:19,307 FORTUNE TO ME MENTOR DR. PHAN AD 57 00:02:19,307 --> 00:02:23,511 SHE IS DELIGHTFUL AND ALSO HAS A 58 00:02:23,511 --> 00:02:25,112 VERY, VERY STRONG COMMITMENT TO 59 00:02:25,112 --> 00:02:27,315 HEALTH DISPARITY RESEARCH. 60 00:02:27,315 --> 00:02:32,153 SO I'M VERY HAPPY TO HAVE HER 61 00:02:32,153 --> 00:02:34,655 TODAY AND I HOPE YOU ALL ENJOY 62 00:02:34,655 --> 00:02:35,623 HER PRESENTATION. 63 00:02:35,623 --> 00:02:38,559 WITHOUT FURTHER ADO, THE PODIUM 64 00:02:38,559 --> 00:02:38,926 IS YOURS. 65 00:02:38,926 --> 00:02:40,194 >> THANK YOU FOR THAT GENEROUS 66 00:02:40,194 --> 00:02:40,761 AND WARM WELCOME. 67 00:02:40,761 --> 00:02:42,496 THANK YOU SO MUCH FOR HAVING ME, 68 00:02:42,496 --> 00:02:43,631 AND I'M VERY APPRECIATIVE OF 69 00:02:43,631 --> 00:02:44,465 THIS OPPORTUNITY TO SHARE MORE 70 00:02:44,465 --> 00:02:46,133 ABOUT OUR RESEARCH THROUGH THE 71 00:02:46,133 --> 00:02:54,242 COLEMAN AWARD. 72 00:02:54,242 --> 00:02:55,509 I'D LIKE TO START OFF OUR TIME 73 00:02:55,509 --> 00:02:57,178 TOGETHER BY FIRST ACKNOWLEDGING 74 00:02:57,178 --> 00:02:59,247 DR. COLEMAN AND HIS LEGACY. 75 00:02:59,247 --> 00:03:00,982 DR. COLEMAN WAS THE FIRST 76 00:03:00,982 --> 00:03:02,750 PERMANENT AFRICAN AMERICAN 77 00:03:02,750 --> 00:03:04,952 SCIENTIFIC DIRECTOR AT NIH 78 00:03:04,952 --> 00:03:08,322 THROUGH THE NIMHD DIR, AND 79 00:03:08,322 --> 00:03:09,790 DR. COLEMAN WAS KNOWN FOR HIS 80 00:03:09,790 --> 00:03:11,158 BELIEF IN THE POWER OF 81 00:03:11,158 --> 00:03:11,826 MENTORSHIP. 82 00:03:11,826 --> 00:03:13,261 AND ALTHOUGH I NEVER HAD AN 83 00:03:13,261 --> 00:03:15,563 OPPORTUNITY TO MEET DR. COLEMAN 84 00:03:15,563 --> 00:03:18,833 WITH HIS PASSING IN 2014, 85 00:03:18,833 --> 00:03:20,601 THROUGH READING OTHER PEOPLE'S 86 00:03:20,601 --> 00:03:21,535 STORIES ABOUT HIM AND LEARNING 87 00:03:21,535 --> 00:03:23,738 MORE ABOUT HIS VALUES AS A 88 00:03:23,738 --> 00:03:25,406 SCIENTIST, I REALLY HAVE COME TO 89 00:03:25,406 --> 00:03:29,577 REFLECT THAT I'VE BE BENEFITED M 90 00:03:29,577 --> 00:03:33,080 HIS VISION OF TRAINING FUTURE 91 00:03:33,080 --> 00:03:33,481 SCIENTISTS. 92 00:03:33,481 --> 00:03:35,983 UNDER HIS LEADERSHIP, THE 93 00:03:35,983 --> 00:03:38,185 PROGRAM FOCUSED ON CANCER, 94 00:03:38,185 --> 00:03:40,821 CARDIOVASCULAR DISEASE, AND 95 00:03:40,821 --> 00:03:43,090 DIABETES, WHICH ALL THREE, 96 00:03:43,090 --> 00:03:44,325 TOBACCO USE PRESENTS A HIGHER 97 00:03:44,325 --> 00:03:48,462 RISK FOR. 98 00:03:48,462 --> 00:03:52,300 SO MY FOCUS ON TOBACCO CONTROL 99 00:03:52,300 --> 00:03:54,602 RESEARCH IS REALLY GROUNDED IN 100 00:03:54,602 --> 00:03:56,337 THIS IDEA THAT IF WE CAN MOVE 101 00:03:56,337 --> 00:03:58,072 THE NEEDLE AND ADDRESS TOBACCO 102 00:03:58,072 --> 00:04:01,909 USE DISPARITIES, WE CAN ALSO 103 00:04:01,909 --> 00:04:03,711 HELP WITH CANCER AND CHRONIC 104 00:04:03,711 --> 00:04:05,313 DISEASES. 105 00:04:05,313 --> 00:04:08,249 MY WORK IS ALSO GROUNDED IN THE 106 00:04:08,249 --> 00:04:09,383 IDEA THAT COMMERCIAL TOBACCO USE 107 00:04:09,383 --> 00:04:12,420 IS TRULY A SOCIAL JUSTICE ISSUE. 108 00:04:12,420 --> 00:04:16,457 AND SO THINKING BACK TO 1954, 109 00:04:16,457 --> 00:04:20,194 WITH THE FRANK STATEMENT TO 110 00:04:20,194 --> 00:04:22,797 CIGARETTE SMOKERS, THROUGH THE 111 00:04:22,797 --> 00:04:25,666 TOBACCO INDUSTRY AND ALSO THE 112 00:04:25,666 --> 00:04:27,835 PUBLIC MANIPULATION OF 113 00:04:27,835 --> 00:04:30,471 PERCEPTIONS WHERE THE TOBACCO 114 00:04:30,471 --> 00:04:32,773 INDUSTRY REALLY KIND OF CREATED 115 00:04:32,773 --> 00:04:35,843 THE VICTIM BLAMING NARRATIVE TO 116 00:04:35,843 --> 00:04:38,245 DEFLECT BLAME FROM INDIVIDUALS 117 00:04:38,245 --> 00:04:40,982 TO WHAT WE HAVE MORE PRESENT 118 00:04:40,982 --> 00:04:44,251 DAY, WITH JUUL SENDING MILLIONS 119 00:04:44,251 --> 00:04:45,453 TO PROMOTE E-CIGARETTES. 120 00:04:45,453 --> 00:04:47,321 SO THOSE VALUES AND THAT 121 00:04:47,321 --> 00:04:52,560 BACKGROUND REALLY KIND OF 122 00:04:52,560 --> 00:04:56,163 EMPLPROVIDES A CONTEXT. 123 00:04:56,163 --> 00:04:57,164 BUT LET'S START TALKING MORE 124 00:04:57,164 --> 00:04:58,866 ABOUT CIGAR SMOKING IN THE 125 00:04:58,866 --> 00:04:59,867 UNITED STATES. 126 00:04:59,867 --> 00:05:02,636 USING DATA THROUGH THE NATIONAL 127 00:05:02,636 --> 00:05:03,304 CANCER INSTITUTE TREND REPORT, 128 00:05:03,304 --> 00:05:06,240 ON THE LEFT HERE, YOU SEE THE 129 00:05:06,240 --> 00:05:09,076 FIGURE SHOWING THAT WE'VE MADE 130 00:05:09,076 --> 00:05:12,346 TREMENDOUS DECLINES FROM 1965 131 00:05:12,346 --> 00:05:15,449 THROUGH 2021 IN REDUCING THE 132 00:05:15,449 --> 00:05:16,717 PREVALENCE OF CIGARETTE SMOKING 133 00:05:16,717 --> 00:05:18,319 IN THE UNITED STATES AMONG U.S. 134 00:05:18,319 --> 00:05:19,720 ADULTS, WHERE THE CURRENT 135 00:05:19,720 --> 00:05:24,658 PREVALENCE IS ABOUT 11%. 136 00:05:24,658 --> 00:05:26,961 THEN ON THE RIGHT HERE, WE SEE 137 00:05:26,961 --> 00:05:29,697 THE PREVALENCE FOR CIGAR SMOKING 138 00:05:29,697 --> 00:05:31,866 FROM 1998 THROUGH 2021, WHERE 139 00:05:31,866 --> 00:05:33,300 THE PREVALENCE HAS REMAINED 140 00:05:33,300 --> 00:05:36,370 STABLE IN THE UNITED STATES WITH 141 00:05:36,370 --> 00:05:38,973 ABOUT 3.5% OF ADULTS CURRENTLY 142 00:05:38,973 --> 00:05:41,075 SMOKING CIGARS. 143 00:05:41,075 --> 00:05:44,211 SO WHEN WE DISAGGREGATE THE DATA 144 00:05:44,211 --> 00:05:47,114 BY RACE, WE ACTUALLY SEE A VERY 145 00:05:47,114 --> 00:05:48,049 DIFFERENT STORY. 146 00:05:48,049 --> 00:05:49,383 USING THE NATIONAL SURVEY ON 147 00:05:49,383 --> 00:05:53,354 DRUG USE AND HEALTH FROM 2002 148 00:05:53,354 --> 00:05:55,389 THROUGH 2019, DR. PACEK AND TEAM 149 00:05:55,389 --> 00:05:57,792 FOUND THAT CIGAR SMOKING HAS 150 00:05:57,792 --> 00:05:58,893 INCREASED AMONG BLACK 151 00:05:58,893 --> 00:06:00,194 INDIVIDUALS OVERALL DURING THIS 152 00:06:00,194 --> 00:06:02,096 TIME PERIOD, AND THAT PREVALENCE 153 00:06:02,096 --> 00:06:07,401 IS ABOUT 8%. 154 00:06:07,401 --> 00:06:09,136 USING THE SAME DATA, OUR 155 00:06:09,136 --> 00:06:13,974 RESEARCH HAS ALSO LOOKED AT AGE 156 00:06:13,974 --> 00:06:17,011 OF CIGAR SMOKING INITIATION BY 157 00:06:17,011 --> 00:06:18,779 BLACK INDIVIDUALS WHERE WE FIND 158 00:06:18,779 --> 00:06:20,281 WIDENING EDUCATION-RELATED 159 00:06:20,281 --> 00:06:21,816 DISPARITIES RELATED TO AGE OF 160 00:06:21,816 --> 00:06:25,319 CIGAR SMOKING INITIATION. 161 00:06:25,319 --> 00:06:26,987 AGE OF INITIATION FOR SMOKING IS 162 00:06:26,987 --> 00:06:29,156 REALLY IMPORTANT AS A FACTOR TO 163 00:06:29,156 --> 00:06:29,924 UNDERSTAND, BECAUSE IT'S 164 00:06:29,924 --> 00:06:33,194 ASSOCIATED WITH HIGHER NICOTINE 165 00:06:33,194 --> 00:06:36,597 DEPENDENCE, MORE DIFFICULTY WITH 166 00:06:36,597 --> 00:06:38,265 CESSATION, AS WELL AS MORE 167 00:06:38,265 --> 00:06:42,403 NEGATIVE HEALTH CONSEQUENCES. 168 00:06:42,403 --> 00:06:44,705 AND SO WHILE THE CLASS OF CIGAR 169 00:06:44,705 --> 00:06:45,806 PRODUCTS INCLUDES THREE 170 00:06:45,806 --> 00:06:47,441 DIFFERENT TYPES OF TOBACCO 171 00:06:47,441 --> 00:06:50,144 PRODUCTS, LITTLE FILTERED 172 00:06:50,144 --> 00:06:52,213 CIGARS, CIGARILLOS AND LARGE 173 00:06:52,213 --> 00:06:53,881 CIGARS, THE TWO TYPE OF CIGAR 174 00:06:53,881 --> 00:06:54,982 PRODUCTS THAT ARE LARGELY 175 00:06:54,982 --> 00:06:56,484 DRIVING THESE RACIAL DISPARITIES 176 00:06:56,484 --> 00:06:57,485 EXPERIENCED BY BLACK INDIVIDUALS 177 00:06:57,485 --> 00:07:01,288 ARE LITTLE FILTERED CIGARS AND 178 00:07:01,288 --> 00:07:02,723 SICIGARILLOS. 179 00:07:02,723 --> 00:07:04,258 THEY ARE DELIBERATELY MARKETED 180 00:07:04,258 --> 00:07:05,926 TO SPECIFIC POPULATIONS 181 00:07:05,926 --> 00:07:07,328 INCLUDING BLACK INDIVIDUALS AND 182 00:07:07,328 --> 00:07:08,963 COMMUNITIES, AND THERE'S ALSO 183 00:07:08,963 --> 00:07:10,498 VARYING USE PATTERNS FOR LITTLE 184 00:07:10,498 --> 00:07:16,837 FILTERED CIGARS AND SILL CIGAR, 185 00:07:16,837 --> 00:07:18,706 WHERE THE NATIONAL ACADEMY 186 00:07:18,706 --> 00:07:20,040 CENSUS REPORT HAS SUGGESTED THAT 187 00:07:20,040 --> 00:07:21,876 BECAUSE LITTLE FILTERED CIGARS 188 00:07:21,876 --> 00:07:25,246 AND CIGARILLOS ARE USED AT A 189 00:07:25,246 --> 00:07:27,948 GREATER FREQUENCY AND HIGHER 190 00:07:27,948 --> 00:07:28,983 INTENSITY, THEIR HARM IS SIMILAR 191 00:07:28,983 --> 00:07:31,519 TO THAT OF CIGARETTES AND WORSE 192 00:07:31,519 --> 00:07:37,191 THAN LARGE CIGARS. 193 00:07:37,191 --> 00:07:43,464 SO WE LOOKED AT THE PRE LA PREVE 194 00:07:43,464 --> 00:07:47,268 USING THE 2018 THROUGH 2019 195 00:07:47,268 --> 00:07:48,702 TOBACCO USE SUPPLEMENT TO THE 196 00:07:48,702 --> 00:07:50,771 CURRENT POPULATION SURVEY. 197 00:07:50,771 --> 00:07:56,010 WHAT WE SEE IS THAT BLACK ADULTS 198 00:07:56,010 --> 00:07:57,311 18 TO 30 YEARS OLD HAVE THE 199 00:07:57,311 --> 00:08:02,016 HIGHEST PREVALENCE OF LITTLE 200 00:08:02,016 --> 00:08:03,717 FILTERED CIGAR AND CIGARILLO 201 00:08:03,717 --> 00:08:05,519 SMOKING THAN ANY OTHER RACIAL 202 00:08:05,519 --> 00:08:07,488 AND AGE GROUP IN THE UNITED 203 00:08:07,488 --> 00:08:08,022 STATES. 204 00:08:08,022 --> 00:08:11,192 WE ALSO SEE THAT COMPARED TO 205 00:08:11,192 --> 00:08:12,960 WHITE YOUNG ADULTS, BLACK YOUNG 206 00:08:12,960 --> 00:08:14,862 ADULTS HAVE ABOUT FOUR TIMES THE 207 00:08:14,862 --> 00:08:16,664 ODDS OF SMOKING LITTLE FILTERED 208 00:08:16,664 --> 00:08:18,966 CIGARS AND CIGARILLOS THAN NOT 209 00:08:18,966 --> 00:08:21,735 SMOKING CIGARS AT ALL. 210 00:08:21,735 --> 00:08:23,604 THEY ALSO HAVE ABOUT A FIVE 211 00:08:23,604 --> 00:08:24,705 TIMES HIGHER ODDS OF SMOKING 212 00:08:24,705 --> 00:08:26,640 LITTLE FILTERED CIGARS AND 213 00:08:26,640 --> 00:08:27,641 CIGARILLOS COMPARED TO LARGE 214 00:08:27,641 --> 00:08:31,512 CIGARS. 215 00:08:31,512 --> 00:08:32,179 THIS ANALYSIS AS WELL AS OTHER 216 00:08:32,179 --> 00:08:36,650 STUDIES HAVE SHOWN US THAT THESE 217 00:08:36,650 --> 00:08:38,185 RACIAL DISPARITIES IN CIGAR 218 00:08:38,185 --> 00:08:40,154 SMOKING SPAN ACROSS ADULTHOOD. 219 00:08:40,154 --> 00:08:42,489 AND SO IF WE'RE ABLE TO MOVE THE 220 00:08:42,489 --> 00:08:45,626 NEEDLE AND HELP TO PREVENT CIGAR 221 00:08:45,626 --> 00:08:46,493 SMOKING AMONG BLACK YOUNG 222 00:08:46,493 --> 00:08:47,828 ADULTS, WE CAN POTENTIALLY HAVE 223 00:08:47,828 --> 00:08:51,865 A VERY LARGE IMPACT. 224 00:08:51,865 --> 00:08:54,435 AND SO AS A BEHAVIORAL 225 00:08:54,435 --> 00:08:55,402 SCIENTIST, I THOUGHT, YOU KNOW, 226 00:08:55,402 --> 00:08:59,373 WHAT DO WE KNOW ABOUT CIGAR 227 00:08:59,373 --> 00:09:00,874 SMOKING AMONG YOUNG ADULTS, WHAT 228 00:09:00,874 --> 00:09:04,812 FACTORS ARE ASSOCIATED WITH IT, 229 00:09:04,812 --> 00:09:06,513 AND WHAT CAN WE DO ABOUT IT? 230 00:09:06,513 --> 00:09:07,982 SO I WAS REALLY INTERESTED AND 231 00:09:07,982 --> 00:09:10,184 DRAWN TO DR. KIMBERLY STERLING'S 232 00:09:10,184 --> 00:09:12,753 WORK, WHICH FOCUSES ON POSITIVE 233 00:09:12,753 --> 00:09:14,255 AFFECT OR IN MY WORK, I'VE 234 00:09:14,255 --> 00:09:16,523 ADAPTED IT AS POSITIVE ATTITUDES 235 00:09:16,523 --> 00:09:21,562 TOWARDS CIGAR SMOKING. 236 00:09:21,562 --> 00:09:22,763 DR. KIMBERLY STERLING AND TEAM'S 237 00:09:22,763 --> 00:09:24,498 WORK HAS SHOWED THAT POSITIVE 238 00:09:24,498 --> 00:09:25,799 AFFECT TOWARD CIGAR SMOKING 239 00:09:25,799 --> 00:09:30,137 AMONG YOUNG ADULTS HAS BEEN 240 00:09:30,137 --> 00:09:30,938 ASSOCIATED WITH LOWER 241 00:09:30,938 --> 00:09:32,373 PERCEPTIONS OF HEALTH HARM FOR 242 00:09:32,373 --> 00:09:38,579 DAILY SMOKE,, U. SUSCEPTIBILITYS 243 00:09:38,579 --> 00:09:41,248 WELL AS CURRENT USE OF THIS 244 00:09:41,248 --> 00:09:42,116 PRODUCT. 245 00:09:42,116 --> 00:09:43,851 POSITIVE AFFECT HAS BEEN STUDIED 246 00:09:43,851 --> 00:09:45,452 MORE AS AN OPEN-ENDED QUESTION, 247 00:09:45,452 --> 00:09:46,687 SO JUST UNDERSTANDING WHETHER OR 248 00:09:46,687 --> 00:09:48,589 NOT A YOUNG ADULT MAY PERCEIVE 249 00:09:48,589 --> 00:09:51,325 CIGAR SMOKING POSITIVELY, LIKE 250 00:09:51,325 --> 00:09:56,063 AS GOOD OR NEGATIVELY AS BAD. 251 00:09:56,063 --> 00:09:58,198 SO SOME OTHER QUALITATIVE 252 00:09:58,198 --> 00:10:00,701 RESEARCH THROUGH DR. STERLING 253 00:10:00,701 --> 00:10:02,903 FOCUSES ON UNDERSTANDING MORE 254 00:10:02,903 --> 00:10:03,971 POSITIVE AFFECT THEMES AMONG 255 00:10:03,971 --> 00:10:06,073 YOUNG ADULTS, BUT THESE FOCUSED 256 00:10:06,073 --> 00:10:09,543 MORE ON FLAVORED LITTLE CIGARS 257 00:10:09,543 --> 00:10:10,210 AND CIGARILLOS. 258 00:10:10,210 --> 00:10:12,179 MY CURRENT BODY OF RESEARCH IS 259 00:10:12,179 --> 00:10:13,714 GROUNDED IN THE THEORY OF 260 00:10:13,714 --> 00:10:15,816 PLANNED BEHAVIOR, WHERE IF WE 261 00:10:15,816 --> 00:10:17,551 CONSIDER ATTITUDES TOWARD 262 00:10:17,551 --> 00:10:19,753 SMOKING TO BE THIS POSITIVE 263 00:10:19,753 --> 00:10:20,854 AFFECT CONSTRUCT, UNDERSTANDING 264 00:10:20,854 --> 00:10:23,023 THE UNDERLYING BELIEFS CAN HELP 265 00:10:23,023 --> 00:10:25,559 US MOVE THESE FACTORS IN ORDER 266 00:10:25,559 --> 00:10:28,362 TO REDUCE INTENTION TO USE AND 267 00:10:28,362 --> 00:10:30,998 ULTIMATELY REDUCE CIGAR SMOKING 268 00:10:30,998 --> 00:10:33,100 AMONG BLACK YOUNG ADULTS. 269 00:10:33,100 --> 00:10:36,036 AND SO FOR THE COLEMAN AWARD, I 270 00:10:36,036 --> 00:10:38,772 WANTED TO BUILD ON THE PREVIOUS 271 00:10:38,772 --> 00:10:39,973 RESEARCH BY EXPLORING BELIEFS 272 00:10:39,973 --> 00:10:41,742 ABOUT CIGAR SMOKING, 273 00:10:41,742 --> 00:10:44,078 SPECIFICALLY BY CIGAR TYPE AMONG 274 00:10:44,078 --> 00:10:45,479 BLACK YOUNG ADULTS. 275 00:10:45,479 --> 00:10:47,881 AND THEN ALSO THE SECOND GOAL 276 00:10:47,881 --> 00:10:49,283 WAS TO DEVELOP A SELF-REPORTED 277 00:10:49,283 --> 00:10:51,785 MEASURE OF OUTCOME EXPECTATIONS, 278 00:10:51,785 --> 00:10:53,320 WHICH IS POSITIVE BEHAVIORAL 279 00:10:53,320 --> 00:10:55,622 BELIEFS, OF CIGAR SMOKING BY 280 00:10:55,622 --> 00:10:56,924 CIGAR TYPE FOR BLACK YOUNG 281 00:10:56,924 --> 00:10:57,991 ADULTS THAT CAN BE USED IN 282 00:10:57,991 --> 00:11:00,427 FUTURE RESEARCH. 283 00:11:00,427 --> 00:11:03,063 AND SO JUST AS AN OVERVIEW OF 284 00:11:03,063 --> 00:11:12,139 OUR METHOD, WE CONDUCTED BELIEVE 285 00:11:12,139 --> 00:11:17,578 ELICIT -- THATWERE EITHER DEEMEE 286 00:11:17,578 --> 00:11:19,146 BY FOUR DIFFERENT SUSCEPTIBILITY 287 00:11:19,146 --> 00:11:20,881 SURVEY ITEMS OR HAVE 288 00:11:20,881 --> 00:11:22,816 EXPERIMENTED WITH ONE OR MORE 289 00:11:22,816 --> 00:11:23,851 CIGAR TYPE. 290 00:11:23,851 --> 00:11:26,787 THE INTERVIEW LASTED ABOUT AN 291 00:11:26,787 --> 00:11:28,455 HOUR EITHER BY PHONE OR ZOOM AND 292 00:11:28,455 --> 00:11:30,157 PARTICIPANTS WERE COMPENSATED 293 00:11:30,157 --> 00:11:33,394 $75 FOR THEIR TIME. 294 00:11:33,394 --> 00:11:36,063 AND SO THIS IS HOW IN THIS 295 00:11:36,063 --> 00:11:38,932 STUDY, WE WERE ABLE TO ADAPT AND 296 00:11:38,932 --> 00:11:41,335 CONCEPTUALIZE THESE DIFFERENT 297 00:11:41,335 --> 00:11:42,836 CATEGORIES OF BELIEFS. 298 00:11:42,836 --> 00:11:44,838 SO WHAT WE DID IS, AT THE 299 00:11:44,838 --> 00:11:47,040 BEGINNING OF THE PHONE CALL, I 300 00:11:47,040 --> 00:11:49,309 INTRODUCED THE PARTICIPANT TO 301 00:11:49,309 --> 00:11:53,046 THE WRITING EXERCISE TO CONDUCT 302 00:11:53,046 --> 00:11:55,282 THE BELIEF ELICITATION EXERCISE, 303 00:11:55,282 --> 00:11:58,585 AND WHAT WE DID IS I ASKED NINE 304 00:11:58,585 --> 00:12:00,354 DIFFERENT QUESTIONS, AND SO AS 305 00:12:00,354 --> 00:12:02,389 YOU CAN SEE HERE, THESE ARE THE 306 00:12:02,389 --> 00:12:03,557 THREE DIFFERENT BELIEFS RELATED 307 00:12:03,557 --> 00:12:05,526 TO THE THEORY OF PLANNED 308 00:12:05,526 --> 00:12:07,094 BEHAVIOR, AND THEN THE QUESTIONS 309 00:12:07,094 --> 00:12:09,029 THAT HELPED US CONCEPTUALIZE 310 00:12:09,029 --> 00:12:10,564 THESE BELIEFS IN THE INTERVIEWS. 311 00:12:10,564 --> 00:12:12,900 AND SO FOR EXAMPLE, BEHAVIORAL 312 00:12:12,900 --> 00:12:13,934 BELIEFS, WHAT EMOTIONS OR 313 00:12:13,934 --> 00:12:15,002 FEELINGS COME TO MIND WHEN YOU 314 00:12:15,002 --> 00:12:19,473 THINK ABOUT SMOKING CIGARILLOS, 315 00:12:19,473 --> 00:12:19,840 FOR EXAMPLE. 316 00:12:19,840 --> 00:12:21,041 WE DID THESE SET OF QUESTIONS 317 00:12:21,041 --> 00:12:22,509 FOR ALL THREE CIGAR TYPES, AS 318 00:12:22,509 --> 00:12:24,545 WELL AS WHAT GOOD OR POSITIVE 319 00:12:24,545 --> 00:12:25,746 THINGS COME TO MIND OR WHAT 320 00:12:25,746 --> 00:12:27,481 NEGATIVE OR BAD THINGS COME TO 321 00:12:27,481 --> 00:12:28,148 MIND. 322 00:12:28,148 --> 00:12:29,883 AND FOR NORMATIVE BELIEFS, 323 00:12:29,883 --> 00:12:31,518 THINKING ABOUT WHAT INDIVIDUALS 324 00:12:31,518 --> 00:12:34,488 OR GROUPS OF PEOPLE IN YOUR LIFE 325 00:12:34,488 --> 00:12:38,125 WOULD BE SUPPORTIVE OF YOU 326 00:12:38,125 --> 00:12:39,159 SMOKING, FOR EXAMPLE, CIGARILLOS 327 00:12:39,159 --> 00:12:41,395 OR WOULD NOT BE SUPPORTIVE OF 328 00:12:41,395 --> 00:12:42,930 YOU SMOKING CIGARILLOS, AS WELL 329 00:12:42,930 --> 00:12:43,897 AS WHAT INDIVIDUALS OR GROUPS OF 330 00:12:43,897 --> 00:12:45,432 PEOPLE DO YOU THINK ARE MOST 331 00:12:45,432 --> 00:12:47,534 LIKELY OR UNLIKELY TO SMOKE 332 00:12:47,534 --> 00:12:49,603 CIGARILLOS, FOR EXAMPLE. 333 00:12:49,603 --> 00:12:52,039 IN TERMS OF CONTROL BELIEFS, WE 334 00:12:52,039 --> 00:12:53,974 LOOKED AT UNDERSTANDING MORE 335 00:12:53,974 --> 00:12:55,342 ABOUT WHAT WOULD AN INDIVIDUAL 336 00:12:55,342 --> 00:12:57,010 THICK WOULD MAKE IT EASIER OR 337 00:12:57,010 --> 00:12:59,980 DIFFICULT FOR THEM TO TRY 338 00:12:59,980 --> 00:13:02,983 CIGARILLOS, FOR EXAMPLE. 339 00:13:02,983 --> 00:13:09,556 AND SO HERE IS A PICTURE OF MISS 340 00:13:09,556 --> 00:13:15,262 KAYLEIGH FENTON, AMGEN SCHOLAR 341 00:13:15,262 --> 00:13:17,431 WORKING WITH US. 342 00:13:17,431 --> 00:13:20,267 AUDIO RECORDINGS WERE 343 00:13:20,267 --> 00:13:21,134 TRANSCRIBED VERBATIM AND THERE 344 00:13:21,134 --> 00:13:23,237 WAS AN ITERATIVE PROCESS WE WENT 345 00:13:23,237 --> 00:13:24,438 THROUGH TO DEVELOP AND FINALIZE 346 00:13:24,438 --> 00:13:25,539 THE CODE BOOK. 347 00:13:25,539 --> 00:13:27,508 WE EXAMINED EMERGENT THEMES 348 00:13:27,508 --> 00:13:29,710 WITHIN EACH BELIEF SO THAT 349 00:13:29,710 --> 00:13:31,979 BEHAVIOR, NORMATIVE AND CONTROL 350 00:13:31,979 --> 00:13:39,653 BELIEFS ACROSS THE CIGAR TYPES. 351 00:13:39,653 --> 00:13:41,388 SO SHE CODED ALL THE 352 00:13:41,388 --> 00:13:43,123 TRANSCRIPTS, I THINK IT WAS OVER 353 00:13:43,123 --> 00:13:45,459 1500 DIFFERENT UNIQUE THEMES OR 354 00:13:45,459 --> 00:13:47,895 CODES, AND THEN I SERVED AS THE 355 00:13:47,895 --> 00:13:50,163 SECOND CODER, CODING 15% OF THE 356 00:13:50,163 --> 00:13:50,464 TRANSCRIPTS. 357 00:13:50,464 --> 00:13:52,199 RIGHT NOW, WE'RE STILL CODING, 358 00:13:52,199 --> 00:13:53,867 AND SO THESE RESULTS THAT I'M 359 00:13:53,867 --> 00:13:56,470 ABOUT TO SHARE ARE PRELIMINARY 360 00:13:56,470 --> 00:13:59,106 RESULTS. 361 00:13:59,106 --> 00:14:00,440 FOR PARTICIPANTS 362 00:14:00,440 --> 00:14:03,043 CHARACTERISTICS, IN TERMS OF THE 363 00:14:03,043 --> 00:14:05,812 SAMPLE, A LARGER MAJORITY, ABOUT 364 00:14:05,812 --> 00:14:08,148 HALF, IDENTIFIED AS WOMEN. 365 00:14:08,148 --> 00:14:10,584 THERE WAS ABOUT ALMOST AN EQUAL 366 00:14:10,584 --> 00:14:14,321 DISTRIBUTION OF EDUCATION LEVEL, 367 00:14:14,321 --> 00:14:16,390 AND THEN IN TERMS OF EMPLOYMENT, 368 00:14:16,390 --> 00:14:19,126 ABOUT 44% WERE FULL-TIME 369 00:14:19,126 --> 00:14:19,393 EMPLOYED. 370 00:14:19,393 --> 00:14:21,094 THERE WAS ABOUT AN EQUAL 371 00:14:21,094 --> 00:14:22,262 DISTRIBUTION FOR HOUSEHOLD 372 00:14:22,262 --> 00:14:25,032 INCOME, AND THEN THE MAJORITY 373 00:14:25,032 --> 00:14:29,069 IDENTIFIED AS 374 00:14:29,069 --> 00:14:29,870 HETEROSEXUAL/SEXUAL ORIENTATION. 375 00:14:29,870 --> 00:14:32,239 I'M GOING TO WALK US THROUGH THE 376 00:14:32,239 --> 00:14:33,473 EMERGENT BELIEFS WITHIN EACH 377 00:14:33,473 --> 00:14:34,308 BELIEF. 378 00:14:34,308 --> 00:14:37,477 AND SO I'M JUST HIGHLIGHTING 379 00:14:37,477 --> 00:14:38,278 MORE ABOUT THE GENERAL THEMES 380 00:14:38,278 --> 00:14:39,479 THAT EMERGED. 381 00:14:39,479 --> 00:14:42,883 SO FOR POSITIVE BEHAVIORAL 382 00:14:42,883 --> 00:14:44,818 BELIEFS, GENERALLY PARTICIPANTS 383 00:14:44,818 --> 00:14:46,486 HAD MORE GENERATIVE POSITIVE 384 00:14:46,486 --> 00:14:47,654 FEELINGS OF THINKING THAT 385 00:14:47,654 --> 00:14:51,491 CIGARILLOS AND LARGE CIGARS WERE 386 00:14:51,491 --> 00:14:52,826 GOOD AND MORE POSITIVE THAN 387 00:14:52,826 --> 00:14:53,894 LITTLE FILTERED CIGARS. 388 00:14:53,894 --> 00:14:57,064 THEN FOR LARGE CIGARS, THE 389 00:14:57,064 --> 00:14:59,366 FEELINGS THAT LARGE CIGARS WERE 390 00:14:59,366 --> 00:15:01,034 ASSOCIATED WITH BEING AFFLUENT, 391 00:15:01,034 --> 00:15:03,203 HAVING POSITIVE SOCIAL STATUS OR 392 00:15:03,203 --> 00:15:05,939 BEING RELATED TO USE AMONG 393 00:15:05,939 --> 00:15:08,675 CELEBRITIES EMERGED. 394 00:15:08,675 --> 00:15:10,010 AND THEN FOR CIGARILLOS, IT WAS 395 00:15:10,010 --> 00:15:12,112 REALLY ASSOCIATED WITH THIS 396 00:15:12,112 --> 00:15:13,714 PERCEPTION OF IT BEING COOL OR 397 00:15:13,714 --> 00:15:15,649 FUN OR RELATED TO FEELING HAPPY 398 00:15:15,649 --> 00:15:19,186 DURING A SOCIAL EVENT, AND ALSO 399 00:15:19,186 --> 00:15:21,788 AN INTEREST IN THE SENSORY 400 00:15:21,788 --> 00:15:23,390 EXPERIENCE OF FLAVORS, TASTE AND 401 00:15:23,390 --> 00:15:26,059 SMELL RELATED TO CIGARILLO 402 00:15:26,059 --> 00:15:28,128 SMOKING. 403 00:15:28,128 --> 00:15:29,463 RELAXATION, STRESS RELIEF AND 404 00:15:29,463 --> 00:15:32,399 POSITIVE PHYSICAL EFFECTS FROM 405 00:15:32,399 --> 00:15:33,934 NICOTINE SUCH AS EXPERIENCING A 406 00:15:33,934 --> 00:15:35,202 NICOTINE BUZZ EMERGED FOR 407 00:15:35,202 --> 00:15:37,337 CIGARILLOS AND LITTLE FILTERED 408 00:15:37,337 --> 00:15:39,406 CIGARS. 409 00:15:39,406 --> 00:15:42,576 AND THESE ARE SOME VERY BRIEF 410 00:15:42,576 --> 00:15:45,312 QUOTES TO SUPPORT SOME OF THE EE 411 00:15:45,312 --> 00:15:51,118 MER JEPT THEMESEMERGENT THEMES T 412 00:15:51,118 --> 00:15:51,385 DESCRIBED. 413 00:15:51,385 --> 00:15:54,054 FOR LARGE CIGARS, THINKING ABOUT 414 00:15:54,054 --> 00:15:58,725 BERNIE MAC, DJ KHALID AND A 415 00:15:58,725 --> 00:16:01,161 LUXURY BOAT, I AGAINST A SENSE 416 00:16:01,161 --> 00:16:02,596 LIKE, YOU MADE IT. 417 00:16:02,596 --> 00:16:04,998 FOR CIGARILLOS, ONE PARTICIPANT 418 00:16:04,998 --> 00:16:06,199 MENTIONED THEY DO LIKE TRYING 419 00:16:06,199 --> 00:16:08,769 NEW THINGS A LOT AND THEY THINK 420 00:16:08,769 --> 00:16:10,370 IT'S FUN BUT GENERALLY THEY TRY 421 00:16:10,370 --> 00:16:11,905 TO STAY AWAY FROM ANY SUBSTANCES 422 00:16:11,905 --> 00:16:13,173 AND THINGS THAT MIGHT BE HARMFUL 423 00:16:13,173 --> 00:16:14,074 TO THEIR HEALTH. 424 00:16:14,074 --> 00:16:15,742 THE OTHER THING THAT WAS 425 00:16:15,742 --> 00:16:17,010 MENTIONED WAS A PARTICIPANT 426 00:16:17,010 --> 00:16:18,211 MENTIONED THE NICOTINE HEAD RUSH 427 00:16:18,211 --> 00:16:19,346 THAT MIGHT BE A POSITIVE THINGS 428 00:16:19,346 --> 00:16:20,414 THAT COMES TO MIND. 429 00:16:20,414 --> 00:16:22,716 AND THAT FOR LITTLE FILTERED 430 00:16:22,716 --> 00:16:23,917 CIGARS, IT WAS PERCEIVED MORE AS 431 00:16:23,917 --> 00:16:25,552 A STRESS RELIEVER IN ORDER TO 432 00:16:25,552 --> 00:16:27,220 PASS TIME. 433 00:16:27,220 --> 00:16:30,590 SO SOMETHING AS LIKE A SOCIAL OR 434 00:16:30,590 --> 00:16:32,259 AN ACTIVITY TO DO. 435 00:16:32,259 --> 00:16:34,194 AND THEN ALSO A FOCUS ON THE 436 00:16:34,194 --> 00:16:35,295 RELAXATION THAT YOU CAN GET FROM 437 00:16:35,295 --> 00:16:38,031 IT. 438 00:16:38,031 --> 00:16:41,635 IN TERMS OF NEGATIVE BEHAVIORAL 439 00:16:41,635 --> 00:16:46,006 BELIEF, GENERALLY THE NEGATIVE 440 00:16:46,006 --> 00:16:47,474 BELIEFS HAD EQUALLY EMERGED 441 00:16:47,474 --> 00:16:49,342 ACROSS THE THREE CIGAR TYPES, AS 442 00:16:49,342 --> 00:16:52,012 WELL AS FEELINGS OF DISGUST FROM 443 00:16:52,012 --> 00:16:53,113 SMOKING AND ALSO CONCERN FOR 444 00:16:53,113 --> 00:16:53,547 POLLUTION. 445 00:16:53,547 --> 00:16:55,749 SO THINKING ABOUT THE TIP OF A 446 00:16:55,749 --> 00:16:57,484 CIGAR PRODUCT OR THE BUTT, AND 447 00:16:57,484 --> 00:17:01,321 HOW IT MIGHT BE POLLUTING THE 448 00:17:01,321 --> 00:17:03,724 ENVIRONMENT OR JUST LOCAL 449 00:17:03,724 --> 00:17:05,192 COMMUNITIES. 450 00:17:05,192 --> 00:17:06,493 THEN ALSO THE IDEA THAT LARGE 451 00:17:06,493 --> 00:17:07,427 CIGARS ARE ASSOCIATED WITH MORE 452 00:17:07,427 --> 00:17:10,464 OF A NEGATIVE TASTE AND A LARGER 453 00:17:10,464 --> 00:17:12,165 SIZE EMERGED AS NEGATIVE 454 00:17:12,165 --> 00:17:15,602 BEHAVIORAL BELIEFS FOR LARGE 455 00:17:15,602 --> 00:17:16,036 CIGARS. 456 00:17:16,036 --> 00:17:18,538 IN TERMS OF MORE NORMATIVE 457 00:17:18,538 --> 00:17:20,273 BELIEFS, SO WHAT INDIVIDUALS OR 458 00:17:20,273 --> 00:17:22,609 GROUPS OF PEOPLE WOULD BE 459 00:17:22,609 --> 00:17:24,111 SUPPORTIVE OF YOU USING A 460 00:17:24,111 --> 00:17:27,848 PARTICULAR CIGAR PRODUCT. 461 00:17:27,848 --> 00:17:30,150 THERE WAS SOME FEW REPORTING FA 462 00:17:30,150 --> 00:17:31,752 FAMILY MEMBERS AND CO-WORKERS 463 00:17:31,752 --> 00:17:32,753 WOULD SUPPORT THE PARTICIPANT IN 464 00:17:32,753 --> 00:17:34,621 SMOKING A CIGAR PRODUCT. 465 00:17:34,621 --> 00:17:38,458 BUT LARGELY, WE FOUND THAT FOR 466 00:17:38,458 --> 00:17:40,727 CIGARILLOS, FRIENDS WOULD BE 467 00:17:40,727 --> 00:17:43,330 SUPPORTIVE OF SMOKING CIGARILLOS 468 00:17:43,330 --> 00:17:45,866 BY THE PARTICIPANT. 469 00:17:45,866 --> 00:17:47,868 AND IN TERMS OF UNSUPPORTIVE 470 00:17:47,868 --> 00:17:49,202 INDIVIDUALS IN ONE'S LIFE, 471 00:17:49,202 --> 00:17:50,904 FAMILY INCLUDING GRANDPARENTS, 472 00:17:50,904 --> 00:17:52,472 PARENTS OR SIBLINGS EMERGED 473 00:17:52,472 --> 00:17:59,446 ACROSS THE THREE CIGAR TYPES. 474 00:17:59,446 --> 00:18:00,781 SO THINKING ABOUT WHO 475 00:18:00,781 --> 00:18:03,950 PARTICIPANTS MER RECE PERCEIVEDE 476 00:18:03,950 --> 00:18:06,019 LIKELY AND UNLIKELY TO SMOKE 477 00:18:06,019 --> 00:18:07,654 THESE THREE CIGAR PRODUCTS. 478 00:18:07,654 --> 00:18:10,290 MIDDLE AGED ADULTS EMERGED FOR 479 00:18:10,290 --> 00:18:11,158 ALL THREE. 480 00:18:11,158 --> 00:18:12,359 CIGARILLOS WERE PERCEIVED TO BE 481 00:18:12,359 --> 00:18:14,327 USED MOSTLY BY YOUTH AND YOUNG 482 00:18:14,327 --> 00:18:15,762 ADULTS. 483 00:18:15,762 --> 00:18:17,164 FOR LITTLE FILTERED CIGARS AND 484 00:18:17,164 --> 00:18:20,233 LARGE CIGARS, THE THOUGHT THAT 485 00:18:20,233 --> 00:18:22,402 THOSE WERE USED AMONG OLDER 486 00:18:22,402 --> 00:18:23,370 ADULTS, AND WHILE CIGARILLOS 487 00:18:23,370 --> 00:18:25,372 WERE USED MORE BROADLY AMONG 488 00:18:25,372 --> 00:18:27,240 BOTH MEN AND WOMEN, LITTLE 489 00:18:27,240 --> 00:18:29,109 FILTERED CIGARS AND LARGE CIGARS 490 00:18:29,109 --> 00:18:30,844 WERE USED PREDOMINANTLY AMONG 491 00:18:30,844 --> 00:18:31,278 MEN. 492 00:18:31,278 --> 00:18:34,881 AND THEN FOR CIGARILLOS, 493 00:18:34,881 --> 00:18:36,516 RELATIVE TO POSITIVE BEHAVIORAL 494 00:18:36,516 --> 00:18:37,617 BELIEFS, THEY WERE ALSO THOUGHT 495 00:18:37,617 --> 00:18:40,687 TO BE USED FOR THOSE WHO WERE 496 00:18:40,687 --> 00:18:42,122 EXPERIENCING STRESS TO HELP 497 00:18:42,122 --> 00:18:42,689 RELIEVE STRESS. 498 00:18:42,689 --> 00:18:46,693 IN TERMS OF SOCIAL POSITION, 499 00:18:46,693 --> 00:18:48,028 CIGARILLOS AND LITTLE FILTERED 500 00:18:48,028 --> 00:18:49,062 CIGARS WERE SEEN TO BE USED 501 00:18:49,062 --> 00:18:51,631 AMONG THOSE WITH HIGHER AND 502 00:18:51,631 --> 00:18:52,933 LOWER SOCIOECONOMIC POSITION, 503 00:18:52,933 --> 00:18:55,035 VERSUS LARGE CIGARS BEING USED 504 00:18:55,035 --> 00:18:57,337 AMONG THOSE WITH HIGHER 505 00:18:57,337 --> 00:18:59,806 SOCIOECONOMIC POSITION. 506 00:18:59,806 --> 00:19:02,776 AND GENERALLY ACROSS THE THREE 507 00:19:02,776 --> 00:19:06,046 DIFFERENT TYPES OF CIGAR 508 00:19:06,046 --> 00:19:08,582 PRODUCTS, YOUNG ADULTS, YOUTH 509 00:19:08,582 --> 00:19:10,350 AND WOMEN WERE THOUGHT TO BE 510 00:19:10,350 --> 00:19:19,926 MOST LIKELY LI UNLIKELY TO SMOE 511 00:19:19,926 --> 00:19:21,494 PRODUCTS. 512 00:19:21,494 --> 00:19:23,230 FOR EASY TO USE, ACCESSIBILITY 513 00:19:23,230 --> 00:19:25,298 CAME UP AS AN EMERGENT THEME FOR 514 00:19:25,298 --> 00:19:25,599 CIGARILLOS. 515 00:19:25,599 --> 00:19:27,067 AS WELL AS THE IDEA OF 516 00:19:27,067 --> 00:19:28,401 ANTICIPATED POSITIVE MENTAL 517 00:19:28,401 --> 00:19:30,036 HEALTH EFFECTS, SUCH AS THE 518 00:19:30,036 --> 00:19:31,004 STRESS RELIEF WE MENTIONED 519 00:19:31,004 --> 00:19:33,607 BEFORE AND NICOTINE BUZZ FOR 520 00:19:33,607 --> 00:19:34,241 CIGARILLOS AND LITTLE FILTERED 521 00:19:34,241 --> 00:19:35,375 CIGARS. 522 00:19:35,375 --> 00:19:38,211 FOR CIGARILLOS, WE ALSO FOUND 523 00:19:38,211 --> 00:19:39,279 THAT PARTICIPANTS FELT LIKE IF 524 00:19:39,279 --> 00:19:40,280 SOMEONE OFFERED TO THEM, THEY 525 00:19:40,280 --> 00:19:42,382 MIGHT BE WILLING TO TRY IT. 526 00:19:42,382 --> 00:19:44,484 AND ALSO THAT IT WAS RELATED TO 527 00:19:44,484 --> 00:19:48,722 SMOKING AT SOCIAL EVENTS OR 528 00:19:48,722 --> 00:19:50,257 MAYBE FUN SETTINGS OR SOMEWHERE 529 00:19:50,257 --> 00:19:51,892 THAT INVOLVED A SOCIAL ASPECT 530 00:19:51,892 --> 00:19:53,193 PIECE. 531 00:19:53,193 --> 00:19:55,395 AND THEN FOR LARGE CIGARS, THEY 532 00:19:55,395 --> 00:19:57,264 WERE SEEN TO BE USED MORE LIKELY 533 00:19:57,264 --> 00:20:00,867 AS A PART OF A SPECIAL OCCASION. 534 00:20:00,867 --> 00:20:02,402 IN TERMS OF THINGS THAT WOULD 535 00:20:02,402 --> 00:20:04,671 MAKE IT MORE DIFFICULT FOR A 536 00:20:04,671 --> 00:20:08,642 PARTICIPANT TO USE A CIGAR 537 00:20:08,642 --> 00:20:10,143 PRODUCT, ACCESSIBILITY AND COST 538 00:20:10,143 --> 00:20:12,012 EMERGED ACROSS THE THREE CIGAR 539 00:20:12,012 --> 00:20:12,879 TYPES. 540 00:20:12,879 --> 00:20:16,750 AS WELL AS THE IDEA THAT SMOKING 541 00:20:16,750 --> 00:20:17,484 CIGARILLOS OR LITTLE FILTERED 542 00:20:17,484 --> 00:20:20,086 CIGARS WOULD NOT ALIGN WITH 543 00:20:20,086 --> 00:20:21,321 ONE'S PERSONAL IDENTITY AND 544 00:20:21,321 --> 00:20:21,554 VALUES. 545 00:20:21,554 --> 00:20:25,592 AND THEN FOR LARGE CIGARS, THE 546 00:20:25,592 --> 00:20:28,862 SMELL, LIKE SO A NEGATIVE 547 00:20:28,862 --> 00:20:30,830 TOBACCO SMELL WAS ONE BELIEF 548 00:20:30,830 --> 00:20:32,465 THAT WOULD MAKE IT DIFFICULT TO 549 00:20:32,465 --> 00:20:35,635 TRY A LARGE CIGAR. 550 00:20:35,635 --> 00:20:37,837 AND SO THOSE ARE A LOT OF 551 00:20:37,837 --> 00:20:39,572 DIFFERENT THEMES WITHIN EACH 552 00:20:39,572 --> 00:20:41,775 BELIEF, BUT IN SUMMARY, THESE 553 00:20:41,775 --> 00:20:42,976 PRELIMINARY FINDINGS SHOW US 554 00:20:42,976 --> 00:20:46,146 THAT THERE'S AN IMPORTANCE IN 555 00:20:46,146 --> 00:20:47,547 POSITIVE BEHAVIORAL BELIEFS, SO 556 00:20:47,547 --> 00:20:49,649 THERE'S ALSO SOME SALIENT 557 00:20:49,649 --> 00:20:50,617 EMERGENT THEMES FOR EACH 558 00:20:50,617 --> 00:20:53,520 DIFFERENT TYPE OF CIGAR PRODUCT 559 00:20:53,520 --> 00:20:56,656 THAT SPANNED ACROSS BEHAVIORAL, 560 00:20:56,656 --> 00:20:58,425 NORMATIVE AND CONTROL BELIEFS, 561 00:20:58,425 --> 00:20:59,326 AND PERHAPS THAT'S SOMETHING 562 00:20:59,326 --> 00:21:00,460 THAT SHOULD BE INVESTIGATED 563 00:21:00,460 --> 00:21:00,660 MORE. 564 00:21:00,660 --> 00:21:04,297 WITH THAT IN MIND, THERE'S ALL 565 00:21:04,297 --> 00:21:05,632 THESE UNIQUE CIGAR PROFILES. 566 00:21:05,632 --> 00:21:06,766 SO WITH CIGARILLOS, IT'S 567 00:21:06,766 --> 00:21:08,134 ASSOCIATED WITH BEING COOL, FUN, 568 00:21:08,134 --> 00:21:10,203 FEELING HAPPY, USED IN SOCIAL 569 00:21:10,203 --> 00:21:13,173 SETTINGS, AND THAT YOUNG FRIENDS 570 00:21:13,173 --> 00:21:15,442 WOULD BE MORE SUPPORTIVE OF 571 00:21:15,442 --> 00:21:17,844 USING IT, AS WELL AS THAT IT 572 00:21:17,844 --> 00:21:20,280 MIGHT HAVE ANTICIPATED POSITIVE 573 00:21:20,280 --> 00:21:22,115 OUTCOME EXPECTATIONS RELATED TO 574 00:21:22,115 --> 00:21:24,217 FEELING RELAXED OR BEING ABLE TO 575 00:21:24,217 --> 00:21:26,953 HELP RELIEVE STRESS. 576 00:21:26,953 --> 00:21:28,788 FOR LITTLE FILTERED CIGARS, IT 577 00:21:28,788 --> 00:21:31,624 WAS THOUGHT MORE AS SOMETHING 578 00:21:31,624 --> 00:21:32,959 FOR MIDDLE AGED OR OLDER ADULTS 579 00:21:32,959 --> 00:21:34,928 TO USE, PARTICULARLY AMONG MEN, 580 00:21:34,928 --> 00:21:36,229 AND THEY MAY ALSO HELP WITH 581 00:21:36,229 --> 00:21:37,564 STRESS RELIEF. 582 00:21:37,564 --> 00:21:39,833 AND THEN FOR LARGE CIGARS, THEY 583 00:21:39,833 --> 00:21:42,469 WERE USED PARTICULARLY AMONG 584 00:21:42,469 --> 00:21:43,636 INDIVIDUALS WITH HIGHER 585 00:21:43,636 --> 00:21:45,305 SOCIOECONOMIC STATUS OR SOCIAL 586 00:21:45,305 --> 00:21:47,173 POSITION, AND USED FOR ONLY 587 00:21:47,173 --> 00:21:50,143 SPECIAL OCCASIONS. 588 00:21:50,143 --> 00:21:53,613 AND SO BASED OFF OF OUR 589 00:21:53,613 --> 00:21:56,082 PRELIMINARY FINDINGS AND REALLY 590 00:21:56,082 --> 00:21:58,885 THINKING THROUGH THIS IDEA OF 591 00:21:58,885 --> 00:22:04,057 THE SALE YEN SEE WITH POSITI 592 00:22:04,057 --> 00:22:05,058 POSITIVE -- ACROSS THE THREE 593 00:22:05,058 --> 00:22:06,526 DIFFERENT BELIEF CATEGORIES, I 594 00:22:06,526 --> 00:22:09,362 WANTED TO KIND OF LEVERAGE THAT 595 00:22:09,362 --> 00:22:11,598 UNDERSTANDING AND THINK MORE 596 00:22:11,598 --> 00:22:12,899 ABOUT ACTION-ORIENTED RESEARCH 597 00:22:12,899 --> 00:22:15,602 AND WHAT CAN WE DO. 598 00:22:15,602 --> 00:22:18,905 AND SO THIS TO YOUR LEFT IS THE 599 00:22:18,905 --> 00:22:20,874 COVER OF HEALTH EQUITY IN 600 00:22:20,874 --> 00:22:22,842 TOBACCO PREVENTION AND CONTROL 601 00:22:22,842 --> 00:22:25,311 BEST PRACTICES USER GUIDELINES 602 00:22:25,311 --> 00:22:27,714 FROM THE CDC, AND ONE 603 00:22:27,714 --> 00:22:30,316 RECOMMENDATION IN THAT IS THAT 604 00:22:30,316 --> 00:22:32,919 IT'S TIME TO SWITCH THE MESSAGE 605 00:22:32,919 --> 00:22:33,553 DEVELOPMENT PARADIGM. 606 00:22:33,553 --> 00:22:36,656 SO TYPICALLY WHEN WE'RE DEVEL 607 00:22:36,656 --> 00:22:38,024 DEVELOPING HEALTH COMMUNICATION 608 00:22:38,024 --> 00:22:39,459 MESSAGES, WE DEVELOP A ONE SIZE 609 00:22:39,459 --> 00:22:41,961 FITS ALL FOR THE POPULATION AND 610 00:22:41,961 --> 00:22:43,630 THEN TAILOR IT TO CERTAIN 611 00:22:43,630 --> 00:22:45,365 GROUPS. 612 00:22:45,365 --> 00:22:48,568 AND WHAT THIS BEST PRACTICES IS 613 00:22:48,568 --> 00:22:50,303 RECOMMENDING IS THAT WE ACTUALLY 614 00:22:50,303 --> 00:22:52,705 START TO PRIORITIZE GROUPS THAT 615 00:22:52,705 --> 00:22:55,008 WOULD MOST BENEFIT FROM HEALTH 616 00:22:55,008 --> 00:22:56,209 COMMUNICATION IN ORDER TO 617 00:22:56,209 --> 00:22:59,712 PROMOTE HEALTH EQUITY. 618 00:22:59,712 --> 00:23:01,748 SO RIGHT NOW, THERE IS NO HEALTH 619 00:23:01,748 --> 00:23:05,051 COMMUNICATION AT ALL TO ADDRESS 620 00:23:05,051 --> 00:23:06,686 THE RACIAL DISPARITIES IN CIGAR 621 00:23:06,686 --> 00:23:11,724 SMOKING, AND SO FOR MY K99 AND 622 00:23:11,724 --> 00:23:13,726 R00, I FOCUSED ON DEVELOPING -- 623 00:23:13,726 --> 00:23:15,895 AND I AM FOCUSING ON DEVELOPING 624 00:23:15,895 --> 00:23:17,263 CIGARILLO PUBLIC EDUCATION 625 00:23:17,263 --> 00:23:19,499 MESSAGES FOR BLACK YOUNG ADULTS. 626 00:23:19,499 --> 00:23:21,901 AND SO ON THE RIGHT HERE ARE MY 627 00:23:21,901 --> 00:23:24,404 K99 MENTORS WHO HAVE JUST BEEN 628 00:23:24,404 --> 00:23:27,807 SO INCREDIBLY GENEROUS WITH 629 00:23:27,807 --> 00:23:30,410 THEIR TIME AND OPPORTUNITIES FOR 630 00:23:30,410 --> 00:23:35,348 ME TO TRAIN AND LEARN FROM THEM. 631 00:23:35,348 --> 00:23:38,151 SO THIS WORK IS, AGAIN, GROUNDED 632 00:23:38,151 --> 00:23:41,354 IN THE IDEA OF THEORY OF PLANNED 633 00:23:41,354 --> 00:23:42,555 BEHAVIOR, WHERE IF WE CAN START 634 00:23:42,555 --> 00:23:44,290 TO ADDRESS THESE BEHAVIORAL 635 00:23:44,290 --> 00:23:45,859 BELIEFS, MAYBE WE CAN CHANGE THE 636 00:23:45,859 --> 00:23:47,627 POSITIVE AFFECT TO CHANGE 637 00:23:47,627 --> 00:23:50,029 INTENTION AND ULTIMATELY REDUCE 638 00:23:50,029 --> 00:23:51,731 CIGAR SMOKING AMONG BLACK YOUNG 639 00:23:51,731 --> 00:23:52,966 ADULTS. 640 00:23:52,966 --> 00:23:54,834 AND SO DURING THE K99 PHASE WHEN 641 00:23:54,834 --> 00:23:59,305 I WAS A POSTDOC AT NIMHD DIR, I 642 00:23:59,305 --> 00:24:00,740 FOCUSED ON DEVELOPING THE 643 00:24:00,740 --> 00:24:02,208 CIGARILLO PUBLIC EDUCATION 644 00:24:02,208 --> 00:24:03,943 MESSAGES THEMSELVES, AND SO WE 645 00:24:03,943 --> 00:24:07,080 WENT THROUGH THE PROCESS OF 646 00:24:07,080 --> 00:24:08,381 SELECTING DIFFERENT MESSAGE 647 00:24:08,381 --> 00:24:10,350 THEMES AND THEN TESTING THE TEXT 648 00:24:10,350 --> 00:24:12,485 PORTION OF THE MESSAGES. 649 00:24:12,485 --> 00:24:13,620 SO HERE ARE TWO DIFFERENT 650 00:24:13,620 --> 00:24:14,621 MESSAGE CONDITIONS. 651 00:24:14,621 --> 00:24:16,489 AND SO I HAD MENTIONED THAT UP 652 00:24:16,489 --> 00:24:18,291 UNTIL THIS POINT, THERE HAD NOT 653 00:24:18,291 --> 00:24:20,960 BEEN ANY HEALTH COMMUNICATION ON 654 00:24:20,960 --> 00:24:23,796 A POPULATION LEVEL FOR CIGARILLO 655 00:24:23,796 --> 00:24:25,565 SMOKING. 656 00:24:25,565 --> 00:24:27,834 AND SO THIS FIRST MESSAGE 657 00:24:27,834 --> 00:24:30,904 CONDITION JUST FOCUSES ON 658 00:24:30,904 --> 00:24:32,672 COMMUNICATING THE HEALTH HARM 659 00:24:32,672 --> 00:24:34,641 AND NICOTINE ADDICTION RISK, SO 660 00:24:34,641 --> 00:24:36,476 FOCUSING ON THE LONG TERM HEALTH 661 00:24:36,476 --> 00:24:37,810 RISK, SHORT TERM HEALTH RISK, 662 00:24:37,810 --> 00:24:39,646 SOCIAL HEALTH RISK AND NICOTINE 663 00:24:39,646 --> 00:24:40,413 ADDICTION RISKS. 664 00:24:40,413 --> 00:24:43,049 THEN FOR THE SECOND MESSAGE 665 00:24:43,049 --> 00:24:44,450 CONDITION, WE USED WHAT WE FOUND 666 00:24:44,450 --> 00:24:47,987 FROM THE COLEMAN FINDINGS TO 667 00:24:47,987 --> 00:24:49,822 CONTEXTUALIZE THESE DIFFERENT 668 00:24:49,822 --> 00:24:52,225 RISKS TO THE ANTICIPATED OUT 669 00:24:52,225 --> 00:24:54,594 COME EXPECTATIONS OR POSITIVE 670 00:24:54,594 --> 00:24:55,328 BEHAVIORAL BELIEFS. 671 00:24:55,328 --> 00:24:57,497 SO THESE THEMES FOCUSED ON 672 00:24:57,497 --> 00:24:58,698 SATISFACTION, THE IDEA OF 673 00:24:58,698 --> 00:25:00,567 ANTICIPATED STRESS RELIEF OR 674 00:25:00,567 --> 00:25:02,835 PLEASURE FROM THE SMOKING 675 00:25:02,835 --> 00:25:03,937 EXPERIENCE, THE SENSORY 676 00:25:03,937 --> 00:25:06,472 EXPERIENCE AS WELL, SO FOCUS ON 677 00:25:06,472 --> 00:25:07,774 FLAVORS OR THE WAY THAT IT 678 00:25:07,774 --> 00:25:09,943 SMELLS REALLY NICE. 679 00:25:09,943 --> 00:25:12,812 THE IDEA THAT CIGARILLO SMOKING 680 00:25:12,812 --> 00:25:14,647 IS ASSOCIATED TO BEING COOL OR 681 00:25:14,647 --> 00:25:18,384 HAVING A FUN PE PERSONA, AS WELS 682 00:25:18,384 --> 00:25:20,019 THE PERCEPTION THAT CIGARILLO 683 00:25:20,019 --> 00:25:21,554 SMOKING CAN GO AGAINST ONE'S 684 00:25:21,554 --> 00:25:23,856 PERSONAL VALUES AND 685 00:25:23,856 --> 00:25:24,290 AUTHENTICITY. 686 00:25:24,290 --> 00:25:26,492 AND SO WHAT YOU'LL SEE IS THAT 687 00:25:26,492 --> 00:25:28,728 IN MESSAGE CONDITION ONE, FOR 688 00:25:28,728 --> 00:25:30,063 EXAMPLE, IF YOU LOOK AT THIS 689 00:25:30,063 --> 00:25:32,232 FIRST MESSAGE, WHAT WE DID IS WE 690 00:25:32,232 --> 00:25:38,238 KEPT THE TEXAS SIMILAR AS 691 00:25:38,238 --> 00:25:39,739 POSSIBLE BUT THEN CONTEXTUALIZED 692 00:25:39,739 --> 00:25:40,473 TO THE THEME. 693 00:25:40,473 --> 00:25:42,775 SO OVERALL WE HAVE 16 MESSAGES 694 00:25:42,775 --> 00:25:45,511 WITHIN EACH MESSAGE CONDITION 695 00:25:45,511 --> 00:25:52,252 FOR A TOTAL OF 32 MESSAGES. 696 00:25:52,252 --> 00:25:53,152 WE JUST RECEIVED BACK THE 697 00:25:53,152 --> 00:25:53,920 PRELIMINARY FINDINGS FROM 698 00:25:53,920 --> 00:25:57,090 TESTING THE TEXT PORTION OF THE 699 00:25:57,090 --> 00:26:02,695 MESSAGES. 700 00:26:02,695 --> 00:26:05,198 WE USED QUALTRICS PANEL SERVICES 701 00:26:05,198 --> 00:26:08,167 TO COMPLETE THE SURVEY AMONG 702 00:26:08,167 --> 00:26:09,736 BLACK YOUNG ADULTS 18 TO 30 703 00:26:09,736 --> 00:26:11,204 YEARS OLD WHO HAVE NEVER USED 704 00:26:11,204 --> 00:26:15,375 TOBACCO PRODUCTS REGULARLY OR 705 00:26:15,375 --> 00:26:16,376 HAVE EXPERIMENTED WITH CIGARILLO 706 00:26:16,376 --> 00:26:16,709 SMOKING. 707 00:26:16,709 --> 00:26:18,544 WHAT WE FOUND AS PRELIMINARY 708 00:26:18,544 --> 00:26:20,747 FINDINGS IS THAT FOR PERCEIVED 709 00:26:20,747 --> 00:26:21,914 MESSAGE EFFECTIVENESS, SO THE 710 00:26:21,914 --> 00:26:24,784 IDEA THAT OVERALL THIS MESSAGE 711 00:26:24,784 --> 00:26:26,052 CONDITION DISCOURAGED ME FROM 712 00:26:26,052 --> 00:26:27,987 WANTING TO SMOKE, MADE ME 713 00:26:27,987 --> 00:26:29,255 CONCERNED ABOUT THE HEALTH 714 00:26:29,255 --> 00:26:31,591 EFFECTS, AND MADE ME CONCERNED 715 00:26:31,591 --> 00:26:33,626 OR THINK THAT CIGARILLO SMOKING 716 00:26:33,626 --> 00:26:35,595 WAS UNPLEASANT. 717 00:26:35,595 --> 00:26:37,897 WE FOUND THAT OVERALL, THE 718 00:26:37,897 --> 00:26:39,565 MESSAGES WERE RATED -- OR THE 719 00:26:39,565 --> 00:26:41,834 MESSAGE CONDITIONS WERE RATED 720 00:26:41,834 --> 00:26:44,904 PRETTY HIGHLY IN TERMS OF THE 721 00:26:44,904 --> 00:26:47,974 OVERALL MESSAGE EFFECTIVENESS 722 00:26:47,974 --> 00:26:49,609 ITEM, BUT THEN THAT MESSAGE 723 00:26:49,609 --> 00:26:50,810 CONDITION ONE FOCUSED ON JUST 724 00:26:50,810 --> 00:26:53,546 THE HEALTH HARM OR NICOTINE 725 00:26:53,546 --> 00:26:54,514 ADDICTION RISK MIGHT BE 726 00:26:54,514 --> 00:26:57,283 PERFORMING A LITTLE BIT HIGHER. 727 00:26:57,283 --> 00:27:00,086 AND SO THEN WE ALSO LOOKED AT 728 00:27:00,086 --> 00:27:01,754 HOW HARMFUL DO YOU THINK 729 00:27:01,754 --> 00:27:02,855 CIGARILLOS ARE TO ONE'S HEALTH 730 00:27:02,855 --> 00:27:05,591 OR HOW LIKELY IS SOMEONE TO BE 731 00:27:05,591 --> 00:27:06,759 ADDICTED TO CIGARILLOS? 732 00:27:06,759 --> 00:27:09,095 AND WE ALSO -- WHAT I SHOW HERE 733 00:27:09,095 --> 00:27:11,798 IS THE PRE AND POST EXPOSURE 734 00:27:11,798 --> 00:27:13,466 OUTCOMES FOR THIS, AND WHAT WE 735 00:27:13,466 --> 00:27:16,936 ALSO SEE IS THAT FOR MESSAGE 736 00:27:16,936 --> 00:27:17,837 CONDITION ONE, THEY'RE 737 00:27:17,837 --> 00:27:19,238 PERFORMING JUST A LITTLE BIT 738 00:27:19,238 --> 00:27:20,440 HIGHER, BUT AGAIN, THESE ARE 739 00:27:20,440 --> 00:27:21,441 PRELIMINARY FINDINGS AND I 740 00:27:21,441 --> 00:27:23,910 HAVEN'T DONE THE FULL ANALYSIS 741 00:27:23,910 --> 00:27:26,145 YET OR CONTROLLED FOR ANYTHING. 742 00:27:26,145 --> 00:27:28,448 WHAT IS INTERESTING, THOUGH, 743 00:27:28,448 --> 00:27:30,516 BEYOND MESSAGE EFFECTIVENESS AND 744 00:27:30,516 --> 00:27:31,918 HEALTH HARM AND NICOTINE 745 00:27:31,918 --> 00:27:34,253 ADDICTION RISK PERCEPTION, IS 746 00:27:34,253 --> 00:27:36,089 HOW THE CONTEXTUALIZED MESSAGES 747 00:27:36,089 --> 00:27:38,224 MAY IMPACT ATTITUDES AROUND 748 00:27:38,224 --> 00:27:39,792 CIGARILLO SMOKING GENERALLY 749 00:27:39,792 --> 00:27:44,063 AMONG BLACK YOUNG ADULTS. 750 00:27:44,063 --> 00:27:45,932 SO SOME EXCITING NEXT STEPS AT 751 00:27:45,932 --> 00:27:51,037 THE PHAN LAB IS THAT FOR THE R0Y 752 00:27:51,037 --> 00:27:52,538 DEVELOPING THE VISUAL DESIGN TO 753 00:27:52,538 --> 00:27:56,809 PAIR WITH THE TEXT MESSAGE, AND 754 00:27:56,809 --> 00:27:58,244 WE WILL START PRE-TESTING THE 755 00:27:58,244 --> 00:28:00,880 FULL MESSAGES VIA EYE TRACKING 756 00:28:00,880 --> 00:28:02,081 AND QUALITATIVE FEEDBACK WITH MY 757 00:28:02,081 --> 00:28:05,385 HOPES OF LAUNCHING THE STUDY 758 00:28:05,385 --> 00:28:06,886 MARCH 1ST, AND FOLLOWED BY THAT, 759 00:28:06,886 --> 00:28:09,322 WE'LL CONDUCT A FULL RANDOMIZED 760 00:28:09,322 --> 00:28:10,723 CONTROL TRIAL TO UNDERSTAND MORE 761 00:28:10,723 --> 00:28:12,125 ABOUT THE IMPACT OF THESE 762 00:28:12,125 --> 00:28:14,961 PREVENTION MESSAGES ON HARM 763 00:28:14,961 --> 00:28:17,597 PERCEPTION AND ALSO EXPLORE THE 764 00:28:17,597 --> 00:28:20,333 POTENTIAL IMPACT ON PREVENTING 765 00:28:20,333 --> 00:28:21,334 CIGARILLO SMOKING AMONG BLACK 766 00:28:21,334 --> 00:28:24,370 YOUNG ADULTS. 767 00:28:24,370 --> 00:28:26,272 THEN ALSO I'M FOCUSING NOW ON 768 00:28:26,272 --> 00:28:27,673 DEVELOPING THE POSITIVE AFFECT 769 00:28:27,673 --> 00:28:31,310 FOR CIGAR SMOKING SCALE, SO THIS 770 00:28:31,310 --> 00:28:33,146 WOULD BE UNDERSTANDING MORE OR 771 00:28:33,146 --> 00:28:36,549 DEVELOPING A VALIDATED SCALE FOR 772 00:28:36,549 --> 00:28:37,850 EACH OF THOSE DIFFERENT TYPES OF 773 00:28:37,850 --> 00:28:39,619 BELIEFS BY CIGAR TYPE, 774 00:28:39,619 --> 00:28:41,988 SPECIFICALLY FOR BLACK YOUNG 775 00:28:41,988 --> 00:28:43,656 ADULTS IN FUTURE RESEARCH. 776 00:28:43,656 --> 00:28:44,857 IN THIS LINE OF RESEARCH, TO 777 00:28:44,857 --> 00:28:47,693 THINK MORE ABOUT COMMUNITY 778 00:28:47,693 --> 00:28:50,363 ENGAGED EFFORTS, DR. LORETTA 779 00:28:50,363 --> 00:28:52,732 SWEET JEMMOTT AND HER TEAM HAVE 780 00:28:52,732 --> 00:28:54,133 BEEN EXTREMELY GENEROUS IN 781 00:28:54,133 --> 00:28:55,401 CONNECTING WITH ME AND ALLOWING 782 00:28:55,401 --> 00:28:57,970 ME TO START TO MEET COMMUNITY 783 00:28:57,970 --> 00:29:01,707 MEMBERS IN FIRESIDE CHAT 784 00:29:01,707 --> 00:29:03,142 CONVERSATIONS AS A STARTING 785 00:29:03,142 --> 00:29:04,677 PLACE TO START UNDERSTANDING 786 00:29:04,677 --> 00:29:07,847 MORE ABOUT COMMUNITY NEEDS 787 00:29:07,847 --> 00:29:08,714 THROUGH HEALTH EDUCATION AND 788 00:29:08,714 --> 00:29:09,582 OTHER INITIATIVES THAT WE CAN 789 00:29:09,582 --> 00:29:11,117 DEVELOP. 790 00:29:11,117 --> 00:29:14,153 AND SO I'D ALSO LIKE TO 791 00:29:14,153 --> 00:29:16,122 ACKNOWLEDGE DR. CHOI FOR HIS 792 00:29:16,122 --> 00:29:17,757 TREMENDOUS AND GREAT MENTORSHIP 793 00:29:17,757 --> 00:29:19,759 AND OPPORTUNITY THAT HE'S 794 00:29:19,759 --> 00:29:21,627 PROVIDED. 795 00:29:21,627 --> 00:29:24,130 DR. KRISTEN HAMILTON-MOSELEY HAS 796 00:29:24,130 --> 00:29:24,997 HELPED ME COMPLETE THE COLEMAN 797 00:29:24,997 --> 00:29:26,766 STUDY WITH MY TRANSITION TO 798 00:29:26,766 --> 00:29:28,167 DREXEL, AND THE REST OF THE 799 00:29:28,167 --> 00:29:31,003 TOBACCO RELATED DISPARITIES AND 800 00:29:31,003 --> 00:29:32,004 CONTROL LAB. 801 00:29:32,004 --> 00:29:33,639 ALSO OUR GRADUATE RESEARCH 802 00:29:33,639 --> 00:29:35,274 ASSISTANT HERE AT DREXEL, WHO'S 803 00:29:35,274 --> 00:29:37,910 BEEN HELPING ME TO GET ALL THIS 804 00:29:37,910 --> 00:29:40,746 RESEARCH OFF THE GROUND, LEM 805 00:29:40,746 --> 00:29:41,948 PHAN, AND TO GET STARTED, AND 806 00:29:41,948 --> 00:29:44,383 ALSO THE BIOSTATISTICS 807 00:29:44,383 --> 00:29:45,718 SCIENTIFIC COLLABORATION CENTER 808 00:29:45,718 --> 00:29:47,954 AT DREXEL THAT'S BEEN HELPING ME 809 00:29:47,954 --> 00:29:49,489 WITH ANALYZING THE PRELIMINARY 810 00:29:49,489 --> 00:29:51,357 FINDINGS TO SHARE WITH YOU TODAY 811 00:29:51,357 --> 00:29:53,993 AS IT RELATES TO THE TESTING OF 812 00:29:53,993 --> 00:29:55,495 THE TEXT MESSAGES. 813 00:29:55,495 --> 00:29:57,830 AND THEN LASTLY, I JUST WANT TO 814 00:29:57,830 --> 00:29:59,232 ACKNOWLEDGE AND SHARE THAT I'M 815 00:29:59,232 --> 00:30:01,968 PART OF A COLLECTIVE OF HEALTH 816 00:30:01,968 --> 00:30:04,804 DISPARITIES RESEARCHERS THROUGH 817 00:30:04,804 --> 00:30:05,905 THE FIRST PROGRAM AT DREXEL, WHO 818 00:30:05,905 --> 00:30:07,640 I'M GRATEFUL TO BE WORKING SIDE 819 00:30:07,640 --> 00:30:09,408 BY SIDE WITH, LEARNING FROM, AND 820 00:30:09,408 --> 00:30:11,043 GROWING WITH. 821 00:30:11,043 --> 00:30:17,850 THANK YOU SO MUCH. 822 00:30:17,850 --> 00:30:18,718 >> ALL RIGHT. 823 00:30:18,718 --> 00:30:21,787 WELL, THANKS, DR. PHAN, FOR A 824 00:30:21,787 --> 00:30:23,022 VERY INTERESTING AND INTRIGUING 825 00:30:23,022 --> 00:30:24,824 PRESENTATION. 826 00:30:24,824 --> 00:30:25,958 CERTAINLY THERE'S A LOT OF WORK 827 00:30:25,958 --> 00:30:28,895 BEING DONE, AND THERE'S A LOT 828 00:30:28,895 --> 00:30:32,064 MORE TO CONTINUE TO WORK ON. 829 00:30:32,064 --> 00:30:34,033 JUST WANT TO REMIND FOLKS THAT 830 00:30:34,033 --> 00:30:36,335 YOU CAN SEND AN EMAIL TO ME IF 831 00:30:36,335 --> 00:30:40,506 YOU HAVE QUESTIONS, COMMENTS 832 00:30:40,506 --> 00:30:41,941 ABOUT THE CONTENT BEING 833 00:30:41,941 --> 00:30:43,042 PRESENTED OR YOU WANT TO CHIME 834 00:30:43,042 --> 00:30:44,610 IN TO THIS CONVERSATION, YOU CAN 835 00:30:44,610 --> 00:30:47,380 SEND AN EMAIL, YOU'LL FIND THE 836 00:30:47,380 --> 00:30:50,449 EMAIL INFORMATION RIGHT BELOW 837 00:30:50,449 --> 00:30:53,119 YOUR NIH VIDEOCAST WINDOW. 838 00:30:53,119 --> 00:30:53,920 SO LET'S START WITH THIS. 839 00:30:53,920 --> 00:30:58,224 I THINK THIS IS DEFINITELY 840 00:30:58,224 --> 00:31:01,594 IMPORTANT WORK AND I THINK WE 841 00:31:01,594 --> 00:31:04,564 CAN'T STRESS ENOUGH THAT WHILE 842 00:31:04,564 --> 00:31:09,902 CIGAR USE, PARTICULARLY LITTLE 843 00:31:09,902 --> 00:31:12,104 CIGAR AND CIGARILLO USE HAS BEEN 844 00:31:12,104 --> 00:31:16,042 HAPPENING FOR A LONG TIME, IT'S 845 00:31:16,042 --> 00:31:17,643 SPECIFICALLY FAIRLY PREVALENT 846 00:31:17,643 --> 00:31:19,011 AMONG THE BLACK AND AFRICAN 847 00:31:19,011 --> 00:31:20,079 AMERICAN COMMUNITY, REALLY NOT A 848 00:31:20,079 --> 00:31:21,547 WHOLE LOT OF WORK BEING DONE. 849 00:31:21,547 --> 00:31:25,017 SO I THINK IT'S -- I WANT TO 850 00:31:25,017 --> 00:31:26,218 COMMEND YOU FOR DOING THE WORK 851 00:31:26,218 --> 00:31:29,956 AND REALLY SHINING A LIGHT ON A 852 00:31:29,956 --> 00:31:31,691 PRODUCT THAT IS 853 00:31:31,691 --> 00:31:35,828 DISPROPORTIONATELY AFFECTING THE 854 00:31:35,828 --> 00:31:37,129 HEALTH OF BLACK AND AFRICAN 855 00:31:37,129 --> 00:31:38,464 AMERICAN POPULATION. 856 00:31:38,464 --> 00:31:39,599 AND I THINK A LOT OF THE WORK 857 00:31:39,599 --> 00:31:42,535 THAT YOU DO IS REALLY TRYING TO 858 00:31:42,535 --> 00:31:47,106 INFORM THE COMMUNICATION OF 859 00:31:47,106 --> 00:31:48,407 INTERVENTIONS AND HELPING PEOPLE 860 00:31:48,407 --> 00:31:52,044 UNDERSTAND THE HARM OF CIGAR, 861 00:31:52,044 --> 00:31:54,981 CIGARILLO AND LITTLE CIGAR NEWS, 862 00:31:54,981 --> 00:31:57,950 AND ALSO TO CORRECT SOME OF THE 863 00:31:57,950 --> 00:31:59,151 MISPERCEPTIONS. 864 00:31:59,151 --> 00:32:00,119 TO THAT FRONT, I THINK IT'S 865 00:32:00,119 --> 00:32:04,390 INTERESTING TO THINK ABOUT WHAT 866 00:32:04,390 --> 00:32:07,226 ARE THE THEMES THAT YOU HAVE 867 00:32:07,226 --> 00:32:10,630 DISCOVERED AND WHAT ARE SOME OF 868 00:32:10,630 --> 00:32:11,530 THESE PERCEPTIONS THAT ARE OUT 869 00:32:11,530 --> 00:32:12,732 THERE THAT WE OUGHT TO DO A 870 00:32:12,732 --> 00:32:14,533 BETTER JOB OF CORRECTING 871 00:32:14,533 --> 00:32:15,568 PEOPLE'S MISPERCEPTIONS. 872 00:32:15,568 --> 00:32:18,871 >> THANK YOU FOR ASKING THAT, 873 00:32:18,871 --> 00:32:19,639 DR. CHOI. 874 00:32:19,639 --> 00:32:23,309 SO I DON'T THINK OF IT SO MUCH 875 00:32:23,309 --> 00:32:26,479 AS MISPERCEPTION, BUT I ALSO 876 00:32:26,479 --> 00:32:27,580 THINK ABOUT IT AS THE 877 00:32:27,580 --> 00:32:29,181 PERCEPTIONS THAT HAVE BEEN SOLD 878 00:32:29,181 --> 00:32:32,952 TO US BY THE TOBACCO INDUSTRY. 879 00:32:32,952 --> 00:32:35,454 SO WHEN WE LOOKED AT SOME OF THE 880 00:32:35,454 --> 00:32:37,323 SALIENT THEMES, SO THE THREE 881 00:32:37,323 --> 00:32:40,926 DIFFERENT CIGAR PRODUCTS AND 882 00:32:40,926 --> 00:32:42,895 UNIQUE CIGAR PROFILES, AS I PUT 883 00:32:42,895 --> 00:32:44,230 IT, THAT'S EXACTLY HOW THEY'RE 884 00:32:44,230 --> 00:32:46,165 BEING MARKETED OR THE 885 00:32:46,165 --> 00:32:47,833 COMMUNICATIONS AROUND THEM, IN 886 00:32:47,833 --> 00:32:50,670 TERMS OF WHAT THESE TOBACCO 887 00:32:50,670 --> 00:32:53,706 PRODUCTS COULD BE USED AS. 888 00:32:53,706 --> 00:32:58,110 SO WITH THAT IN MIND THEA REALLS 889 00:32:58,110 --> 00:32:59,745 REALLY KIND OF SHAPED LOWER HARM 890 00:32:59,745 --> 00:33:01,814 PERCEPTION, AND I THINK WHAT IS 891 00:33:01,814 --> 00:33:05,418 REALLY NECESSARY IS TO CREATE A 892 00:33:05,418 --> 00:33:08,587 MORE EQUITABLE COMMUNICATION 893 00:33:08,587 --> 00:33:09,588 ENVIRONMENT. 894 00:33:09,588 --> 00:33:12,625 SO INFORMATION TO HELP SHARE 895 00:33:12,625 --> 00:33:15,494 MORE ACCURATE INFORMATION LIKE 896 00:33:15,494 --> 00:33:17,029 THAT THESE PRODUCTS ARE HARMFUL, 897 00:33:17,029 --> 00:33:19,732 AND THEN ALSO TO KIND OF 898 00:33:19,732 --> 00:33:23,069 DISENTANGLE AND CHANGE ATTITUDES 899 00:33:23,069 --> 00:33:25,371 THAT SMOKING A CIGARILLO, FOR 900 00:33:25,371 --> 00:33:26,739 EXAMPLE, WOULD ACTUALLY, YOU 901 00:33:26,739 --> 00:33:30,509 KNOW, LEAD TO STRESS RELIEF. 902 00:33:30,509 --> 00:33:33,212 OR LEAD TO LIKE A MORE FUN 903 00:33:33,212 --> 00:33:34,280 EXPERIENCE HANGING OUT WITH 904 00:33:34,280 --> 00:33:36,048 FRIENDS. 905 00:33:36,048 --> 00:33:38,784 AND SO IN TERMS OF LIKE THOSE 906 00:33:38,784 --> 00:33:42,288 PERCEPTIONS, WE KNOW THAT 907 00:33:42,288 --> 00:33:45,124 PERCEPTION IS MALLEABLE, WE 908 00:33:45,124 --> 00:33:46,125 COULD AIM FOR CHANGING THEM LIKE 909 00:33:46,125 --> 00:33:47,960 THEY DID FOR CIGARETTE SMOKING 910 00:33:47,960 --> 00:33:49,628 YEARS AGO, SO I THINK NOW IS THE 911 00:33:49,628 --> 00:33:51,363 TIME THAT WE FOCUS ON CIGAR 912 00:33:51,363 --> 00:33:52,865 SMOKING AND CHANGING THOSE 913 00:33:52,865 --> 00:33:55,668 PERCEPTIONS. 914 00:33:55,668 --> 00:33:57,169 >> VERY TRUE INDEED. 915 00:33:57,169 --> 00:34:00,005 NOW, YOU TALK ABOUT AN EQUITABLE 916 00:34:00,005 --> 00:34:02,641 COMMUNICATION AND ENVIRONMENT, 917 00:34:02,641 --> 00:34:04,643 AND YOU ALSO TOUCHED ON, OF 918 00:34:04,643 --> 00:34:05,711 COURSE, THE ELEPHANT IN THE 919 00:34:05,711 --> 00:34:06,479 ROOM, WHICH IS THE TOBACCO 920 00:34:06,479 --> 00:34:08,881 INDUSTRY AND HOW THEY MARKET 921 00:34:08,881 --> 00:34:12,051 PRODUCTS TO DIFFERENT 922 00:34:12,051 --> 00:34:12,918 POPULATIONS WITH DIFFERENT 923 00:34:12,918 --> 00:34:13,719 PRODUCTS, THEY POSITION THEM 924 00:34:13,719 --> 00:34:16,222 DIFFERENTLY TO MAXIMIZE THEIR 925 00:34:16,222 --> 00:34:17,289 PROFIT. 926 00:34:17,289 --> 00:34:20,693 SO WHILE I THINK WE THINK ABOUT 927 00:34:20,693 --> 00:34:21,660 EQUITABLE COMMUNICATION, WE ALSO 928 00:34:21,660 --> 00:34:23,662 NEED TO FIGURE OUT HOW TO 929 00:34:23,662 --> 00:34:28,033 REGULATE THE INDUSTRY'S 930 00:34:28,033 --> 00:34:29,135 ADVERTISING EFFORT, PARTICULARLY 931 00:34:29,135 --> 00:34:31,637 THOSE TARGETING THE RACIALLY 932 00:34:31,637 --> 00:34:33,072 MINORITIZED GROUPS. 933 00:34:33,072 --> 00:34:37,209 SO IN THAT SPIRIT, WHAT DO YOU 934 00:34:37,209 --> 00:34:40,279 THINK ARE SOME OF THE REGULATORY 935 00:34:40,279 --> 00:34:40,913 IMPLICATIONS OF THE WORK THAT 936 00:34:40,913 --> 00:34:44,183 YOU HAVE DONE SO FAR, AND ALSO 937 00:34:44,183 --> 00:34:45,551 WITH THE COLLECTIVE WORK THAT'S 938 00:34:45,551 --> 00:34:47,820 BEING DONE SURROUNDING CIGAR, 939 00:34:47,820 --> 00:34:50,990 CIGARILLOS, WHAT ARE SOME OF THE 940 00:34:50,990 --> 00:34:51,891 REGULATIONS THAT COULD BE IN 941 00:34:51,891 --> 00:34:55,261 PLACE THAT REALLY HELP 942 00:34:55,261 --> 00:34:57,663 BALANCING -- NOT JUST BALANCING, 943 00:34:57,663 --> 00:34:59,298 TO MAKE SURE PEOPLE GET THE 944 00:34:59,298 --> 00:35:00,266 RIGHT INFORMATION, THE CORRECT 945 00:35:00,266 --> 00:35:01,500 INFORMATION AND NOT BEING 946 00:35:01,500 --> 00:35:03,469 CONFUSED BY THE INDUSTRY 947 00:35:03,469 --> 00:35:06,438 TACTICS? 948 00:35:06,438 --> 00:35:08,207 >> I THINK THE FIRST ONE IS 949 00:35:08,207 --> 00:35:11,644 BANNING FLAVORS, AND SO THE USE 950 00:35:11,644 --> 00:35:14,847 OF FLAVORS STILL EXISTS, THE 951 00:35:14,847 --> 00:35:17,683 AVAILABILITY OF FLAVORS STILL 952 00:35:17,683 --> 00:35:18,818 EXIST FOR LITTLE FILTERED CIGARS 953 00:35:18,818 --> 00:35:20,186 AND CIGARILLOS AND WE KNOW IT'S 954 00:35:20,186 --> 00:35:21,520 ASSOCIATED WITH GREATER 955 00:35:21,520 --> 00:35:24,890 INITIATION AND USE AS WELL, AND 956 00:35:24,890 --> 00:35:28,394 SO ONE POTENTIAL POLICY WOULD BE 957 00:35:28,394 --> 00:35:30,129 RELATED TO BANNING FLAVORS IN 958 00:35:30,129 --> 00:35:31,330 CIGAR PRODUCTS. 959 00:35:31,330 --> 00:35:34,733 SECONDLY, THINKING ABOUT THE 960 00:35:34,733 --> 00:35:37,503 PACKAGING OF CIGARILLOS, SO 961 00:35:37,503 --> 00:35:41,440 THEY'RE SOLD AS PACKS OF 1, 3 OR 962 00:35:41,440 --> 00:35:42,942 5 FOR VERY CHEAP AND A 963 00:35:42,942 --> 00:35:44,009 PARTICIPANT MENTIONED THEY COULD 964 00:35:44,009 --> 00:35:47,112 BUY IT FOR LESS THAN $3. 965 00:35:47,112 --> 00:35:52,918 AND SO THAT IS CHANGING THE 966 00:35:52,918 --> 00:35:55,621 PACKAGING AMOUNT IS ANOTHER 967 00:35:55,621 --> 00:35:56,522 POTENTIAL AVENUE. 968 00:35:56,522 --> 00:35:59,158 AND ALSO JUST THINKING ABOUT 969 00:35:59,158 --> 00:36:00,693 LIKE WHAT KIND OF FEATURES ARE 970 00:36:00,693 --> 00:36:02,361 BEING USED FOR ADVERTISING ON 971 00:36:02,361 --> 00:36:03,896 THESE PRODUCTS. 972 00:36:03,896 --> 00:36:08,300 LIKE A -- THAT I JUST SAW AT THE 973 00:36:08,300 --> 00:36:09,802 GAS STATION, IT DOES LOOK REALLY 974 00:36:09,802 --> 00:36:12,872 NICE IN TERMS OF PACKAGING, AND 975 00:36:12,872 --> 00:36:13,939 THERE'S A LOT OF THOUGHT TO GET 976 00:36:13,939 --> 00:36:15,708 THAT TO BE ATTRACTIVE TO YOUNG 977 00:36:15,708 --> 00:36:16,141 ADULTS. 978 00:36:16,141 --> 00:36:18,644 SO SOME POLICIES RELATED TO 979 00:36:18,644 --> 00:36:20,846 MAKING PACKAGING LESS APPEALING 980 00:36:20,846 --> 00:36:23,148 AS WELL. 981 00:36:23,148 --> 00:36:28,287 >> YEAH, THE PACKAGING IS 982 00:36:28,287 --> 00:36:29,355 INTERESTING BECAUSE THERE ARE 983 00:36:29,355 --> 00:36:30,890 COUNTRIES THAT HAVE DONE -- AT 984 00:36:30,890 --> 00:36:32,358 LEAST ON CIGARETTE PACKAGING, 985 00:36:32,358 --> 00:36:34,093 THEY MAKE PLAIN PACKAGES WITH 986 00:36:34,093 --> 00:36:35,728 KIND OF A BROWNISH-LOOKING COLOR 987 00:36:35,728 --> 00:36:41,000 AND NOTHING ELSE, AND I THINK 988 00:36:41,000 --> 00:36:44,036 THERE'S ONLY -- BROWNISH-LOOKING 989 00:36:44,036 --> 00:36:45,771 COLOR, THE PRINT NAME OF THE 990 00:36:45,771 --> 00:36:47,806 BRAND AND IT'S THE EXACTLY SAME 991 00:36:47,806 --> 00:36:50,876 FONT FOR EVERY SINGLE PRODUCT 992 00:36:50,876 --> 00:36:54,213 AND OF COURSE THE HUGE ONE OF 993 00:36:54,213 --> 00:36:55,648 LABELS THAT THEY STICK ON THERE. 994 00:36:55,648 --> 00:36:58,484 WHICH THEN BRINGS TO ANOTHER 995 00:36:58,484 --> 00:36:59,919 QUESTION, BECAUSE I DON'T THINK 996 00:36:59,919 --> 00:37:03,088 THE SAME KIND OF GRAPHIC LABELS 997 00:37:03,088 --> 00:37:05,491 REQUIRED FOR CIGARETTES ARE 998 00:37:05,491 --> 00:37:07,593 REQUIRED FOR LITTLE CIGARS AND 999 00:37:07,593 --> 00:37:08,928 CIGARILLOS, AND I DON'T EVEN -- 1000 00:37:08,928 --> 00:37:11,196 NOT JUST, YOU KNOW, IN THE U.S., 1001 00:37:11,196 --> 00:37:12,631 I JUST CAN'T EVEN RECALL IF 1002 00:37:12,631 --> 00:37:14,166 THERE ARE OTHER COUNTRIES THAT 1003 00:37:14,166 --> 00:37:16,602 HAVE TREATED CIGAR, YOU KNOW, IN 1004 00:37:16,602 --> 00:37:21,607 THE SAME WAY IN TERMS OF THE 1005 00:37:21,607 --> 00:37:21,840 LABEL. 1006 00:37:21,840 --> 00:37:24,810 SO WHAT IS YOUR THOUGHT ON THAT? 1007 00:37:24,810 --> 00:37:27,012 >> I UNDERSTAND THAT THERE'S 1008 00:37:27,012 --> 00:37:29,315 SOME WORK BEING DONE THROUGH 1009 00:37:29,315 --> 00:37:32,251 SOME OTHER RESEARCHERS RELATED 1010 00:37:32,251 --> 00:37:36,488 TO MORE LIKE GRAPHIC WASHING WAG 1011 00:37:36,488 --> 00:37:38,223 LABELS FOR CIGAR PRODUCTS. 1012 00:37:38,223 --> 00:37:39,992 I THINK IT'S IMPORTANT AND WE 1013 00:37:39,992 --> 00:37:41,293 DEFINITELY NEED TO DO IT. 1014 00:37:41,293 --> 00:37:43,629 IT COULD POTENTIALLY MAKE A HUGE 1015 00:37:43,629 --> 00:37:48,200 DIFFERENCE IN TERMS OF OUR MORE 1016 00:37:48,200 --> 00:37:49,301 POSITIVE PERCEPTIONS ABOUT 1017 00:37:49,301 --> 00:37:50,402 CIGARILLOS, FOR EXAMPLE, AMONG 1018 00:37:50,402 --> 00:37:55,641 YOUNG ADULTS. 1019 00:37:55,641 --> 00:37:57,376 >> YEAH, I THINK THAT WOULD BE 1020 00:37:57,376 --> 00:38:01,013 INTERESTING TO SEE WHAT KIND 1021 00:38:01,013 --> 00:38:01,647 OF -- WHAT WOULD BE THE 1022 00:38:01,647 --> 00:38:02,081 REQUIREMENT. 1023 00:38:02,081 --> 00:38:03,582 AND THEN GIVEN THE PACKAGING 1024 00:38:03,582 --> 00:38:04,249 CHALLENGE. 1025 00:38:04,249 --> 00:38:07,019 SO WITH THE LITTLE CIGAR 1026 00:38:07,019 --> 00:38:08,120 COMING -- WHERE ARE YOU GOING TO 1027 00:38:08,120 --> 00:38:09,221 PUT THAT GRAPHIC WARNING LABEL 1028 00:38:09,221 --> 00:38:12,157 WHEN IT'S JUST LIKE A SINGLE 1029 00:38:12,157 --> 00:38:13,459 PACK OF LITTLE CIGARS, WHAT DO 1030 00:38:13,459 --> 00:38:15,527 YOU DO WITH THOSE? 1031 00:38:15,527 --> 00:38:17,629 >> WELL, MAYBE WE WON'T HAVE A 1032 00:38:17,629 --> 00:38:19,798 PACK OF A SINGLE CIGARILLO 1033 00:38:19,798 --> 00:38:20,499 ANYMORE. 1034 00:38:20,499 --> 00:38:23,969 >> I THINK THAT'S A GOOD POINT. 1035 00:38:23,969 --> 00:38:26,939 I THINK THERE'S PREVIOUS WORK 1036 00:38:26,939 --> 00:38:28,707 BEING DONE LOOKING AT LIKE THE 1037 00:38:28,707 --> 00:38:31,443 PACK SIZE AND HOW THAT RELATES 1038 00:38:31,443 --> 00:38:33,178 TO LITTLE CIGAR AND CIGARILLO 1039 00:38:33,178 --> 00:38:33,645 SMOKING. 1040 00:38:33,645 --> 00:38:35,614 AND IT DOES SHOW THAT -- I THINK 1041 00:38:35,614 --> 00:38:39,118 IT'S KIND OF ALSO MIRRORED THE 1042 00:38:39,118 --> 00:38:41,186 POLICY AND REGULATION 1043 00:38:41,186 --> 00:38:42,755 SURROUNDING CIGARETTES IN THE 1044 00:38:42,755 --> 00:38:45,824 PAST, WHICH WE NOW HAVE THE 1045 00:38:45,824 --> 00:38:47,693 STANDARDIZED 20 CIGARETTE PACK, 1046 00:38:47,693 --> 00:38:49,428 IF IT'S NOT BECAUSE OF THE 1047 00:38:49,428 --> 00:38:50,696 INDUSTRY DECIDED TO MAKE THEM, 1048 00:38:50,696 --> 00:38:52,498 YOU KNOW, 20 CIGARETTES PER 1049 00:38:52,498 --> 00:38:55,300 PACK, THEY WOULD RATHER SELL 1050 00:38:55,300 --> 00:38:57,302 SINGLES OR 5, YOU KNOW, WHATEVER 1051 00:38:57,302 --> 00:38:59,705 QUANTITY THEY SEE FIT, BUT IT 1052 00:38:59,705 --> 00:39:01,874 WAS ACTUALLY FOR REGULATIONS 1053 00:39:01,874 --> 00:39:04,043 THEY HAVE TO BE SOLD IN PACKS OF 1054 00:39:04,043 --> 00:39:04,610 20. 1055 00:39:04,610 --> 00:39:08,480 SO MAYBE SIMILAR STRATEGY WOULD 1056 00:39:08,480 --> 00:39:11,083 BE APPLIED, WILL BE APPLICABLE 1057 00:39:11,083 --> 00:39:12,851 IN THIS SITUATION SO WE DON'T 1058 00:39:12,851 --> 00:39:14,887 HAVE THOSE CHEAP CIGAR AND 1059 00:39:14,887 --> 00:39:17,256 CIGARILLOS FLOATING AROUND, 1060 00:39:17,256 --> 00:39:18,223 PARTICULARLY IN THE 1061 00:39:18,223 --> 00:39:19,224 SOCIOECONOMIC DISADVANTAGED 1062 00:39:19,224 --> 00:39:23,262 NEIGHBORHOODS. 1063 00:39:23,262 --> 00:39:24,363 SO ARE THERE OTHER THINGS THAT 1064 00:39:24,363 --> 00:39:27,966 YOU'RE WORKING ON AT DREXEL NOW 1065 00:39:27,966 --> 00:39:30,069 THAT YOU'RE THERE AND HAVE A 1066 00:39:30,069 --> 00:39:31,537 COHORT OF PEOPLE INTERESTED IN 1067 00:39:31,537 --> 00:39:33,472 HEALTH DISPARITY RESEARCH, ARE 1068 00:39:33,472 --> 00:39:34,573 YOU WALKING THE NEIGHBORHOOD AND 1069 00:39:34,573 --> 00:39:35,674 JUST TRYING TO FIGURE OUT WHERE 1070 00:39:35,674 --> 00:39:37,643 ARE THE TOBACCO OUTLETS AND 1071 00:39:37,643 --> 00:39:39,178 WHERE ARE THE PEOPLE SELLING 1072 00:39:39,178 --> 00:39:40,379 THESE THINGS AND JUST TELL THEM 1073 00:39:40,379 --> 00:39:41,346 THAT THEY SHOULD BE SELLING 1074 00:39:41,346 --> 00:39:44,783 SOMETHING ELSE? 1075 00:39:44,783 --> 00:39:45,284 [LAUGHTER] 1076 00:39:45,284 --> 00:39:48,153 >> I'M LEARNING A LOT THROUGH MY 1077 00:39:48,153 --> 00:39:49,755 FACULTY COHORT, THROUGH THE 1078 00:39:49,755 --> 00:39:50,789 FIRST PROGRAM, AND THEY'RE ALL 1079 00:39:50,789 --> 00:39:52,424 DOING REALLY AMAZING AND 1080 00:39:52,424 --> 00:39:53,859 INTERESTING WORK. 1081 00:39:53,859 --> 00:39:55,494 I THINK THERE'S A LOT OF OVERLAP 1082 00:39:55,494 --> 00:39:58,030 AS WELL, SO IF WE CAN REALLY 1083 00:39:58,030 --> 00:40:00,299 HONE IN ON THIS ENERGY THAT WE 1084 00:40:00,299 --> 00:40:01,633 HAVE FOCUSED ON HEALTH 1085 00:40:01,633 --> 00:40:02,534 DISPARITIES, WE COULD 1086 00:40:02,534 --> 00:40:03,936 POTENTIALLY DO SOME REALLY 1087 00:40:03,936 --> 00:40:05,471 EXCITING HEALTH DISPARITIES 1088 00:40:05,471 --> 00:40:06,371 RESEARCH TOGETHER. 1089 00:40:06,371 --> 00:40:11,176 SOME OF MY COLLEAGUES FOCUSED ON 1090 00:40:11,176 --> 00:40:12,277 UNDERSTANDING MORE ABOUT RACISM 1091 00:40:12,277 --> 00:40:13,278 AND DISCRIMINATION, AND OF 1092 00:40:13,278 --> 00:40:15,781 COURSE THAT REALLY ALSO RELATES 1093 00:40:15,781 --> 00:40:17,649 TO TOBACCO USE, AND SO I'M 1094 00:40:17,649 --> 00:40:20,819 INTERESTED IN LEARNING MORE 1095 00:40:20,819 --> 00:40:22,888 ABOUT HOW EXPERIENCING RACISM 1096 00:40:22,888 --> 00:40:25,624 AND DISCRIMINATION COULD IMPACT 1097 00:40:25,624 --> 00:40:28,160 TOBACCO USE. 1098 00:40:28,160 --> 00:40:30,896 ALSO I AM WORKING ON MORE 1099 00:40:30,896 --> 00:40:33,098 DISAGGREGATED DATA AMONG ASIAN 1100 00:40:33,098 --> 00:40:33,732 AMERICAN INDIVIDUALS AND 1101 00:40:33,732 --> 00:40:34,833 COMMUNITIES AS RELATES TO 1102 00:40:34,833 --> 00:40:37,936 TOBACCO USE, AND SO HERE 1103 00:40:37,936 --> 00:40:40,105 LOCALLY, I'VE PARTNERED WITH 1104 00:40:40,105 --> 00:40:42,074 JEFFERSON CHINATOWN COMMUNITY 1105 00:40:42,074 --> 00:40:43,742 CLINIC, WHERE WE'VE LAUNCHED A 1106 00:40:43,742 --> 00:40:45,043 TOBACCO SCREENING INITIATIVE 1107 00:40:45,043 --> 00:40:47,779 THAT'S MORE PRACTICE-BASED. 1108 00:40:47,779 --> 00:40:49,314 SO THAT CLINIC SERVES UNINSURED 1109 00:40:49,314 --> 00:40:52,384 PATIENTS IN CHINATOWN, AND SO 1110 00:40:52,384 --> 00:40:56,121 WITH A SENSITIVITY TO THAT 1111 00:40:56,121 --> 00:40:57,222 POPULATION AS WELL AS THEIR 1112 00:40:57,222 --> 00:40:58,991 NEEDS AND WANTING TO JUST CHANGE 1113 00:40:58,991 --> 00:41:01,059 AND, YOU KNOW, ADAPT WHAT WE 1114 00:41:01,059 --> 00:41:04,763 KNOW ABOUT THE EVOLVING TOBACCO 1115 00:41:04,763 --> 00:41:06,098 LANDSCAPE, WE'VE LAUNCHED A 1116 00:41:06,098 --> 00:41:07,733 SCREENING INITIATIVE FOR WE'RE 1117 00:41:07,733 --> 00:41:09,168 ASKING ABOUT ALL DIFFERENT TYPES 1118 00:41:09,168 --> 00:41:12,137 OF CIGAR PRODUCTS VERSUS JUST 1119 00:41:12,137 --> 00:41:13,305 CIGARETTES. 1120 00:41:13,305 --> 00:41:16,074 AND THEN ALSO UNDERSTANDING AND 1121 00:41:16,074 --> 00:41:17,376 THINKING THROUGH PATIENTS' 1122 00:41:17,376 --> 00:41:18,677 INTEREST IN LIKE HEALTH 1123 00:41:18,677 --> 00:41:20,546 EDUCATION MATERIALS OR WORKSHOPS 1124 00:41:20,546 --> 00:41:22,314 RELATED TO CESSATION. 1125 00:41:22,314 --> 00:41:23,715 AND SO THAT'S AN AREA THAT I'M 1126 00:41:23,715 --> 00:41:26,118 WORKING ON LOCALLY. 1127 00:41:26,118 --> 00:41:28,353 I'VE ALSO STARTED SHARING WITH 1128 00:41:28,353 --> 00:41:32,457 LARGER NATIONAL DATASETS AND 1129 00:41:32,457 --> 00:41:34,293 OPPORTUNITIES TO ASK ABOUT 1130 00:41:34,293 --> 00:41:36,662 DISAGGREGATED DATA, AND SO AMONG 1131 00:41:36,662 --> 00:41:37,462 ASIAN AMERICANS, SO THAT'S 1132 00:41:37,462 --> 00:41:39,865 SOMETHING THAT I'M REALLY 1133 00:41:39,865 --> 00:41:41,600 INTERESTED IN DOING AND I THINK 1134 00:41:41,600 --> 00:41:43,235 IS REALLY IMPORTANT IN ADDITION 1135 00:41:43,235 --> 00:41:45,804 TO UNDERSTANDING HEALTH 1136 00:41:45,804 --> 00:41:47,472 DISPARITIES RELATED TO TOBACCO 1137 00:41:47,472 --> 00:41:50,175 THAT ARE REALLY BURDENING BLACK 1138 00:41:50,175 --> 00:41:52,811 INDIVIDUALS AND COMMUNITIES. 1139 00:41:52,811 --> 00:41:54,346 >> THAT'S FASCINATING WORK. 1140 00:41:54,346 --> 00:41:55,547 I'M VERY HAPPY TO HEAR THAT 1141 00:41:55,547 --> 00:41:59,184 YOU'RE DOING WORK WITH THE ASIAN 1142 00:41:59,184 --> 00:42:00,185 AMERICAN POPULATION, AND 1143 00:42:00,185 --> 00:42:02,020 PARTICULARLY TRYING TO FIND WAYS 1144 00:42:02,020 --> 00:42:03,789 TO DISAGGREGATE THE DATA. 1145 00:42:03,789 --> 00:42:06,325 I THINK SIMILAR CAN BE SAID TO 1146 00:42:06,325 --> 00:42:08,727 THE BLACK COMMUNITY BETWEEN THE 1147 00:42:08,727 --> 00:42:11,230 PEOPLE OF DIFFERENT ETHNIC 1148 00:42:11,230 --> 00:42:16,368 ORIGIN VERSUS THOSE WHO ARE 1149 00:42:16,368 --> 00:42:17,369 DESCENDANTS OF THE SLAVE TRADE, 1150 00:42:17,369 --> 00:42:18,804 I THINK THEY ARE UNDER VERY 1151 00:42:18,804 --> 00:42:19,905 DIFFERENT CIRCUMSTANCES IN SOME 1152 00:42:19,905 --> 00:42:21,306 WAY, THAT THERE ALSO MIGHT BE 1153 00:42:21,306 --> 00:42:22,407 DIFFERENCES IN HOW THEY RESPOND 1154 00:42:22,407 --> 00:42:24,409 TO THESE DIFFERENT 1155 00:42:24,409 --> 00:42:25,043 ADVERTISEMENTS AS WELL AS 1156 00:42:25,043 --> 00:42:27,546 EDUCATIONAL MESSAGES. 1157 00:42:27,546 --> 00:42:30,082 ONE OF THE THINGS YOU MENTIONED 1158 00:42:30,082 --> 00:42:31,950 IS ALSO THINKING ABOUT -- AND I 1159 00:42:31,950 --> 00:42:34,586 WANTED TO HEAR YOUR THOUGHT ON 1160 00:42:34,586 --> 00:42:37,122 IT, THE FACT OF, YOU KNOW, I 1161 00:42:37,122 --> 00:42:41,793 THINK THIS IS NOT A SECRET, THIS 1162 00:42:41,793 --> 00:42:46,164 RACIAL DISCRIMINATION IN THIS 1163 00:42:46,164 --> 00:42:51,870 COUNTRY, AND -- F FABRIC AS PART 1164 00:42:51,870 --> 00:42:53,305 OF THE AMERICAN EXPERIENCE. 1165 00:42:53,305 --> 00:42:56,942 HOW WOULD THAT -- HAVE YOU 1166 00:42:56,942 --> 00:42:58,777 CONCEIVED WHETHER DISCRIMINATION 1167 00:42:58,777 --> 00:43:02,748 PLAYS A ROLE IN THE RECEPTION OF 1168 00:43:02,748 --> 00:43:05,684 THE INDUSTRY MESSAGES, AND ALSO 1169 00:43:05,684 --> 00:43:07,986 THE RECEPTION OF HEALTH 1170 00:43:07,986 --> 00:43:11,723 EDUCATION MESSAGES, AND IF THERE 1171 00:43:11,723 --> 00:43:13,358 ARE THINGS TO BE LEARNED FROM 1172 00:43:13,358 --> 00:43:16,428 THE TOBACCO INDUSTRY, ARE THERE 1173 00:43:16,428 --> 00:43:19,464 THINGS THAT WE COULD HAVE DONE 1174 00:43:19,464 --> 00:43:20,465 DIFFERENTLY IN OUR HEALTH 1175 00:43:20,465 --> 00:43:23,635 EDUCATION MESSAGES? 1176 00:43:23,635 --> 00:43:27,372 >> THOSE ARE REALLY GOOD 1177 00:43:27,372 --> 00:43:29,341 QUESTIONS, KELVIN, AND SOMETHING 1178 00:43:29,341 --> 00:43:30,442 THAT I'VE BEEN THINKING ABOUT. 1179 00:43:30,442 --> 00:43:32,311 SO THE TOBACCO INDUSTRY HAS DONE 1180 00:43:32,311 --> 00:43:35,914 A REALLY GOOD JOB OF PULLING IN 1181 00:43:35,914 --> 00:43:40,118 FROM SOCIAL MARKETING AND 1182 00:43:40,118 --> 00:43:41,953 ADVERTISING, FOR EXAMPLE, RIGHT 1183 00:43:41,953 --> 00:43:45,057 NOW IS BLACK HISTORY MONTH, AND 1184 00:43:45,057 --> 00:43:46,358 LUNAR NEW YEAR JUST PASSED, AND 1185 00:43:46,358 --> 00:43:48,760 SO THE TOBACCO INDUSTRY HAS 1186 00:43:48,760 --> 00:43:53,398 LEVERAGED THESE VERY IMPORTANT 1187 00:43:53,398 --> 00:43:56,201 EVENTS AND SOCIAL OPPORTUNITIES 1188 00:43:56,201 --> 00:43:58,070 TO HIGHLIGHT AND MANIPULATE OUR 1189 00:43:58,070 --> 00:44:01,707 PERCEPTIONS ABOUT THE TOBACCO 1190 00:44:01,707 --> 00:44:03,442 INDUSTRY AND THEIR PRODUCTS, IN 1191 00:44:03,442 --> 00:44:04,343 TERMS OF HEALTH EDUCATION WHAT 1192 00:44:04,343 --> 00:44:07,512 WE CAN BE DOING, I THINK IS ALSO 1193 00:44:07,512 --> 00:44:09,381 LEVERAGING AND UNDERSTANDING 1194 00:44:09,381 --> 00:44:10,916 MORE ABOUT SOCIAL MARKETING AND 1195 00:44:10,916 --> 00:44:13,752 WHAT IS REALLY IMPORTANT TO 1196 00:44:13,752 --> 00:44:15,287 INDIVIDUALS AND CREATING MORE -- 1197 00:44:15,287 --> 00:44:18,290 I WOULD SAY LIKE OUT OF THE BOX 1198 00:44:18,290 --> 00:44:20,058 MESSAGING, WE'VE TYPICALLY 1199 00:44:20,058 --> 00:44:23,762 FOCUSED ON HEALTH HARM AND 1200 00:44:23,762 --> 00:44:24,329 NICOTINE ADDICTION WHICH OF 1201 00:44:24,329 --> 00:44:25,564 COURSE IS REALLY IMPORTANT, BUT 1202 00:44:25,564 --> 00:44:28,500 PART OF THE K99 R00 IS ALSO 1203 00:44:28,500 --> 00:44:29,801 UNDERSTANDING HOW CAN WE TIE IN 1204 00:44:29,801 --> 00:44:31,370 SOME OF THESE OTHER BELIEFS OR 1205 00:44:31,370 --> 00:44:32,471 THINGS THAT ARE IMPORTANT TO 1206 00:44:32,471 --> 00:44:35,006 YOUNG ADULTS TO CHANGE THOSE 1207 00:44:35,006 --> 00:44:36,541 ATTITUDES TOWARDS CIGAR SMOKING. 1208 00:44:36,541 --> 00:44:38,343 AND SO I THINK IT'S TIME FOR US 1209 00:44:38,343 --> 00:44:39,511 TO THINK CREATIVELY. 1210 00:44:39,511 --> 00:44:42,481 I'D LOVE TO HEAR OTHER PEOPLE'S 1211 00:44:42,481 --> 00:44:43,548 THOUGHTS THAT HAVE WORKED FOR 1212 00:44:43,548 --> 00:44:46,385 THEM OR THAT THEY'RE THINKING 1213 00:44:46,385 --> 00:44:49,254 THROUGH AS IT RELATES TO HEALTH 1214 00:44:49,254 --> 00:44:50,655 EDUCATION, BUT I THINK IT'S 1215 00:44:50,655 --> 00:44:52,891 THOSE UNDERLYING IDEAS AS WELL 1216 00:44:52,891 --> 00:44:56,128 AS THE MEDIANS THAT WE USE. 1217 00:44:56,128 --> 00:45:00,065 SO THINKING MORE ABOUT LIKE 1218 00:45:00,065 --> 00:45:07,038 HEALTH EDUCATION ON WEBSITES, 1219 00:45:07,038 --> 00:45:08,039 SOCIAL MEDIA PLATFORMS AS WELL 1220 00:45:08,039 --> 00:45:09,775 AS LIKE IN OUR NEIGHBORHOOD. 1221 00:45:09,775 --> 00:45:11,076 SO THERE'S A LOT OF TOBACCO 1222 00:45:11,076 --> 00:45:11,843 ADVERTISING IN CERTAIN 1223 00:45:11,843 --> 00:45:17,416 NEIGHBORHOODS, BUT THERE'S NO 1224 00:45:17,416 --> 00:45:18,517 SALIENT HEALTH EDUCATION THAT 1225 00:45:18,517 --> 00:45:19,651 ACTUALLY RESONATES WITH FOLKS OF 1226 00:45:19,651 --> 00:45:20,285 THAT COMMUNITY. 1227 00:45:20,285 --> 00:45:21,520 SO I THINK THAT IS REALLY 1228 00:45:21,520 --> 00:45:22,721 IMPORTANT. 1229 00:45:22,721 --> 00:45:24,256 SO A LOT OF OUR RESEARCH IS 1230 00:45:24,256 --> 00:45:26,224 UNDERSTANDING HOW DO WE START TO 1231 00:45:26,224 --> 00:45:31,296 SHIFT AND MAKE CHANGE WITH HOW 1232 00:45:31,296 --> 00:45:31,830 COMMUNICATION INEQUALITY. 1233 00:45:31,830 --> 00:45:34,466 >> I THINK THAT WOULD BE A 1234 00:45:34,466 --> 00:45:35,767 COMBINATION OF REGULATION AND 1235 00:45:35,767 --> 00:45:38,003 THEN, YOU KNOW, HEALTH EDUCATION 1236 00:45:38,003 --> 00:45:40,972 INTERVENTION BEING PRESENT IN 1237 00:45:40,972 --> 00:45:41,606 THE COMMUNITY, THAT BEING 1238 00:45:41,606 --> 00:45:43,675 AFFECTED THE MOST, AND SO WE CAN 1239 00:45:43,675 --> 00:45:45,444 THEN START CHANGING THE 1240 00:45:45,444 --> 00:45:47,746 PERCEPTIONS AND BELIEFS 1241 00:45:47,746 --> 00:45:49,114 GRADUALLY THROUGH THAT APPROACH, 1242 00:45:49,114 --> 00:45:50,415 AND I THINK IT'S INTERESTING, 1243 00:45:50,415 --> 00:45:56,855 AND I THINK YOUR RESUMMONS KINDD 1244 00:45:56,855 --> 00:45:59,524 OF REMINDED ME OF THE WORK DONE 1245 00:45:59,524 --> 00:46:02,327 BY DR. CARL BURKE IN TERMS OF 1246 00:46:02,327 --> 00:46:06,364 LOOKING AT -- OF CIGARETTE 1247 00:46:06,364 --> 00:46:06,832 SMOKERS. 1248 00:46:06,832 --> 00:46:07,866 I WONDER IF THERE'S SOMETHING 1249 00:46:07,866 --> 00:46:10,335 THAT CAN BE DONE IN PARALLEL 1250 00:46:10,335 --> 00:46:13,171 LOOKING AT THE PSYCHOGRAPHICS OF 1251 00:46:13,171 --> 00:46:14,506 CIGAR SMOKERS AND PARTICULARLY 1252 00:46:14,506 --> 00:46:16,942 USERS OF VARIOUS TYPE OF CIGAR 1253 00:46:16,942 --> 00:46:18,477 PRODUCT, IF THEY HAVE A 1254 00:46:18,477 --> 00:46:23,281 DIFFERENT TYPE OF ASPIRATION OR 1255 00:46:23,281 --> 00:46:25,016 THINGS THAT ARE VALUES THAT ARE 1256 00:46:25,016 --> 00:46:30,322 SALIENT TO THEM AND THAT SO THEN 1257 00:46:30,322 --> 00:46:34,025 YOU CAN TAILOR THE MESSAGE, THAT 1258 00:46:34,025 --> 00:46:36,528 MAY BE AN ADDITIONAL WAY HOW TO 1259 00:46:36,528 --> 00:46:38,129 THINK ABOUT FRAMING MESSAGES. 1260 00:46:38,129 --> 00:46:40,599 >> THE OTHER DIFFICULT THINGS TG 1261 00:46:40,599 --> 00:46:41,533 WHEN YOU'RE THINKING ABOUT 1262 00:46:41,533 --> 00:46:44,035 CHANGING SOME OF THESE ATTITUDES 1263 00:46:44,035 --> 00:46:47,372 IS THAT IF A CIGAR PRODUCT, FOR 1264 00:46:47,372 --> 00:46:48,840 EXAMPLE, IS SEEN TO BE USED IN 1265 00:46:48,840 --> 00:46:50,308 FUN SOCIAL EVENTS AND THAT'S AN 1266 00:46:50,308 --> 00:46:51,510 ATTITUDE THAT YOU'RE TRYING TO 1267 00:46:51,510 --> 00:46:54,446 CHANGE, IT MIGHT CREATE SOME 1268 00:46:54,446 --> 00:46:57,182 COGNITIVE DISSIDENCE, SO 1269 00:46:57,182 --> 00:47:00,819 THINKING ABOUT HOW DO YOU USE 1270 00:47:00,819 --> 00:47:02,587 HEALTH EDUCATION, AND WHAT KIND 1271 00:47:02,587 --> 00:47:05,123 OF WORDING OR CONTENT CAN REALLY 1272 00:47:05,123 --> 00:47:10,295 HELP DO THAT IN THE RIGHT WAY. 1273 00:47:10,295 --> 00:47:11,129 >> YEAH. 1274 00:47:11,129 --> 00:47:12,364 WELL, I GUESS WE HAVE TO START 1275 00:47:12,364 --> 00:47:14,432 GOING TO THESE FUN PLACES AND 1276 00:47:14,432 --> 00:47:18,537 SEE WHAT'S GOING ON THERE. 1277 00:47:18,537 --> 00:47:18,837 [LAUGHTER] 1278 00:47:18,837 --> 00:47:19,538 FOR RESEARCH. 1279 00:47:19,538 --> 00:47:21,473 ALL FOR RESEARCH PURPOSES. 1280 00:47:21,473 --> 00:47:22,707 WE'RE NOT HAVING FUN TODAY. 1281 00:47:22,707 --> 00:47:25,744 WE WON'T BE. 1282 00:47:25,744 --> 00:47:29,514 WELL, I JUST WANT TO THANK 1283 00:47:29,514 --> 00:47:34,786 DR. LAS VE PHAN FOR SHEDDING LIA 1284 00:47:34,786 --> 00:47:37,722 RESEARCH TOPIC THAT WE NEED 1285 00:47:37,722 --> 00:47:38,590 ATTENTION DOING THIS WORK AND 1286 00:47:38,590 --> 00:47:40,992 ALSO THE OTHER WORK THAT YOU'RE 1287 00:47:40,992 --> 00:47:43,328 DOING TO CONTINUE TO ADVANCE THE 1288 00:47:43,328 --> 00:47:46,731 RESEARCH IN TERMS OF TOBACCO USE 1289 00:47:46,731 --> 00:47:48,934 DISPARITY AND ACHIEVING HEALTH 1290 00:47:48,934 --> 00:47:49,234 EQUITY. 1291 00:47:49,234 --> 00:47:50,502 SO WE APPRECIATE YOUR TIME AND 1292 00:47:50,502 --> 00:47:50,902 YOUR PRESENTATION. 1293 00:47:50,902 --> 00:47:52,904 WE WISH YOU ALL THE BEST, AND 1294 00:47:52,904 --> 00:47:54,172 HOPEFULLY IN A COUPLE OF YEARS, 1295 00:47:54,172 --> 00:47:55,440 WE'LL INVITE YOU BACK AND GIVE 1296 00:47:55,440 --> 00:47:56,942 US AN UPDATE ON SOME OF THE WORK 1297 00:47:56,942 --> 00:48:00,345 THAT YOU'RE DOING AND THAT WE'LL 1298 00:48:00,345 --> 00:48:02,814 BE ABLE TO HEAR FROM YOU THAT 1299 00:48:02,814 --> 00:48:05,617 TOBACCO PROBLEMS ARE SOLVED. 1300 00:48:05,617 --> 00:48:06,952 >> WELL, THANK YOU SO MUCH FOR 1301 00:48:06,952 --> 00:48:07,252 HAVING ME. 1302 00:48:07,252 --> 00:48:09,654 THANK YOU SO MUCH, EVERYONE. 1303 00:48:09,654 --> 00:48:10,488 >> ALL RIGHT. 1304 00:48:10,488 --> 00:48:11,690 THANKS, EVERYONE, FOR LISTENING, 1305 00:48:11,690 --> 00:48:22,200 AND WE'LL SEE YOU NEXT MONTH.