RECRUITING

Understanding How Cigarette Direct Mail Marketing Influences Smoking Behaviors Among High and Low Socioeconomic Status Young Adult Smokers

Conditions

Nicotine Dependence Cigarettes Behaviors Attitudes Beliefs

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Background: Smoking is a major public health problem in the U.S. Almost a half a million Americans die from it in a year. One thing that contributes to why people smoke is the marketing of cigarettes. Cigarette direct mail marketing usually targets young smokers of lower socioeconomic status. Researchers want to find out more about how this kind of marketing influences smoking behavior in young people from different socioeconomic levels. Objectives: To study the effects of cigarette direct mail marketing on beliefs, responses, and arousal. To study how these things may differ among young adult smokers of high and low socioeconomic status. Eligibility: Volunteer adults ages 18 to 29 who smoke. Design: Participants will have 1 visit. Participants will be asked questions about their health and recent smoking. A nurse will check their vital signs. Participants will have a simple eye exam. They will give blood and urine samples. Participants will be connected to equipment. This will collect data while they look at pictures. Then they will have a 10-minute break. A nurse will observe them during the break. Participants will have their breath analyzed. Participants will answer questions. The topics will include: Education Job Income Family history Tobacco use Exposure to pro-smoking and anti-smoking messages History of drug and alcohol use

Official Title

Understanding How Cigarette Direct Mail Marketing Influence Smoking Behaviors Among High and Low Socioeconomic Status Young Adult Smokers

Quick Facts

Study Start:2026-10-17

Study Completion:2027-10-06

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:RECRUITING

Study ID

NCT02974582

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 29 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:Yes

Standard Ages:ADULT

Inclusion Criteria	Exclusion Criteria
* Age: 18 to 29 years, given our focus on young adults. * Smoking status: Current smokers who report smoking every day and who have smoked at least 100 cigarettes in their lifetime with a breath carbon monoxide level greater than 6ppm per device guidelines * SES: For the purpose of the study, we will use the empirical groups from our analysis of the Current Population Survey -Tobacco Use Supplement data. Two groups are chosen based on their social determinants and prevalence of smoking. 1. Low SES: Young adults who do not have a four-year college degree, are not currently enrolled in a four-year college, were born in the US, and have an annual income less than $50,000. This is the group that has been shown to have the highest prevalence of smoking. 2. High SES: Young adults who are currently enrolled in or graduated from a four year college. This is the group that has been shown to have the lowest prevalence of smoking. * English proficiency: since study materials are available only in English, only participants who are able to understand English and follow instructions in English are to be enrolled. * Cognitive ability: Able to understand and willing to sign a written informed consent document. * General health: Participants need to be generally healthy, as defined as someone with no known significant health problems. Participants can have chronic health conditions if the condition is well managed.	* Inability, in the judgment of the investigator, to understand and follow the requirements of the protocol. * Currently enrolled in high school. * Participants with eye conditions that restrict their ability to track an object with their eyes. * Participants with myopia, hyperopia, and/or astigmatism who cannot pass a simple vision test even with corrective lenses. * Participants with medical condition(s) that may be triggered by infrared radiation (e.g., epilepsy). * Self-reported use of alcohol, recreational drugs or prescription medications used for recreational purposes (e.g., amphetamines, cannabis, cocaine, MDMA, ketamines, LSD, opiates and opioids, tranquilizers or opioid analgesics) that may influence their judgement at the time of study in the past 12 hours before the study visit. * Participants who cannot see an object located between 15 to 27 inches away from them (the required distance between the computer screen and the participants for accurate eye-tracking), even with corrective contact lenses.

Inclusion Criteria

Exclusion Criteria

* Age: 18 to 29 years, given our focus on young adults.
* Smoking status: Current smokers who report smoking every day and who have smoked at least 100 cigarettes in their lifetime with a breath carbon monoxide level greater than 6ppm per device guidelines
* SES: For the purpose of the study, we will use the empirical groups from our analysis of the Current Population Survey -Tobacco Use Supplement data. Two groups are chosen based on their social determinants and prevalence of smoking.
1. Low SES: Young adults who do not have a four-year college degree, are not currently enrolled in a four-year college, were born in the US, and have an annual income less than $50,000. This is the group that has been shown to have the highest prevalence of smoking.
2. High SES: Young adults who are currently enrolled in or graduated from a four year college. This is the group that has been shown to have the lowest prevalence of smoking.
* English proficiency: since study materials are available only in English, only participants who are able to understand English and follow instructions in English are to be enrolled.
* Cognitive ability: Able to understand and willing to sign a written informed consent document.
* General health: Participants need to be generally healthy, as defined as someone with no known significant health problems. Participants can have chronic health conditions if the condition is well managed.

* Inability, in the judgment of the investigator, to understand and follow the requirements of the protocol.
* Currently enrolled in high school.
* Participants with eye conditions that restrict their ability to track an object with their eyes.
* Participants with myopia, hyperopia, and/or astigmatism who cannot pass a simple vision test even with corrective lenses.
* Participants with medical condition(s) that may be triggered by infrared radiation (e.g., epilepsy).
* Self-reported use of alcohol, recreational drugs or prescription medications used for recreational purposes (e.g., amphetamines, cannabis, cocaine, MDMA, ketamines, LSD, opiates and opioids, tranquilizers or opioid analgesics) that may influence their judgement at the time of study in the past 12 hours before the study visit.
* Participants who cannot see an object located between 15 to 27 inches away from them (the required distance between the computer screen and the participants for accurate eye-tracking), even with corrective contact lenses.

Contacts and Locations

Study Contact

Bambi JE Jewett

CONTACT

(301) 827-0493

bambi.jewett@nih.gov

Tsz Chun Choi, Ph.D.

CONTACT

(301) 496-3400

tsz.choi@nih.gov

Principal Investigator

Tsz Chun Choi, Ph.D.

PRINCIPAL_INVESTIGATOR

National Institute on Minority Health and Health Disparities (NIMHD)

Study Locations (Sites)

National Institutes of Health Clinical Center

Bethesda, Maryland, 20892

United States

Collaborators and Investigators

Sponsor: National Institute on Minority Health and Health Disparities (NIMHD)

Tsz Chun Choi, Ph.D., PRINCIPAL_INVESTIGATOR, National Institute on Minority Health and Health Disparities (NIMHD)

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2026-10-17

Study Completion Date2027-10-06

Study Record Updates

Study Start Date2026-10-17

Study Completion Date2027-10-06

Terms related to this study

Keywords Provided by Researchers

Cigarettes
Behaviors
Attitudes
Beliefs

Additional Relevant MeSH Terms

Nicotine Dependence