Skip to main content

Jennifer Cantrell

Jennifer Cantrell

Jennifer Cantrell

Scroll

Associate Professor of Social and Behavioral Sciences

Professional overview

Jennifer Cantrell, DrPH, MPA, is an Associate Professor in the Department of Social and Behavioral Sciences at the NYU School of Global Public Health. Her research investigates emerging trends in tobacco and nicotine use and industry marketing, and explores clinical, countermarketing and policy interventions to diminish tobacco's appeal and promote health equity.

Dr. Cantrell currently leads a National Cancer Institute (NCI)-funded grant (R01CA268932) that uses Multiphase Optimization STrategy (MOST) to optimize cessation treatment for smokers living with HIV in clinical care. This study uses MOST, implementation science and decision analysis to test four interventions targeting multilevel barriers to quitting for people living with HIV, with the aim of developing a cost-effective, scalable and sustainable treatment package delivered in HIV clinical care. In other funded research, Dr. Cantrell uses diverse data sources and methods to explore evolving tobacco and nicotine use patterns and the commercial determinants that drive use. Her research also examines innovative digital counter-marketing strategies with a focus on achieving optimal exposure levels and effective counter-messaging.

Dr. Cantrell is a Co-Investigator with the National Institute on Drug Abuse (NIDA)-funded R25 training grant on Optimization of Behavioral and Biobehavioral Interventions (PI: Linda Collins). She is Chair of Early Career Faculty Outreach for the NYU Center for the Advancement and Dissemination of Intervention Optimization (CADIO), which trains investigators in intervention optimization methodologies worldwide. She has also served on the Advisory Committees for the Treatment Network and the Health Equity Network for the Society for Research on Nicotine and Tobacco. Dr. Cantrell has published over 70 scientific articles and co-authored a chapter on “Communication, Marketing and Tobacco-related Disparities” in the NCI Monograph 22: A Socioecological Approach to Tobacco-related Disparities. Her research has been published in the American Journal of Public Health, Addiction, Nicotine & Tobacco Research and other leading journals, and featured in media outlets such as The Wall Street Journal, NPR, and The Boston Globe. She also received the highly competitive National Institutes of Health Loan Repayment Program award from the National Institute of Minority Health and Health Disparities for her work on tobacco disparities and health equity.

Prior to joining NYU GPH, Dr. Cantrell was a Managing Director and Scientist at Truth Initiative, a national non-profit research and education organization focused on tobacco use prevention and cessation, where she evaluated and conducted research on national anti-smoking mass media efforts, including the award-winning truth® campaign and the Centers for Disease Control’s Tips for Former Smokers campaign. As part of this work, she led the development of the winning proposal for the 2017 Berreth Award for Excellence in Public Health Communication. She earned her DrPH from Columbia University’s Mailman School of Public Health and her MPA from Columbia University School of International and Public Affairs. She completed postdoctoral training in the NIDA program for Behavioral Science Training in Drug Abuse Research at National Development Research Institutes in New York, NY.

Areas of research and study

Alcohol, Tobacco and Driving Policies
Behavioral Science
Health Disparities
Population Health
Public Health Policy
Social Behaviors
Social epidemiology

Publications

Publications

Design and Baseline Evaluation of Social Media Vaping Prevention Trial : Randomized Controlled Trial Study

Evans, W. D., Ichimiya, M., Bingenheimer, J. B., Cantrell, J., D'Esterre, A. P., Pincus, O., Yu, L. Q., & Hair, E. C. (n.d.).

Publication year

2025

Journal title

Journal of medical Internet research

Volume

27
Abstract
Abstract
Background: Electronic cigarette (e-cigarette) use is a major public health problem and young adults aged 18-24 years are at high risk. Furthermore, oral nicotine products (ONPs) are growing in popularity in this population. Poly-use is widespread. New methodologies for rigorous online studies using social media have been conducted and shown to reduce nicotine use. Objective: We report on the design and baseline evaluation of a large-scale social media-based randomized controlled trial to evaluate the effects of antivaping social media on young adult vaping and determinants of use. Methods: Using the Virtual Lab social media platform, participants were recruited using an artificial intelligence chatbot and social media advertising, completed a baseline survey, and were randomized to 1 of 4 study arms. The design was to achieve specific numbers of impressions per arm over 3 survey time points. We recruited 8437 participants, stratified by vaper (n=5026) and nonvaper (n=3321) status. Questionnaire data were collected using the Qualtrics survey platform. Future analyses will examine the effects of social media content on vaping at the endline. Our data analysis describes the 2 cohort samples, examines balance across the 4 study arms on baseline variables in each of the cohorts, and evaluates the internal consistency of several multi-indicator measures of psychosocial constructs. Results: Among vapers, almost three-fourths were current vapers, >40% were current smokers (using in the past 30 days), and >48% were current poly-users (using e-cigarettes and ≥1 other tobacco products). Substantial numbers of current vapers also currently use some other product, including cigars (n=1520, 30.2%), hookah (n=794, 15.8%), smokeless devices (n=462, 9.2%), and ONPs (n=578, 11.5%). The average age of participants was 21.2 (SD 2) years. Just less than 45% of participants were non-Hispanic White (n=3728, 44.7%), just less than 47% (n=3913, 46.9%) of the sample was male, more than 44% (n=3704, 44.4%) reported completing high school, and 79.3% reported meeting basic needs or better. There were no significant differences between arms and strata by any of these demographics. We calculated scale scores for depression and covariates related to nicotine use and found high alphas. Finally, participants who reported having seen antitobacco brand advertising were more likely to have higher levels of these variables and scales than participants who reported not having seen the advertisements. These results will be examined in future studies. Conclusions: Social media can be used as a platform at scale for longitudinal randomized controlled trials over extended periods, which extends previous research on short-term trials. Interventions delivered by social media can be used with large samples to evaluate social media health behavior change interventions. Future studies based on this research will evaluate the intervention and dose-response effects of social media exposure on vaping behavior and determinants.

Pathway from Exposure to an E-Cigarette Prevention Social Media Campaign to Increased Quitting Intentions : A Randomized Trial Among Young Adult E-Cigarette Users

D’Esterre, A. P., Tulsiani, S., Hair, E. C., Aseltine, M., Yu, L. Q., Ichimiya, M., Bingenheimer, J. B., Cantrell, J., & Evans, W. D. (n.d.).

Publication year

2025

Journal title

International journal of environmental research and public health

Volume

22

Issue

2
Abstract
Abstract
In 2022, 26–31% of young adults reported using e-cigarettes in the previous 30 days. Research supports the effectiveness of mass media health campaigns in changing targeted attitudes and behaviors regarding nicotine use. However, the effect of social media campaigns and the pathway through which they change attitudes and behaviors require more research. This randomized controlled experiment examines the pathway through which exposure to an e-cigarette prevention social media campaign influences intentions to quit e-cigarettes among young adults who currently use e-cigarettes. Participants (n = 160) aged 18 to 24 years old were recruited through Virtual Lab in Facebook and Instagram. Structural equation modeling (SEM) was used to examine the pathway from campaign exposure, to changes in targeted attitudes, and finally to intentions to quit e-cigarettes in the next year. Ad exposure was significantly associated with stronger anti-industry attitudes, independence from e-cigarettes, and risk perceptions. These campaign-targeted attitudes were significantly associated with greater intentions to quit e-cigarettes (anti-industry attitudes (OR = 1.43), independence (OR = 1.50), and risk perception (OR = 1.71)). The findings suggest that exposure to an e-cigarette prevention social media campaign can affect targeted attitudes, which in turn improve intentions to quit. Future research should examine behavior changes and compare the effects between those currently using e-cigarettes and those not using them.

Physical Activity, Cigarette Smoking, and Depression Among People with HIV

SantaBarbara, N. J., St. Hilaire, M. A., Konkle-Parker, D. J., Comulada, W. S., Cantrell, J., D’Souza, A., Foronjy, R., Koletar, S. L., Mimiaga, M. J., Palella, F. J., Merenstein, D., Rubtsova, A. A., Raju, S., Martinez, C. A., Hanna, D. B., Drummond, M. B., Weber, K. M., Wang, R., & Erlandson, K. M. (n.d.).

Publication year

2025

Journal title

AIDS and Behavior
Abstract
Abstract
People with HIV (PWH) smoke cigarettes 2–3 times more and are 3 times more likely to have clinical depression relative to the general population. Physical activity (PA) can aid in smoking cessation and reduce depression in the general population; the role of PA for smoking cessation among PWH is unknown. Data collected between October 2021-September 2022 from the Multicenter AIDS Cohort Study (MACS)/Women Interagency HIV Study (WIHS) Combined Cohort Study (MWCCS) were analyzed using logistic regression and structural equation modeling to examine associations between cigarette smoking, PA and depression. Among adult PWH (n = 1584), 505 were insufficiently active (MET-min/week ≤ 500), 400 were currently smoking, and 420 had clinically significant depressive symptoms (CES-D ≥ 16). The odds of current smoking were significantly higher among PWH who were insufficiently active compared to sufficiently active, even after adjusting for age, sex, body mass index, race, ethnicity, substance use, and viral load (aOR = 1.40 [95% CI: 1.04–1.87], p = 0.03). Similarly, the odds of current smoking were significantly higher among PWH with more symptoms of depression in adjusted models (aOR = 1.57 [95% CI: 1.16–2.12], p = 0.003). When stratified by sex, the odds of current smoking remained significantly higher among female PWH, but not male PWH who were insufficiently active. The odds of current smoking also remained significantly higher among females but not males with more symptoms of depression. Structural equation modeling indicated that PA and depression have independent and direct effects on smoking among PWH. Physical inactivity and depression are associated with smoking, but longitudinal studies are needed to better understand directionality and causality.

Testing certain and uncertain incentives on study retention in a longitudinal social media survey among young adults : An embedded recruitment trial

Cantrell, J., Ichimiya, M., Mowery, P., D’Esterre, A. P., Bingenheimer, J., Tulsiani, S., Hair, E. C., Kreslake, J. M., Martin, M., Gerard, R., & Evans, W. D. (n.d.).

Publication year

2025

Journal title

Digital Health

Volume

11
Abstract
Abstract
Introduction: Incentives can be effective in survey research but evidence is limited on how incentive type impacts survey retention in longitudinal social media-based surveys. This study examined how certain and uncertain incentives affect study retention among US young adults recruited online and whether incentive effects vary by sociodemographic factors. Methods: Participants were randomized in a 1:1:1 ratio to a three-arm parallel trial (n = 1615) with (1) a lottery for a $200 gift card (uncertain), (2) a cash equivalent (CE) of a $5 gift card per survey (certain); or (3) a combination of both options (combined), and were surveyed at baseline, 30 days, and 60 days. This study focused on survey retention at 30 days (among baseline completers, n = 1491) and 60 days (among 30-day completers, n = 1018). Participants were not blinded to their condition but were blinded to other conditions and researchers were blinded until data collection was complete. Logistic regressions examined survey retention as a function of incentive condition and sociodemographics, with additional analyses of interaction effects. We report average marginal effects (AMEs) with significance defined as p < 0.05. Results: The certain CE was effective for survey retention versus the lottery at 30-day follow-up only (43.8% [lottery] vs. 77.7% [CE], AME: 0.346, p < 0.000); there were no differences between CE versus lottery at 60-day follow-up (76.1% [lottery] and 81.3% [CE], AME: 0.054, p = 0.192). The combined incentive demonstrated significantly higher retention at both follow-ups versus the lottery but no significant advantage over the CE. Incentive effectiveness showed minimal variation across sociodemographic factors. Discussion: This study is among the few to experimentally test incentives for retention in online social-media based research. A certain CE was most effective for short-term web survey retention among young adults compared with a lottery. Findings suggest that small guaranteed rewards may better motivate study retention than uncertain larger amounts.

Acceptability of a Telehealth Smoking Harm Reduction Intervention Using E-cigarettes among Cigarette Smokers with Substance Use Disorder: A Qualitative Analysis.

El-Shahawy, O., Fawole, A., Braga, M., Hamade, N., Kang, B., Doucoure, M., Gallardo Castillo, I., & Cantrell, J. (n.d.).

Publication year

2024
Abstract
Abstract
~

Beyond Demographics: Mixed Methods Research for Effective Communication Tools to Prevent Tobacco Use in Latino Adolescents and Young Adults

Moran, M., Alonso, F., Cantrell, J., Hair, E., Jordan, A., Ramirez, S., Rath, J., Sasser, A., Suarez, S., Torres, G., & Umanzor, S. (n.d.).

Publication year

2024
Abstract
Abstract
~

Differences in Receptivity to Menthol Cigarette Advertising between Adults with and without Anxiety and Depression

Ganz, O., Young, W., Bover-Mandinski, M., Cantrell, J., & Delnevo, C. (n.d.).

Publication year

2024
Abstract
Abstract
~

Differences in receptivity to tobacco industry marketing among young adults by sexual identity and sex: findings from the Population Assessment of Tobacco and Health

Ganz, O., Krueger, E., Tan, A., Talbot, E., Delnevo, C., & Cantrell, J. (n.d.).

Publication year

2024

Journal title

Annals of LGBTQ Public and Population Health
Abstract
Abstract
Tobacco use is disproportionately high among sexual minorities (i.e., lesbian/gay and bisexual [LGB] individuals). Receptivity to tobacco advertising is an established risk factor for tobacco use among the general population, yet little research has assessed how receptivity to tobacco advertising differs based on sexual identity and sex. Additionally, studies often fail to distinguish between LGB identities, creating a monolith of sexual identity that ignores different underlying risk factors and behaviors. This study examined differences in receptivity to advertising of five tobacco product categories (any tobacco, cigarettes, cigars, e-cigarettes, smokeless tobacco) between straight/heterosexual, lesbian/gay, and bisexual young adults, by sex. We used data from Wave 1 of the Population Assessment of Tobacco and Health (PATH) Study Restricted Use File. Analyses were limited to young adults (ages 18-24) with complete data on sexual identity (n=8,839). Multivariable logistic regressions examined the association between receptivity and sexual identity, controlling for demographics, past 30-day tobacco use, and media use. In the multivariable models, gay males had higher odds of receptivity to cigar advertising, and gay and bisexual males had higher odds of receptivity to e-cigarette advertising, compared with straight/heterosexual males. Compared with straight/heterosexual females, bisexual females had higher odds of receptivity to advertising for all products; lesbian/gay females had higher odds of receptivity to any tobacco advertising. In conclusion, our study identified elevated receptivity to tobacco marketing among sexual minorities- particularly sexual minority women. More research is needed to understand the sources of exposure to tobacco advertising and reasons for elevated receptivity among LGB individuals.

Effects of a Social Media Intervention on Vaping Intentions : Randomized Dose-Response Experiment

Evans, W. D., Bingenheimer, J., Cantrell, J., Kreslake, J., Tulsiani, S., Ichimiya, M., D'Esterre, A. P., Gerard, R., Martin, M., & Hair, E. C. (n.d.).

Publication year

2024

Journal title

Journal of medical Internet research

Volume

26

Issue

1
Abstract
Abstract
Background: e-Cigarette use, especially by young adults, is at unacceptably high levels and represents a public health risk factor. Digital media are increasingly being used to deliver antivaping campaigns, but little is known about their effectiveness or the dose-response effects of content delivery. Objective: The objectives of this study were to evaluate (1) the effectiveness of a 60-day antivaping social media intervention in changing vaping use intentions and beliefs related to the stimulus content and (2) the dose-response effects of varying levels of exposure to the intervention on vaping outcomes, including anti-industry beliefs, vaping intentions, and other attitudes and beliefs related to vaping. Methods: Participants were adults aged 18 to 24 years in the United States. They were recruited into the study through Facebook (Meta Platforms) and Instagram (Meta Platforms), completed a baseline survey, and then randomized to 1 of the 5 conditions: 0 (control), 4, 8, 16, and 32 exposures over a 15-day period between each survey wave. Follow-up data were collected 30 and 60 days after randomization. We conducted stratified analyses of the full sample and in subsamples defined by the baseline vaping status (never, former, and current). Stimulus was delivered through Facebook and Instagram in four 15-second social media videos focused on anti-industry beliefs about vaping. The main outcome measures reported in this study were self-reported exposure to social media intervention content, attitudes and beliefs about vaping, and vaping intentions. We estimated a series of multivariate linear regressions in Stata 17 (StataCorp). To capture the dose-response effect, we assigned each study arm a numerical value corresponding to the number of advertisements (exposures) delivered to participants in each arm and used this number as our focal independent variable. In each model, the predictor was the treatment arm to which each participant was assigned. Results: The baseline sample consisted of 1491 participants, and the final analysis sample consisted of 57.28% (854/1491) of the participants retained at the 60-day follow-up. We compared the retained participants with those lost to follow-up and found no statistically significant differences across demographic variables. We found a significant effect of the social media treatment on vaping intentions (β=−0.138, 95% CI −0.266 to −0.010; P = .04) and anti-industry beliefs (β=−0.122, 95% CI 0.008-0.237; P = .04) targeted by the intervention content among current vapers but not among the full sample or other strata. We found no significant effects of self-reported exposure to the stimulus. Conclusions: Social media interventions are a promising approach to preventing vaping among young adults. More research is needed on how to optimize the dosage of such interventions and the extent to which long-term exposure may affect vaping use over time.

Effects of a social media intervention on vaping intentions: randomized dose-response experiment

Evans, D., Bingenheimer, J., Cantrell, J., Kreslake, J., Tulsiani, S., Ichimiya, M., D’Esterre, A., Gerard, R., Martin, M., & Hair, E. (n.d.).

Publication year

2024

Journal title

Journal of Medical Internet Research
Abstract
Abstract
E-cigarette use, especially by young adults, is at unacceptably high levels and represents a public health risk factor. Digital media are increasingly being used to deliver antivaping campaigns, but little is known about their effectiveness or the dose-response effects of content delivery. The objectives of this study were to evaluate (1) the effectiveness of a 60-day antivaping social media intervention in changing vaping use intentions and beliefs related to the stimulus content and (2) the dose-response effects of varying levels of exposure to the intervention on vaping outcomes, including anti-industry beliefs, vaping intentions, and other attitudes and beliefs related to vaping. Participants were adults aged 18 to 24 years in the United States. They were recruited into the study through Facebook (Meta Platforms) and Instagram (Meta Platforms), completed a baseline survey, and then randomized to 1 of the 5 conditions: 0 (control), 4, 8, 16, and 32 exposures over a 15-day period between each survey wave. Follow-up data were collected 30 and 60 days after randomization. We conducted stratified analyses of the full sample and in subsamples defined by the baseline vaping status (never, former, and current). Stimulus was delivered through Facebook and Instagram in four 15-second social media videos focused on anti-industry beliefs about vaping. The main outcome measures reported in this study were self-reported exposure to social media intervention content, attitudes and beliefs about vaping, and vaping intentions. We estimated a series of multivariate linear regressions in Stata 17 (StataCorp). To capture the dose-response effect, we assigned each study arm a numerical value corresponding to the number of advertisements (exposures) delivered to participants in each arm and used this number as our focal independent variable. In each model, the predictor was the treatment arm to which each participant was assigned. The baseline sample consisted of 1491 participants, and the final analysis sample consisted of 57.28% (854/1491) of the participants retained at the 60-day follow-up. We compared the retained participants with those lost to follow-up and found no statistically significant differences across demographic variables. We found a significant effect of the social media treatment on vaping intentions (β=−0.138, 95% CI −0.266 to −0.010; P=.04) and anti-industry beliefs (β=−0.122, 95% CI 0.008-0.237; P=.04) targeted by the intervention content among current vapers but not among the full sample or other strata. We found no significant effects of self-reported exposure to the stimulus. Social media interventions are a promising approach to preventing vaping among young adults. More research is needed on how to optimize the dosage of such interventions and the extent to which long-term exposure may affect vaping use over time.

HIV Status and Use of Menthol among a Nationally Representative Sample of Current Smokers

Cantrell, J. (n.d.).

Publication year

2024
Abstract
Abstract
Abstract submitted in August of 2023 and accepted in November of 2023 for 2024 Society of Research on Nicotine and Tobacco Annual Scientific Conference 

Longitudinal association between e-cigarette use and respiratory symptoms among US adults : Findings from the Population Assessment of Tobacco and Health Study Waves 4–5

Karey, E., Xu, S., He, P., Niaura, R. S., Cleland, C. M., Stevens, E. R., Sherman, S. E., El-Shahawy, O., Cantrell, J., & Jiang, N. (n.d.).

Publication year

2024

Journal title

PloS one

Volume

19

Issue

2 February
Abstract
Abstract
Background We assessed longitudinal effects of e-cigarette use on respiratory symptoms in a nationally representative sample of US adults by combustible tobacco smoking status. Methods We analyzed Waves 4–5 public-use data from the Population Assessment of Tobacco and Health Study. Study sample included adult respondents who reported no diagnosis of respiratory diseases at Wave 4, and completed Waves 4–5 surveys with no missing data on analytic variables (N = 15,291). Outcome was a validated index of functionally important respiratory symptoms based on 7 wheezing/cough questions (range 0–9). An index score of 2 was defined as having important respiratory symptoms. Weighted lagged logistic regression models were performed to examine the association between e-cigarette use status at Wave 4 (former/current vs. never use) and important respiratory symptoms at Wave 5 by combustible tobacco smoking status (i.e., never/former/current smokers), adjusting for Wave 4 respiratory symptom index, sociodemographic characteristics, secondhand smoke exposure, body mass index, and chronic disease. Results Among current combustible tobacco smokers, e-cigarette use was associated with increased odds of reporting important respiratory symptoms (former e-cigarette use: adjusted odds ratio [AOR] = 1.39, 95% confidence interval [CI]: 1.07–1.81; current e-cigarette use: AOR = 1.55, 95% CI: 1.17–2.06). Among former combustible tobacco smokers, former e-cigarette use (AOR = 1.51, 95% CI: 1.06–2.15)—but not current e-cigarette use (AOR = 1.59, 95% CI: 0.91–2.78)—was associated with increased odds of important respiratory symptoms. Among never combustible tobacco smokers, no significant association was detected between e-cigarette use and important respiratory symptoms (former e-cigarette use: AOR = 1.62, 95% CI: 0.76–3.46; current e-cigarette use: AOR = 0.82, 95% CI: 0.27–2.56). Conclusions The association between e-cigarette use and respiratory symptoms varied by combustible tobacco smoking status. Current combustible tobacco smokers who use e-cigarettes have an elevated risk of respiratory impairments.

Longitudinal associations between e-cigarette use and respiratory symptoms among US adults: findings from the Population Assessment of Tobacco and Health Study

Karey, E., Xu, S., He, P., Niaura, R., Cleland, C., Stevens, E., Sherman, S., El-Shahawy, O., Cantrell, J., & Jiang, N. (n.d.).

Publication year

2024

Journal title

PLoS One

Volume

19

Issue

2

Page(s)

e0299834
Abstract
Abstract
We assessed longitudinal effects of e-cigarette use on respiratorysymptoms in a nationally representative sample of US adults by combustible tobaccosmoking status. We analyzed Waves 4-5 public-use data from the Population Assessment of Tobacco and Health Study. Study sample included adult respondents who reported nohistory of respiratory diseases at Wave 4, and completed Waves 4-5 surveys with nomissing data on analytic variables (N = 15,291). Outcome was a validated index offunctionally important respiratory symptoms based on 7 wheezing/cough questions(range 0-9). An index score of ≥2 was defined as having important respiratorysymptoms. Weighted lagged logistic regression models were performed to examine theassociation between e-cigarette use status at Wave 4 (former/current vs. never use)and important respiratory symptoms at Wave 5 by combustible tobacco smoking status(i.e., never/former/current smokers), adjusting for Wave 4 respiratory symptom index,sociodemographic characteristics, secondhand smoke exposure, body mass index,and chronic disease. Among current combustible tobacco smokers, e-cigarette use was associated with increased odds of reporting important respiratory symptoms (former e-cigarette use: adjusted odds ratio [AOR] = 1.39, 95% confidence interval [CI]: 1.07 – 1.81; current e-cigarette use: AOR = 1.55, 95% CI: 1.17 – 2.06). Among former combustible tobacco smokers, former e-cigarette use (AOR = 1.51, 95% CI: 1.06 – 2.15) — but not current e-cigarette use (AOR = 1.59, 95% CI: 0.91 – 2.78) — was associated with increased odds of important respiratory symptoms. Among never combustible tobacco smokers, no significant association was detected between e-cigarette use andimportant respiratory symptoms (former e-cigarette use: AOR = 1.62, 95% CI: 0.76 –3.46; current e-cigarette use: AOR = 0.82, 95% CI: 0.27 – 2.56). The association between e-cigarette use and respiratory symptoms varied by combustible tobacco smoking status. Current combustible tobacco smokers who use e-cigarettes have an elevated risk of respiratory impairments.

Optimization of Smoking Cessation Interventions via Multiphase Optimization STrategy (MOST): Basic Concepts, Practical Considerations and New Developments

Collins, L., Guastaferro, K., Strayhorn, J., Cantrell, J., Kimber, C., & Piper, M. (n.d.).

Publication year

2024
Abstract
Abstract
~

Testing certain and uncertain incentives on study retention in a longitudinal social media-based web survey among young adults

Cantrell, J., Ichimiya, M., Mowery, P., D’Esterre, A., Bingenheimer, J., Hair, E., Tulsiani, S., Gerard, R., Marin, M., & Evans, D. (n.d.).

Publication year

2024
Abstract
Abstract
~

Evaluation of response to incentive recruitment strategies in a social media-based survey

Ichimiya, M., Muller-Tabanera, H., Cantrell, J., Bingenheimer, J. B., Gerard, R., Hair, E. C., Donati, D., Rao, N., & Evans, W. D. (n.d.).

Publication year

2023

Journal title

Digital Health

Volume

9
Abstract
Abstract
Objective: This study aimed to examine varying incentives on acceptance to participate in an online survey on social media and to identify related demographic factors. Methods: The study used Facebook and targeted its users aged 18 to 24 years in the United States. During recruitment, participants were randomized to one of the three types of incentives for survey completion, (1) a $5 gift card, (2) a lottery for a $200 gift card, and (3) a $5 gift card plus a lottery for a $200 gift card. Acceptance rates for survey participation were compared across three incentives using percentages, 95% logit-transformed confidence intervals, and Pearson’s chi-squared tests. The survey asked about cognition and behaviors around smoking and vaping. Results: The ads had 1,782,931 impressions, 1,104,139 reaches, and 11,878 clicks. The average ad frequency was 1.615, and the click-through rate was 0.67%. Males clicked less than females when seeing the ads. The acceptance rates for the three incentives were 63.7%, 37.2%, and 64.6%, respectively. A Chi-square test confirmed that the lottery-only group had a lower acceptance rate compared to those guaranteed an incentive, including the gift card group and the gift card and lottery group. Further analyses indicated that males did not opt into the survey as often as females when given the lottery-only incentive option, and those who did not meet their financial expenses opted into the survey more often than those who had more money than their expenses when given the lottery-only incentive option. Conclusions: This study suggests that incentives guaranteed to all participants, even if the incentive's value is small, may lead to higher acceptance rates compared to a lottery for a greater incentive in social media-based surveys.

GPH's Answer to the Public Health Challenge of Behavior Change: A Paradigm Shift - Invited Panel Speaker on Optimizing Novel Interventions for Quitting Smoking (ONIQS) for People Living with HIV

Cantrell, J. (n.d.).

Publication year

2023
Abstract
Abstract
My presentation was part of a 4-person panel focused on intervention optimization

Multiphase Optimization STrategy (MOST) to Optimize a Cost-effective, Sustainable, Scalable Smoking Cessation Package for HIV Clinical Care

Cantrell, J. (n.d.).

Publication year

2023
Abstract
Abstract
~

Peer Mentors' Perceptions of Barriers and Facilitators to Helping Smokers Living with HIV Quit

Cantrell, J., Shelley, D., & El-Shahawy, O. (n.d.).

Publication year

2023
Abstract
Abstract
~

Perceptions of and experiences with cigarette and e-cigarette use among a diverse population of US latino adolescents and young adults

Alonso, F., Rath, J., Ramírez, A. S., Cantrell, J., Jordan, A., Suarez, S., & Moran, M. B. (n.d.).

Publication year

2023

Journal title

American Journal of Health Promotion

Volume

37

Issue

5

Page(s)

646-653
Abstract
Abstract
Purpose: To determine potential unique factors influencing cigarette and e-cigarette use in US Latino youth. Approach: We conducted a qualitative study assessing cigarette and e-cigarette perceptions and experiences, including experiences with/perceptions of the products, cultural influences and influences of friends and family. Setting: Four online discussion boards, conducted in October 2020. Participants: 92 Latino youth aged 15-21 years living in the US. Method: Data from the discussion groups were coded and analyzed by three trained coders using a thematic analysis approach. Results: Stress relief emerged as the dominant theme connected with both cigarettes and e-cigarettes. Apart from stress, perceptions of and experiences with the products differed. E-cigarettes were commonly viewed as trendy and cool and participants often reported using them due to curiosity and popularity. Participants commonly compared e-cigarettes to cigarettes, noting benefits of e-cigarettes. Participants also noted more negative short and long-term health effects of cigarette use, and discussed generational differences between the two products. Conclusion: Findings from this study help address a dearth of research examining tobacco use among diverse groups of Latino youth. Findings indicate that despite differences in country of heritage, Latino youth are united by similar opinions about cigarettes and e-cigarettes. Additionally, they share cultural values and experiences which could be leveraged for tobacco control communications that cut across populations of Latino youth.

Reasons for Cigarillo Use Among Young Adult Established and Experimental Users: Findings from the Population Assessment of Tobacco and Health Study

Cantrell, J., & Ganz, O. (n.d.).

Publication year

2023
Abstract
Abstract
~

Assessing digital advertising exposure using a virtual experimental protocol

Cantrell, J., Bingenheimer, J., Tulsiani, S., Hair, E., Vallone, D., Mills, S., Gerard, R., & Evans, W. D. (n.d.).

Publication year

2022

Journal title

Digital Health

Volume

8
Abstract
Abstract
Introduction: The rapid increase in online public education campaigns underscores the need for a better understanding of the effects of exposure to digital advertising and targeted individual-level outcomes. The goal of this study is to develop a virtual experimental protocol to evaluate the dose-response effects of individual-level exposure to digital video ads on campaign outcomes in a naturalistic online browsing context. Methods: Young adults aged 18–24 years (n = 221) completed three 5 min viewing sessions on a realistic mock-up of the YouTube mobile app over a period of 2 weeks, followed by a 10-min survey after the third session. Participants were randomized to view between 0 and 6 exposures of ads from an e-cigarette prevention campaign; respondents viewed a total of 2 ads per session, with 0 to 2 of those ads being non-skippable digital video ads from the campaign and/or a dummy ad. The video ads played prior to short YouTube videos. Outcomes measured were self-reported ad recognition, frequency of ad exposure, and main message knowledge. Results: This study demonstrates a rapidly accessible virtual experimental protocol for evaluating the dose-response effects of digital advertising and individual-level outcomes. Five digital exposures of non-skippable video ads delivered via this platform over a 2-week period generated the highest ad recognition when there were up to six exposures. Higher exposure levels may be needed for message knowledge and ad-content-related effects. Conclusion: This protocol can be extended to investigate dose-response effects and mechanisms of action of individual-level exposure to digital advertising for multiple campaign outcomes, including changes in knowledge, attitudes, and beliefs. Findings can inform evidence for adequate levels of digital exposure in public education campaigns.

Cigar Use Progression Among New Cigar Initiators : A Two-Part Growth Curve Analysis Among a Youth and Young Adult Cohort

Cantrell, J., Xu, S., Kreslake, J., Liu, M., & Hair, E. (n.d.).

Publication year

2022

Journal title

Nicotine and Tobacco Research

Volume

24

Issue

1

Page(s)

28-36
Abstract
Abstract
Introduction: Youth and young adults (YYAs) are at high risk of cigar use. This study's objective was to examine progression and sociodemographic differences in current cigar use and frequency among new cigar initiators. Aims and Methods: We conducted a two-part latent growth model among a nationally representative cohort of cigar initiators (aged 15-25) to examine 24-month trajectories of current cigar use and frequency (n = 1483). The cohort was recruited via address-based sampling with online data collection from 2014 to 2019 and surveyed approximately every 6 months. Results: The unconditional odds of current cigar use (ie, past 30-day use) within 6 months of initiation was 0.72 (95% confidence interval: 0.63, 0.82), corresponding to a probability of 42%. The odds of current use among recent cigar initiates declined 6 months after initiation and was followed by a stabilization in use over time. Among continued users, frequency (# days used in past 30 days) increased linearly over time but remained low (3.47 days/months at 24 months). Younger individuals, non-Hispanic African Americans, those with lower subjective financial status, and current users of cigarettes, other tobacco products and/or marijuana were at highest risk within 6 months of initiation. Males, younger users, and current cigarette smokers had the highest risk for cigar progression over time. Conclusions: This study is the first to examine longitudinal cigar use patterns among YYA cigar initiators. Findings emphasize the need for research across the cigar use spectrum and the importance of interventions targeted by age, stage of use, cigarette, other tobacco, and marijuana use and key sociodemographics to interrupt use pathways. Implications: This study is the first to examine progression of cigar use among YYAs who have newly initiated cigars. Results show a high probability of current cigar use within 6 months of initiation followed by a rapid decline and stabilization over time. Frequency increases among those who continue using cigars. Males, younger users, and current cigarette smokers had the highest risk for cigar progression over time. Findings emphasize the need for targeting interventions by age, stage of use, cigarette, other tobacco, and marijuana use and key sociodemographics to interrupt use pathways.

The Measurement of Dose and Response for Smoking Behavior Change Interventions in the Digital Age : Systematic Review

Ichimiya, M., Gerard, R., Mills, S., Brodsky, A., Cantrell, J., & Evans, W. D. (n.d.).

Publication year

2022

Journal title

Journal of medical Internet research

Volume

24

Issue

8
Abstract
Abstract
Background: There is little consensus regarding effective digital health interventions for diverse populations, which is due in part to the difficulty of quantifying the impact of various media and content and the lack of consensus on evaluating dosage and outcomes. In particular, digital smoking behavior change intervention is an area where consistency of measurement has been a challenge because of emerging products and rapid policy changes. This study reviewed the contents and outcomes of digital smoking interventions and the consistency of reporting to inform future research. Objective: This study aims to systematically review digital smoking behavior change interventions and evaluate the consistency in measuring and reporting intervention contents, channels, and dose and response outcomes. Methods: PubMed, Embase, Scopus, PsycINFO, and PAIS databases were used to search the literature between January and May 2021. General and journal-based searches were combined. All records were imported into Covidence systematic review software (Veritas Health Innovation) and duplicates were removed. Titles and abstracts were screened by 4 trained reviewers to identify eligible full-text literature. The data synthesis scheme was designed based on the concept that exposure to digital interventions can be divided into intended doses that were planned by the intervention and enacted doses that were completed by participants. The intended dose comprised the frequency and length of the interventions, and the enacted dose was assessed as the engagement. Response measures were assessed for behaviors, intentions, and psychosocial outcomes. Measurements of the dose-response relationship were reviewed for all studies. Results: A total of 2916 articles were identified through a database search. Of these 2916 articles, the title and abstract review yielded 324 (11.11%) articles for possible eligibility, and 19 (0.65%) articles on digital smoking behavior change interventions were ultimately included for data extraction and synthesis. The analysis revealed a lack of prevention studies (0/19, 0%) and dose-response studies (3/19, 16%). Of the 19 studies, 6 (32%) reported multiple behavioral measures, and 5 (23%) reported multiple psychosocial measures as outcomes. For dosage measures, 37% (7/19) of studies used frequency of exposure, and 21% (4/19) of studies mentioned the length of exposure. The assessment of clarity of reporting revealed that the duration of intervention and data collection tended to be reported vaguely in the literature. Conclusions: This review revealed a lack of studies assessing the effects of digital media interventions on smoking outcomes. Data synthesis showed that measurement and reporting were inconsistent across studies, illustrating current challenges in this field. Although most studies focused on reporting outcomes, the measurement of exposure, including intended and enacted doses, was unclear in a large proportion of studies. Clear and consistent reporting of both outcomes and exposures is needed to develop further evidence in intervention research on digital smoking behavior change.

Assessing the Health and Economic Impact of a Potential Menthol Cigarette Ban in New York City : a Modeling Study

Li, Y., Sisti, J., Flórez, K. R., Albrecht, S. S., Viswanath, A., Davila, M., Cantrell, J., Brahmbhatt, D., Thompson, A. B., Jasek, J., & Chambers, E. C. (n.d.).

Publication year

2021

Journal title

Journal of Urban Health

Volume

98

Issue

6

Page(s)

742-751
Abstract
Abstract
Menthol in cigarettes increases nicotine dependence and decreases the chances of successful smoking cessation. In New York City (NYC), nearly half of current smokers usually smoke menthol cigarettes. Female and non-Latino Black individuals were more likely to smoke menthol-flavored cigarettes compared to males and other races and ethnicities. Although the US Food and Drug Administration recently announced that it will ban menthol cigarettes, it is unclear how the policy would affect population health and health disparities in NYC. To inform potential policymaking, we used a microsimulation model of cardiovascular disease (CVD) to project the long-term health and economic impact of a potential menthol ban in NYC. Our model projected that there could be 57,232 (95% CI: 51,967–62,497) myocardial infarction (MI) cases and 52,195 (95% CI: 47,446–56,945) stroke cases per 1 million adult smokers in NYC over a 20-year period without the menthol ban policy. With the menthol ban policy, 2,862 MI cases and 1,983 stroke cases per 1 million adults could be averted over a 20-year period. The model also projected that an average of $1,836 in healthcare costs per person, or $1.62 billion among all adult smokers, could be saved over a 20-year period due to the implementation of a menthol ban policy. Results from subgroup analyses showed that women, particularly Black women, would have more reductions in adverse CVD outcomes from the potential implementation of the menthol ban policy compared to males and other racial and ethnic subgroups, which implies that the policy could reduce sex and racial and ethnic CVD disparities. Findings from our study provide policymakers with evidence to support policies that limit access to menthol cigarettes and potentially address racial and ethnic disparities in smoking-related disease burden.

Contact

jennifer.cantrell@nyu.edu 708 Broadway New York, NY, 10003