Evidence map›Paper›PMID 34270739›Full record

ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2022

Final Evaluation Findings for This Free Life, a 3-Year, Multi-Market Tobacco Public Education Campaign for Gender and Sexual Minority Young Adults in the United States.

Erik Crankshaw, Jennifer Gaber, Jamie Guillory, Laurel Curry, Matthew Farrelly, McKinley Saunders, Leah Hoffman, Ollie Ganz, Janine Delahanty, Debra Mekos and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Does gender expression matter in tailoring anti-smoking messages for sexual and gender minority young adults?Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Trial
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  6. Young Adult Responses to Peer Crowd-Based Targeting in E-cigarette Advertisements: An Experimental Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Trial
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  10. Optimizing Images for an E-Cigarette Messaging Campaign: Liking and Perceived Effectiveness.International journal of environmental research and public health · 2021
    Trial
  11. Article
  12. A Scoping Review of Theory-Based Tobacco Control Efforts for Sexual and Gender Minority Populations.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  13. College Students' Awareness of California's Law Prohibiting Sales of Flavored Tobacco.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  14. Wanting to Be "Accepted and Heard": Perspectives About Cessation Messages From LGBTQ+ Individuals Who Dual Use Cigarettes and E-Cigarettes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  15. Article
  16. Barriers, facilitators, and best practices for successful vaping prevention campaigns for sexual and gender minority youth.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  17. Article
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  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Erik CrankshawRTI International, Center for Health Analytics, Media, and Policy, Durham, NC, USA.ORCID 0000-0002-2919-5273
Jennifer GaberRTI International, Center for Health Analytics, Media, and Policy, Durham, NC, USA.ORCID 0000-0002-1467-0115
Jamie GuilloryPrime Affect Research, Dublin, Ireland.ORCID 0000-0001-9765-2299
Laurel CurryRTI International, Center for Health Analytics, Media, and Policy, Durham, NC, USA.
Matthew FarrellyRTI International, Center for Health Analytics, Media, and Policy, Durham, NC, USA.
McKinley SaundersRTI International, Center for Health Analytics, Media, and Policy, Durham, NC, USA.
Leah HoffmanFors Marsh Group, Arlington, VA, USA.
Ollie GanzRutgers School of Public Health, Piscataway, NJ, USA.ORCID 0000-0002-7933-8463
Janine DelahantyFood and Drug Administration, Center for Tobacco Products, Silver Spring, MD, USA.
Debra MekosFood and Drug Administration, Center for Tobacco Products, Silver Spring, MD, USA.ORCID 0000-0002-2168-1023
Tesfa AlexanderFood and Drug Administration, Center for Tobacco Products, Silver Spring, MD, USA.
RTI International · USRutgers, The State University of New Jersey · US

Funding

FDA HHS HHSF223201310001B
6 · The paper itself

Abstract

introductionThis Free Life was the first multi-market, primarily digital campaign designed to change tobacco-related beliefs among lesbian, gay, bisexual, and transgender (LGBT) young adults. Our evaluation sought to determine whether campaign exposure resulted in changes in tobacco-related beliefs. We summarize awareness and receptivity at the conclusion of the campaign and assess the effect of campaign exposure on tobacco-related beliefs in campaign treatment markets compared with control markets. AIMS AND

methodsTwenty-four US designated market areas were selected to receive the campaign or serve as control markets. A baseline survey was conducted in 2016, with six follow-up surveys conducted approximately 6 months apart over the course of the 3-year campaign. 12 324 LGBT young adult survey participants were recruited via intercept interviews and social media. Campaign effects on outcomes were estimated using difference-in-difference panel regression models, with p-values corrected for multiple comparisons.

resultsBrand and ad awareness peaked in treatment markets approximately 2.5 years into the 3-year campaign and were significantly higher in treatment than control markets. Brand equity and ad receptivity were generally high and similar across LGBT subgroups. There were small but significant campaign effects on five tobacco-related beliefs, with difference-in-difference estimates ranging from 1.9 to 5.6 percentage points.

conclusionsThis Free Life, the first multi-market tobacco public education campaign for LGBT young adults, reached and resonated with a large and diverse population, and had a small effect on beliefs involving social aspects of smoking. These findings should inform future communication efforts aimed at reducing tobacco use among LGBT young adults. IMPLICATIONS: Modest overall campaign effects suggest that further research on effective campaign messaging and delivery to LGBT young adults is needed. Campaign messaging style, delivery channels, and targeted outcomes likely contributed to these findings. Health communication efforts for LGBT young adults should consider the limitations of digital media in achieving sufficient exposure. Ad style and content optimized for a digital environment is an area that will benefit from further development.

Indexed as

Sexual and Gender MinoritiesTobacco UseTransgender PersonsFemaleHealth EducationHumansInternetMaleNicotianaPublic HealthUnited StatesYoung Adult

Identifiers

PMID34270739
PMCPMC8666114
OpenAlexW3181691633

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.