Hongying Dai1, Jianqiang Hao2. 1. Department of Pediatrics, Health Services and Outcomes Research, Children's Mercy Hospital, Kansas City, Missouri; College of Business, Department of Biomedical and Health Informatics, University of Missouri-Kansas City, Kansas City, Missouri; Department of Pediatrics, University of Missouri-Kansas City, Kansas City, Missouri. Electronic address: hdai@cmh.edu. 2. Bellevue University, Omaha, Nebraska.
Abstract
PURPOSE: Despite the rapid increase in e-cigarette use among youth, little is known about the social and behavioral factors that have contributed to this rise. We investigated whether young e-cigarette users are susceptible to e-cigarette advertisements. METHODS: Estimates of e-cigarette use and exposure to e-cigarette advertisements from the 2014 National Young Tobacco Survey were investigated. Factors associated with the prevalence and levels of e-cigarette use were analyzed using multinomial logistic regression. RESULTS: Of all respondents (n = 21,491), 19.8% had tried e-cigarettes and 9.4% were current e-cigarette users. Exposure to e-cigarette ads was prevalent among youth, with 38.6%/29.6%/53.2%/35.4% having medium to high exposure to e-cigarette ads from the Internet/newspapers/stores/TV, respectively. Current use of e-cigarettes among youth was associated with frequent exposure (high vs. low) to e-cigarette advertising from the Internet (odd ratio [OR] = 3.1, p < .0001), newspapers/magazines (OR = 2.5, p < .0001), stores (OR = 2.8, p < .0001), and TV/movies (OR = 2.1, p < .0001). In the multivariate analysis that joint analyzed four advertisement channels and covariates, greater exposure to e-cigarette ads on the Internet (adjusted OR = 1.9, p < .0001) and in retail stores (adjusted OR = 1.9, p < .0001) remained to be significantly associated with increased odds of using e-cigarettes. Vaping by other household members significantly increased the risk of adolescent e-cigarette use (OR = 8.7, p < .0001). CONCLUSIONS: Exposure to e-cigarette ads significantly increased susceptibility to e-cigarette use among adolescents. E-cigarette advertising regulations and educational campaigns are critically needed.
PURPOSE: Despite the rapid increase in e-cigarette use among youth, little is known about the social and behavioral factors that have contributed to this rise. We investigated whether young e-cigarette users are susceptible to e-cigarette advertisements. METHODS: Estimates of e-cigarette use and exposure to e-cigarette advertisements from the 2014 National Young Tobacco Survey were investigated. Factors associated with the prevalence and levels of e-cigarette use were analyzed using multinomial logistic regression. RESULTS: Of all respondents (n = 21,491), 19.8% had tried e-cigarettes and 9.4% were current e-cigarette users. Exposure to e-cigarette ads was prevalent among youth, with 38.6%/29.6%/53.2%/35.4% having medium to high exposure to e-cigarette ads from the Internet/newspapers/stores/TV, respectively. Current use of e-cigarettes among youth was associated with frequent exposure (high vs. low) to e-cigarette advertising from the Internet (odd ratio [OR] = 3.1, p < .0001), newspapers/magazines (OR = 2.5, p < .0001), stores (OR = 2.8, p < .0001), and TV/movies (OR = 2.1, p < .0001). In the multivariate analysis that joint analyzed four advertisement channels and covariates, greater exposure to e-cigarette ads on the Internet (adjusted OR = 1.9, p < .0001) and in retail stores (adjusted OR = 1.9, p < .0001) remained to be significantly associated with increased odds of using e-cigarettes. Vaping by other household members significantly increased the risk of adolescent e-cigarette use (OR = 8.7, p < .0001). CONCLUSIONS: Exposure to e-cigarette ads significantly increased susceptibility to e-cigarette use among adolescents. E-cigarette advertising regulations and educational campaigns are critically needed.
Authors: Tess Boley Cruz; Rob McConnell; Brittany Wagman Low; Jennifer B Unger; Mary Ann Pentz; Robert Urman; Kiros Berhane; Chih Ping Chou; Fei Liu; Jessica L Barrington-Trimis Journal: Nicotine Tob Res Date: 2019-06-21 Impact factor: 4.244
Authors: Yoo Jin Cho; James Thrasher; Michael Cummings; Hua H Yong; Sara C Hitchman; Ann McNeill; Geoffrey T Fong; David Hammond; James Hardin; Lin Li; Eric N Lindblom Journal: Tob Control Date: 2019-05-31 Impact factor: 7.552
Authors: Lauren Collins; Allison M Glasser; Haneen Abudayyeh; Jennifer L Pearson; Andrea C Villanti Journal: Nicotine Tob Res Date: 2019-01-01 Impact factor: 4.244