Abstract
Objective: To understand the relationship between exposure to online tobacco advertising and current smokeless tobacco use in the context of tobacco control policies. Methods: Three waves of a national probability-based sample of (n = 15,985) youth and young adults were used. Analysis consisted of GEE logistic models controlling for social media use, demographics, tobacco use, average price of smokeless tobacco inclusive of taxes, smoke-free indoor air laws (SFIA) and state tobacco control expenditures. Results: Frequent exposure to tobacco advertising on social media is associated with greater odds of current smokeless use (aOR: 2.05, 95% CI: 1.62, 2.60). Higher prices and SFIA coverage were associated with reduced current smokeless use when examined separately from other tobacco policy variables (aOR: 0.79, CI: 0.73, 0.85; aOR: 0.44, CI: 0.28, 0.70). Conclusions: Greater exposure to tobacco advertising online is associated with greater odds of smokeless use among surveyed youth and young adults. This effect of social media marketing exposure on smokeless use outweighs the mitigating impact of existing tobacco control policies. The findings underscore the need for strong advertising regulation of evolving tobacco products, including smokeless products, on social media and surveillance of digital marketing tactics to young people.
Funder
National Institutes of Health
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference48 articles.
1. Trends in 30-Day Prevalence of Use of Various Drugs for Grades 8, 10, and 12 Combined,2020
2. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General,2014
3. Exploring How the Tobacco Industry Presents and Promotes Itself in Social Media
4. Teens, Social Media & Technology. Pew Research Centerhttps://pewresearch.org/internet/2018/05/31/teens-social-media-technology-2018/
5. Encoded Exposure to Tobacco Use in Social Media Predicts Subsequent Smoking Behavior
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献