UT Health, UT Health Science Center at Houston, School of Public Health, Austin Campus, Austin, Texas; Oklahoma Tobacco Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
UT Health, UT Health Science Center at Houston, School of Public Health, Austin Campus, Austin, Texas.
J Adolesc Health. 2017 Sep;61(3):371-377. doi: 10.1016/j.jadohealth.2017.04.003. Epub 2017 Jun 29.
Little is known about the nature and extent of adolescents' exposure to tobacco- and e-cigarette-related communications on social media. In this study, we describe the prevalence and correlates of youth exposure and engagement with tobacco- and e-cigarette-related social media.
Data are from the baseline survey of the Texas Adolescent Tobacco and Marketing Surveillance system, a cross-sectional sample of sixth, eighth, and 10th graders (n = 3907, N = 461,097). Weighted logistic regression models were used to examine associations between demographic characteristics, sensation seeking, tobacco use, and exposure and engagement with tobacco-related social media.
Overall, 52.5% of students reported exposure to tobacco-related social media in the past month, whereas < 6% reported engagement. Exposure and some forms of engagement were more common among high school students, girls, those with friends who use tobacco, and high sensation seekers (p < .05). The odds of exposure were significantly higher among students susceptible to combustible tobacco (adjusted odds ratio [AOR] = 1.71, p < .05), e-cigarettes (AOR = 2.10, p < .01), and both combustible tobacco and e-cigarettes (AOR = 2.24, p < .001). The odds of engaging with social media was higher among those who were susceptible to, had ever, or currently use both combustible tobacco and e-cigarettes (AOR = 2.10-3.46, p < .05).
About 1 in every 2 adolescents in Texas are exposed to tobacco-related social media. Adolescents who are susceptible to or use e-cigarettes and/or combustible tobacco are exposed to and engage with tobacco-related social media more than their peers. Social media appears to be an important venue when targeting vulnerable youth in prevention campaigns.
对于青少年在社交媒体上接触和参与与烟草和电子烟相关的内容的性质和程度，人们知之甚少。本研究旨在描述青少年接触和参与与烟草和电子烟相关的社交媒体的流行率和相关因素。
数据来自德克萨斯州青少年烟草和营销监测系统的基线调查，该调查是对六年级、八年级和十年级学生（n=3907，N=461097）进行的横断面样本。使用加权逻辑回归模型来研究人口统计学特征、感觉寻求、烟草使用与接触和参与与烟草相关的社交媒体之间的关联。
总体而言，52.5%的学生报告在过去一个月内接触过与烟草相关的社交媒体，而报告参与的不到 6%。高中生、女生、有吸烟朋友的学生和感觉寻求较高的学生更容易接触和参与某些形式的社交媒体（p<0.05）。易受可燃烟草（调整后的优势比 [AOR] = 1.71，p<0.05）、电子烟（AOR = 2.10，p<0.01）以及可燃烟草和电子烟（AOR = 2.24，p<0.001）的学生接触的可能性显著更高。那些易受可燃烟草和电子烟影响、曾经使用过或目前同时使用可燃烟草和电子烟的学生，参与社交媒体的可能性更高（AOR = 2.10-3.46，p<0.05）。
在德克萨斯州，大约每 2 名青少年中就有 1 名接触过与烟草相关的社交媒体。易受电子烟和/或可燃烟草影响或使用电子烟和/或可燃烟草的青少年比同龄人更容易接触和参与与烟草相关的社交媒体。在预防活动中，社交媒体似乎是针对弱势青少年的一个重要场所。
