美国青少年与网络烟草营销的互动：2013-2014 年至 2014-2015 年。
Engagement With Online Tobacco Marketing Among Adolescents in the United States: 2013-2014 to 2014-2015.
机构信息
Dartmouth-Hitchcock Norris Cotton Cancer Center, Dartmouth Geisel School of Medicine, Lebanon, NH.
The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Geisel School of Medicine, Lebanon, NH.
出版信息
Nicotine Tob Res. 2019 Jun 21;21(7):918-925. doi: 10.1093/ntr/nty086.
OBJECTIVE
To assess changes in engagement with online tobacco and electronic cigarette (e-cigarette) marketing (online tobacco marketing) among adolescents in the United States between 2013 and 2015.
METHODS
We assessed the prevalence of six forms of engagement with online tobacco marketing, both overall and by brand, among adolescents sampled in Wave 1 (2013-2014; n = 13651) and Wave 2 (2014-2015; n = 12172) of the nationally representative Population Assessment for Tobacco and Health Study. Engagement was analyzed by tobacco use status: non-susceptible never tobacco users; susceptible never tobacco users; ever tobacco users, but not within the past year; and past-year tobacco users.
RESULTS
Among all adolescents, the estimated prevalence of engagement with at least one form of online tobacco marketing increased from 8.7% in 2013-2014 to 20.9% in 2014-2015. The estimated prevalence of engagement also increased over time across all tobacco use statuses (eg, from 10.5% to 26.6% among susceptible adolescents). Brand-specific engagement increased over time for cigarette, cigar, and e-cigarette brands.
CONCLUSION
Engagement with online tobacco marketing, both for tobacco and e-cigarettes, increased almost twofold over time. This increase emphasizes the dynamic nature of online tobacco marketing and its ability to reach youth. The Food and Drug Administration, in cooperation with social networking sites, should consider new approaches to regulate this novel form of marketing.
IMPLICATIONS
This is the first study to estimate the national prevalence of engagement with online tobacco marketing among adolescents over time. The estimated prevalence of this engagement approximately doubled between 2013-2014 and 2014-2015 among all adolescents and, notably, among adolescents at relatively low risk to initiate tobacco use. This increase in engagement could represent public health harm if it results in increased initiation and use of tobacco products. Stronger federal regulation of online tobacco marketing and tighter control of access to tobacco-related content by social media sites could reduce adolescents' exposure to and engagement with online tobacco marketing.
目的
评估美国青少年在 2013 年至 2015 年间对在线烟草和电子烟（电子烟）营销（在线烟草营销）的参与度变化。
方法
我们评估了在全国代表性的人口评估烟草与健康研究的第 1 波（2013-2014 年；n=13651）和第 2 波（2014-2015 年；n=12172）中抽样的青少年对六种形式的在线烟草营销的参与度，包括整体参与度和品牌参与度。参与度按烟草使用状况进行分析：不易感的从不吸烟的青少年；易感的从不吸烟的青少年；曾经吸烟，但过去一年未吸烟的青少年；以及过去一年吸烟的青少年。
结果
在所有青少年中，至少有一种形式的在线烟草营销参与度的估计患病率从 2013-2014 年的 8.7%上升到 2014-2015 年的 20.9%。在所有烟草使用状况下，随着时间的推移，参与度的估计患病率也在增加（例如，在易感青少年中，从 10.5%上升到 26.6%）。随着时间的推移，香烟、雪茄和电子烟品牌的特定品牌参与度也有所增加。
结论
在线烟草营销（包括烟草和电子烟）的参与度几乎翻了一番。这种增加强调了在线烟草营销的动态性质及其接触青少年的能力。食品和药物管理局应与社交网络合作，考虑采用新方法来监管这种新型营销方式。
意义
这是第一项评估青少年随时间推移对在线烟草营销参与度的全国性研究。在所有青少年中，尤其是在开始使用烟草风险相对较低的青少年中，这种参与度的估计患病率在 2013-2014 年至 2014-2015 年间几乎翻了一番。如果这种参与度的增加导致烟草产品的使用和使用率增加，可能会对公共健康造成危害。加强对在线烟草营销的联邦监管，并加强社交媒体对与烟草相关内容的访问控制，可能会减少青少年接触和参与在线烟草营销。
Zotero 插件