在美国，电子烟广告暴露与青少年电子烟使用之间的纵向关联。
Longitudinal association between exposure to e-cigarette advertising and youth e-cigarette use in the United States.
机构信息
National Centre for Youth Substance Use Research, The University of Queensland, Australia; School of Psychology, The University of Queensland, Australia; NHMRC Centre of Research Excellence on Achieving the Tobacco Endgame, School of Public Health, Faculty of Medicine, The University of Queensland, Australia.
National Centre for Youth Substance Use Research, The University of Queensland, Australia; School of Psychology, The University of Queensland, Australia; NHMRC Centre of Research Excellence on Achieving the Tobacco Endgame, School of Public Health, Faculty of Medicine, The University of Queensland, Australia.
出版信息
Addict Behav. 2023 Nov;146:107810. doi: 10.1016/j.addbeh.2023.107810. Epub 2023 Jul 23.
BACKGROUND AND AIM
E-cigarette marketing strategies are targeting and appealing to youth, particularly through social media. This study examined the longitudinal relationship between recalled exposure to e-cigarette advertisements on social media and across five traditional advertising mediums, and e-cigarette use, a year later.
DESIGN
Weighted regression analyses of waves 4 (W4; 2017), 4.5 (W4.5; 2018) and 5 (W5; 2019) from the Population Assessment of Tobacco and Health Study.
SETTING
United States.
PARTICIPANTS
Youth aged 12-17 years at W4 or W4.5 (N = 16,671).
MEASUREMENTS
We examined the association between past 30-day recalled exposure to six different e-cigarette advertisement mediums (gas stations/convenience stores, social media/websites, newspaper/magazines, radio, billboard, TV) in W4.5 and past 30-day and past 12-month e-cigarette use in W5, while controlling for W4 e-cigarette use and covariates such as sociodemographic variables, academic performance, peer cigarette/e-cigarette use and other substance use. Associations between recalled exposure (W4.5) and lifetime use (W5) among e-cigarette naïve youth at W4.5 (N = 8,914) were also assessed.
FINDINGS
Past 12-month and past 30-day e-cigarette use was significantly associated with recalled exposure to e-cigarette advertisement on social media/websites (aOR = 1.65 [99.17 %CI = 1.36,1.99; aOR = 1.49 [99.17 %CI = 1.13, 1.97]) and gas stations/convenience stores (aOR = 1.33; [99.17 %CI = 1.11,1.58]; aOR = 1.27 [99.17 %CI = 1.03,1.58]). Exposure to e-cigarette advertisement on social media/websites (aOR = 1.35 [99.17 %CI = 1.04,1.74]) and gas stations/convenience stores (aOR = 1.67 [99.17 %CI = 1.31,2.13]) was significantly associated with lifetime e-cigarette use among baseline youth who were e-cigarette naïve.
CONCLUSIONS
Exposure to e-cigarette advertisement on social media/websites and gas stations/convenience stores was associated with youth e-cigarette use a year later. Stricter restrictions on marketing in these mediums is needed to limit youth exposure to e-cigarette marketing messages if we are to reduce e-cigarette use.
背景与目的
电子烟的营销策略针对并吸引年轻人，特别是通过社交媒体。本研究旨在探讨一年后，回忆起在社交媒体和五种传统广告媒介上接触电子烟广告与电子烟使用之间的纵向关系。
设计
来自人口评估烟草与健康研究的第 4 波（W4；2017 年）、第 4.5 波（W4.5；2018 年）和第 5 波（W5；2019 年）的加权回归分析。
地点
美国。
参与者
在 W4 或 W4.5 时年龄在 12-17 岁的青少年（N=16671）。
测量
我们调查了 W4.5 中过去 30 天回忆接触六种不同电子烟广告媒介（加油站/便利店、社交媒体/网站、报纸/杂志、广播、广告牌、电视）与 W5 中过去 30 天和过去 12 个月电子烟使用之间的关联，同时控制了 W4 电子烟使用和社会人口统计学变量、学业成绩、同伴香烟/电子烟使用和其他物质使用等协变量。还评估了 W4.5 时电子烟使用的青少年中，回忆接触（W4.5）与终生使用（W5）之间的关联（N=8914）。
结果
过去 12 个月和过去 30 天的电子烟使用与回忆接触社交媒体/网站上的电子烟广告（优势比[aOR]=1.65 [99.17%置信区间[CI]=1.36,1.99；aOR=1.49 [99.17%CI]=1.13,1.97]）和加油站/便利店（aOR=1.33 [99.17%CI]=1.11,1.58；aOR=1.27 [99.17%CI]=1.03,1.58]）显著相关。回忆接触社交媒体/网站上的电子烟广告（aOR=1.35 [99.17%CI]=1.04,1.74]）和加油站/便利店（aOR=1.67 [99.17%CI]=1.31,2.13]）与基线时电子烟使用的青少年终生电子烟使用显著相关，这些青少年在基线时是电子烟使用的新手。
结论
回忆接触社交媒体/网站和加油站/便利店的电子烟广告与青少年电子烟使用一年后相关。如果我们要减少电子烟的使用，需要对这些媒介中的营销活动进行更严格的限制，以限制青少年接触电子烟营销信息。
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