National Centre for Youth Substance Use Research, University of Queensland, Brisbane, Queensland, Australia; School of Psychology, University of Queensland, Brisbane, Queensland, Australia.
National Centre for Youth Substance Use Research, University of Queensland, Brisbane, Queensland, Australia; School of Psychology, University of Queensland, Brisbane, Queensland, Australia.
J Adolesc Health. 2023 Dec;73(6):1138-1144. doi: 10.1016/j.jadohealth.2023.07.019. Epub 2023 Sep 22.
Although many countries have banned tobacco advertising on traditional media platforms, the tobacco industry actively promotes their products via online channels. Adolescents are at high risk of exposure due to spending substantial time online. We examined the prevalence of adolescent exposure to online tobacco advertisements and promotions.
We analyzed data from the Global Youth Tobacco Surveys (GYTS; 2013-2018; average response rate = 76.8%). We included 15 countries in four regions that measured self-reported exposure to tobacco advertising on the internet in the past month (N = 111,356, adolescents aged 11-18): Region of the Americas (Argentina, Costa Rica, Cuba, Ecuador, Panama, Paraguay, Peru), African (Mauritius, Zimbabwe), European (Czech Republic, Turkey), and the Western Pacific (Micronesia, Macao, Papua New Guinea, Samoa). We calculated the prevalence of online exposure to tobacco advertising by past-month cigarette use.
Prevalence of adolescent exposure to online advertisements for tobacco products ranged from 18.2%-34.3% and 12.3%-34.4% for tobacco advertisements that "looked fun or cool". Exposure to online tobacco product advertisements was prevalent across countries, including those with advertising bans in place, and included adolescents who have never smoked (14.4%-28.4% exposed to any, 9.1%-31.0% exposed to fun or cool advertisements). Reporting seeing tobacco advertising online that looked fun or cool was positively associated with the prevalence of past-month smoking (r = 0.64, p = .010).
A substantial proportion of adolescents in countries that have banned tobacco advertising are still exposed to advertisements for tobacco products online. Internet tobacco advertising needs better enforcement to prevent adolescent tobacco use and uptake worldwide.
尽管许多国家已禁止烟草广告在传统媒体平台上投放，但烟草业仍积极通过网络渠道推广其产品。由于青少年在网络上花费了大量时间，他们面临着较高的暴露风险。本研究旨在调查青少年接触网络烟草广告和促销活动的情况。
我们分析了全球青少年烟草调查（GYTS；2013-2018 年；平均回复率=76.8%）的数据。我们纳入了四个地区的 15 个国家，这些国家在过去一个月内测量了青少年对互联网上烟草广告的自我报告暴露情况（N=111356 名 11-18 岁青少年）：美洲地区（阿根廷、哥斯达黎加、古巴、厄瓜多尔、巴拿马、巴拉圭、秘鲁）、非洲地区（毛里求斯、津巴布韦）、欧洲地区（捷克共和国、土耳其）和西太平洋地区（密克罗尼西亚、澳门、巴布亚新几内亚、萨摩亚）。我们按过去一个月内吸烟情况计算了网络烟草广告暴露的流行率。
青少年接触网络烟草产品广告的比例为 18.2%-34.3%，而接触“看起来有趣或很酷”的烟草广告的比例为 12.3%-34.4%。包括已实施广告禁令的国家在内，各国都存在青少年接触网络烟草产品广告的现象，包括从未吸烟的青少年（14.4%-28.4%接触任何广告，9.1%-31.0%接触有趣或很酷的广告）。报告看到网络上有趣或很酷的烟草广告与过去一个月吸烟的流行率呈正相关（r=0.64，p=0.010）。
在已禁止烟草广告的国家，仍有相当一部分青少年接触网络上的烟草产品广告。需要更好地执行网络烟草广告法规，以防止全球青少年使用和接触烟草。
