Department of Hygiene and Epidemiology, Medical University of Łódź, Łódź, Poland.
Department of Informatics in Business and Medicine, University of Łódź, Łódź, Poland.
Front Public Health. 2024 Oct 7;12:1448011. doi: 10.3389/fpubh.2024.1448011. eCollection 2024.
Young people are routinely exposed to e-cigarettes advertising. We examined the impact of e-cigarette advertising on e-cigarette use in a large representative sample of adolescents.
Data came from cross-sectional sample of the nationwide study on the health effects of tobacco products called PolNicoYouth, which included adolescents aged 15-18 years ( = 7,498). Data were collected through a detailed questionnaire recommended by international health organizations for monitoring tobacco use by adolescents. Simple and multiple logistic regression analyzes were conducted, adjusting for sex, age, type of school, place of residence, smoking of traditional cigarettes and parental smoking. Frequencies and proportions for descriptive statistics, and adjusted odds ratios with 95% confidence intervals for logistic regression models were reported.
Approximately, 56% of interviewees had noticed some form of e-cigarettes advertising. Exposure to e-cigarette advertising was significantly associated with ever use of e-cigarettes (OR = 1.29; 95% CI: 1.09-1.53). Exposure to e-cigarette advertising via club/pub/disco was significantly associated with current e-cigarette use (OR = 1.58; 95% CI: 1.06-2.36). Adolescents who have ever used e-cigarettes were more likely than never users to report exposure to advertisements on club/pub/disco (OR = 1.57; 95% CI: 1.08-2.30) and internet (OR = 1.22; 95% CI: 1.01-1.47).
Despite the applicable advertising restrictions, the majority of young people declared contact with e-cigarette advertising, which shows the urgent need for more global action. The internet and advertisements in clubs, pubs and discos seem to be the key places of exposure. These forms of exposure need to be urgently addressed given their clear link to e-cigarette use.
年轻人经常接触电子烟广告。我们在一个具有代表性的青少年大样本中研究了电子烟广告对电子烟使用的影响。
数据来自一项名为 PolNicoYouth 的全国性烟草制品健康影响研究的横断面样本，其中包括 15-18 岁的青少年（n=7498）。数据通过国际卫生组织推荐的监测青少年吸烟情况的详细问卷收集。采用简单和多逻辑回归分析，调整了性别、年龄、学校类型、居住地、传统香烟吸烟和父母吸烟因素。报告了描述性统计的频率和比例，以及逻辑回归模型的调整后优势比及其 95%置信区间。
大约 56%的受访者注意到某种形式的电子烟广告。接触电子烟广告与曾经使用电子烟显著相关（OR=1.29；95%CI：1.09-1.53）。通过俱乐部/酒吧/迪斯科接触电子烟广告与当前电子烟使用显著相关（OR=1.58；95%CI：1.06-2.36）。曾经使用过电子烟的青少年比从未使用过的青少年更有可能报告在俱乐部/酒吧/迪斯科（OR=1.57；95%CI：1.08-2.30）和互联网（OR=1.22；95%CI：1.01-1.47）上接触广告。
尽管有适用的广告限制，但大多数年轻人声称接触过电子烟广告，这表明急需采取更广泛的全球行动。互联网和俱乐部、酒吧和迪斯科的广告似乎是主要的暴露场所。鉴于这些接触形式与电子烟使用有明确联系，因此需要紧急处理这些接触形式。
