Elkefi Safa, Lelutiu-Weinberger Corina, Bruzzese Jean-Marie, Matthews Alicia K
Columbia University School of Nursing, New York, NY, USA.
Subst Use Misuse. 2025;60(2):257-264. doi: 10.1080/10826084.2024.2423369. Epub 2024 Nov 17.
This study investigates the prevalence of exposure to pro- and anti-tobacco advertisements across different sociodemographic groups and sources of exposure in the United States.
The study included 6252 participants from the Health Information National Trends Survey. Binary logistic regression was used to examine associations between exposure to pro and anti-tobacco advertisements, the sources of exposure, and demographic factors.
10% of our sample were current smokers. A rate of 48.14% reported exposure to pro-tobacco ads, and 61.28% reported exposure to anti-tobacco ads. Findings reveal notable disparities in exposure to both pro and anti-tobacco advertisements. Exposure to pro-tobacco ads was more common among current smokers (OR = 0.53 (95% CI 0.44-0.64), < 0.001), male participants (female: OR = 0.85 (95% CI 0.77-0.95), = 0.003), and younger adults. Reported exposure to anti-tobacco ads was more common among younger adults, individuals with lower levels of education and income, and current smokers. Radio, TV, and billboards were among the most common sources of ad exposure for both types. Stores were among the most common sources of exposure to pro-tobacco ads (stores: 35.58% (18-34), 39.58% (35-49), and online sources (21.71%) were among the sources where people encountered anti-tobacco messages most frequently.
The findings underscore the importance of understanding the changing media consumption patterns and advertising awareness across various demographic groups. They also highlight the urgent need for targeted tobacco prevention interventions, especially Radio, TV, billboards, and stores, particularly among younger adults, racial minorities, and current smokers who show higher exposure to pro-tobacco ads.
本研究调查了美国不同社会人口群体接触支持和反对烟草广告的情况以及接触来源。
该研究纳入了来自健康信息国家趋势调查的6252名参与者。采用二元逻辑回归分析接触支持和反对烟草广告、接触来源与人口统计学因素之间的关联。
我们样本中的10%为当前吸烟者。48.14%的人报告接触过支持烟草的广告，61.28%的人报告接触过反对烟草的广告。研究结果显示，在接触支持和反对烟草广告方面存在显著差异。当前吸烟者（比值比=0.53（95%置信区间0.44-0.64），<0.001）、男性参与者（女性：比值比=0.85（95%置信区间0.77-0.95），=0.003）以及年轻人接触支持烟草广告的情况更为常见。报告接触反对烟草广告的情况在年轻人、教育程度和收入水平较低的个体以及当前吸烟者中更为常见。广播、电视和广告牌是这两种广告最常见的接触来源。商店是接触支持烟草广告最常见的来源之一（18-34岁人群中占35.58%，35-49岁人群中占39.58%），而网络来源（21.71%）是人们最常接触到反对烟草信息的来源之一。
研究结果强调了了解不同人口群体不断变化的媒体消费模式和广告认知的重要性。它们还凸显了针对性烟草预防干预措施的迫切需求，尤其是针对广播、电视、广告牌和商店，特别是在年轻人、少数族裔以及接触支持烟草广告比例较高的当前吸烟者中。
