在马萨诸塞州实施全州范围内对调味烟草产品销售和广告的禁令后，青少年自我报告的接触调味烟草产品广告的情况。

Adolescents' Self-Reported Exposure to Advertisements for Flavored Tobacco Products After Implementation of a Statewide Ban on Flavored Tobacco Product Sales and Advertising in Massachusetts.

作者信息

Clark Danielle, Emmons Karen, Hanby Elaine, Liu Jessica, Reynolds Matthew J, Winickoff Jonathan, Tan Andy S L

机构信息

Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA.

Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.

出版信息

Public Health Rep. 2024 Dec 9:333549241300095. doi: 10.1177/00333549241300095.

DOI:10.1177/00333549241300095

PMID:39651538

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11626546/

Abstract

OBJECTIVES

Massachusetts signed into law An Act Modernizing Tobacco Control (hereinafter, the Act) in 2019, which restricted retail sales of flavored tobacco products, including menthol cigarettes. This study assessed differences in advertising exposure to flavored tobacco products among adolescents in Massachusetts compared with adolescents in 4 neighboring states after passage of the Act.

METHODS

We collected monthly cross-sectional survey data from April 2021 through August 2022 among a convenience sample of adolescents (aged 13-17 y) in Massachusetts and 4 control states: Connecticut, New Hampshire, Rhode Island, and Vermont. We measured self-reported past-30-day exposure to advertising for flavored electronic cigarette (e-cigarette) products and flavored cigarettes or other tobacco products across 9 channels.

RESULTS

After implementation of the Act, adolescents in Massachusetts, compared with adolescents in the 4 control states, reported significantly lower levels of exposure to advertisements for flavored e-cigarettes (convenience store: adjusted odds ratio [AOR] = 0.80 [95% CI, 0.66-0.96]; supermarket/grocery store: AOR = 0.66 [95% CI, 0.52-0.84]; gas station: AOR = 0.61 [95% CI, 0.51-0.75]) and flavored cigarette/other tobacco products (convenience store: AOR = 0.69 [95% CI, 0.57-0.83]; supermarket/grocery store: AOR = 0.63 [95% CI, 0.49-0.79]; gas station: AOR = 0.55 [95% CI, 0.45-0.66]) in retail channels, which were the intended targets of the Act. We found no significant differences in flavored tobacco product advertising exposure for non-retail channels (television, radio, posters/billboards, newspapers/magazines, social media, and streaming services/movies in a theater).

CONCLUSIONS

Future research should further examine the effects of statewide flavored tobacco sales restrictions on the availability of and exposure to advertisements for flavored tobacco products.

摘要

目的

马萨诸塞州于2019年将《烟草控制现代化法案》（以下简称《法案》）签署成为法律，该法案限制了包括薄荷醇香烟在内的调味烟草产品的零售销售。本研究评估了《法案》通过后，马萨诸塞州青少年与4个相邻州青少年在接触调味烟草产品广告方面的差异。

方法

我们在2021年4月至2022年8月期间，收集了马萨诸塞州以及4个对照州（康涅狄格州、新罕布什尔州、罗德岛州和佛蒙特州）青少年（年龄在13 - 17岁）便利样本的月度横断面调查数据。我们测量了自我报告的过去30天内通过9个渠道接触调味电子烟产品以及调味香烟或其他烟草产品广告的情况。

结果

《法案》实施后，与4个对照州的青少年相比，马萨诸塞州的青少年报告称，在零售渠道（该法案的目标对象）中，接触调味电子烟广告（便利店：调整后的优势比[AOR]=0.80[95%置信区间，0.66 - 0.96]；超市/杂货店：AOR = 0.66[95%置信区间，0.52 - 0.84]；加油站：AOR = 0.61[95%置信区间，0.51 - 0.75]）和调味香烟/其他烟草产品广告（便利店：AOR = 0.69[95%置信区间，0.57 - 0.83]；超市/杂货店：AOR = 0.63[95%置信区间，0.49 - 0.79]；加油站：AOR = 0.55[95%置信区间，0.45 - 0.66]）的水平显著较低。我们发现非零售渠道（电视、广播、海报/广告牌、报纸/杂志、社交媒体以及影院中的流媒体服务/电影）的调味烟草产品广告接触情况没有显著差异。