Addictive behaviors · 2026
How effective are national tobacco prevention and cessation campaigns in reaching youth? Population assessment of tobacco and health, Wave 7 insights.
СтатьяНазвание и аннотация: Перевод в очереди
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Jebai Rime, Ranker Lynsie R, Fetterman Jessica L, Chen Huai-Yu, Hong Traci, Ross Jennifer Cornacchione
Аннотация
INTRODUCTION: Mass media campaigns play a central role in U.S. tobacco control, often utilizing multiple platforms to shape norms and discourage tobacco initiation. However, there is little research about youth exposure to these campaigns and how exposure varies across demographic and behavioral subgroups.
METHODS: We analyzed data (N = 10,568 youth) from Wave 7 of the Population Assessment of Tobacco and Health Study to examine associations between awareness of Truth, The Real Cost, and Tips from Former Smokers (Tips) campaigns and participant demographics; any tobacco, cigarette, and e-cigarette use; social media use and advertising exposure; and tobacco harm perceptions. We estimated adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) using weighted log-binomial regression models.
RESULTS: Overall, 52% of youth reported awareness of Truth, 65% to The Real Cost, and 21% to Tips. Youth who have ever used or were susceptible to using tobacco, cigarettes, or e-cigarettes reported higher awareness of Truth and The Real Cost campaigns. Younger (12-14-year-olds) youth, those identifying as Hispanic, and those from lower-income or less-educated households were less likely to report campaign awareness.
CONCLUSIONS: Our findings suggest that national anti-tobacco campaigns are reaching many youth at risk of tobacco use, especially those who are already using or susceptible to tobacco use. However, certain segments of youth, such as those who are younger, are Hispanic, and of lower socioeconomic status were less likely to report seeing the campaigns, suggesting they remain under-reached. These patterns highlight ongoing challenges in achieving equitable public health communication.
METHODS: We analyzed data (N = 10,568 youth) from Wave 7 of the Population Assessment of Tobacco and Health Study to examine associations between awareness of Truth, The Real Cost, and Tips from Former Smokers (Tips) campaigns and participant demographics; any tobacco, cigarette, and e-cigarette use; social media use and advertising exposure; and tobacco harm perceptions. We estimated adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) using weighted log-binomial regression models.
RESULTS: Overall, 52% of youth reported awareness of Truth, 65% to The Real Cost, and 21% to Tips. Youth who have ever used or were susceptible to using tobacco, cigarettes, or e-cigarettes reported higher awareness of Truth and The Real Cost campaigns. Younger (12-14-year-olds) youth, those identifying as Hispanic, and those from lower-income or less-educated households were less likely to report campaign awareness.
CONCLUSIONS: Our findings suggest that national anti-tobacco campaigns are reaching many youth at risk of tobacco use, especially those who are already using or susceptible to tobacco use. However, certain segments of youth, such as those who are younger, are Hispanic, and of lower socioeconomic status were less likely to report seeing the campaigns, suggesting they remain under-reached. These patterns highlight ongoing challenges in achieving equitable public health communication.