Preventive medicine reports · 2025
Differential Association of Exposure to advertising channels with ever E-cigarette use among youth in the United States: 2014-2022.
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Stevens Elizabeth R, He Michelle, Abbasi-Kangevari Mohsen, El-Shahawy Omar
Аннотация
OBJECTIVE: To examine how exposure to advertising channels is associated with e-cigarette use among youth in the United States.
METHODS: This study included 161,700 middle and high school students aged 9-18 years from the 2014-2022 National Youth Tobacco Survey data. Multivariate logistic regressions estimated adjusted odds ratios (aORs) and 95 % confidence intervals (CIs) for the association between exposure to advertising channels and ever e-cigarette use. Annual percent change (APC) for ever e-cigarette use and exposure to each advertising channel were analyzed using Joinpoint regression. Data for 2014-2018 and 2019-2022 were analyzed separately due to the change in survey format and weighting procedure.
RESULTS: Ever e-cigarette use prevalence increased (APC = + 2.78: 95 % CI -13.65, 21.38) between 2014 and 2018, then declined (APC = -18.20 %: 95 % CI -27.11, 8.36) between 2019 and 2022. Exposure to retail (2014-2018 aOR = 1.36: 95 % CI 1.29, 1.43; 2019-2022 aOR = 1.46: 95 % CI 1.38, 1.54) and internet advertising (2014-2018 aOR = 1.43: 95 % CI 1.35, 1.51; 2019-2022 aOR = 1.19: 95 % CI 1.13, 1.25) were associated with higher odds of ever e-cigarette use.
CONCLUSIONS: Exposure to retail and internet marketing increased the likelihood of ever-use of e-cigarettes among youth in the US. Additional regulations for point-of-sale and internet advertisements should be implemented.
METHODS: This study included 161,700 middle and high school students aged 9-18 years from the 2014-2022 National Youth Tobacco Survey data. Multivariate logistic regressions estimated adjusted odds ratios (aORs) and 95 % confidence intervals (CIs) for the association between exposure to advertising channels and ever e-cigarette use. Annual percent change (APC) for ever e-cigarette use and exposure to each advertising channel were analyzed using Joinpoint regression. Data for 2014-2018 and 2019-2022 were analyzed separately due to the change in survey format and weighting procedure.
RESULTS: Ever e-cigarette use prevalence increased (APC = + 2.78: 95 % CI -13.65, 21.38) between 2014 and 2018, then declined (APC = -18.20 %: 95 % CI -27.11, 8.36) between 2019 and 2022. Exposure to retail (2014-2018 aOR = 1.36: 95 % CI 1.29, 1.43; 2019-2022 aOR = 1.46: 95 % CI 1.38, 1.54) and internet advertising (2014-2018 aOR = 1.43: 95 % CI 1.35, 1.51; 2019-2022 aOR = 1.19: 95 % CI 1.13, 1.25) were associated with higher odds of ever e-cigarette use.
CONCLUSIONS: Exposure to retail and internet marketing increased the likelihood of ever-use of e-cigarettes among youth in the US. Additional regulations for point-of-sale and internet advertisements should be implemented.