Public health · 2025
Exposure to anti-tobacco messaging and tobacco product advertising among U.S. adults: Results from the 2022 health information national trends survey.
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Swoboda Christine M, Aldrich Alison M, Walker Daniel M, McAlearney Ann Scheck
Аннотация
OBJECTIVES: Anti-tobacco public health efforts have contributed to reductions in smoking rates, but tobacco use continues, contributing to increased risk for chronic disease. Notably, the tobacco industry spends billions of dollars promoting products to consumers across various channels to attract and retain customers. This study aimed to examine the populations and settings that anti-tobacco messaging and tobacco advertising reach most frequently to inform future campaigns.
STUDY DESIGN: Retrospective cross-sectional study using data from the 2022 Health Information National Trends Survey (HINTS 6; N = 6252).
METHODS: Weighted descriptive statistics assessed location of anti-tobacco messages or tobacco ads respondents reported seeing. Logistic regression models examined the odds of seeing anti-tobacco messages or tobacco advertising by smoking status, e-cigarette use, and demographics.
RESULTS: While 40.5 % of HINTS respondents did not notice any anti-tobacco messages in the previous 3 months, the places respondents reported seeing them most frequently were television, billboards, stores, and social media. The places respondents most often noticed tobacco advertisements were stores, billboards, television, and print media, but 52.2 % reported they did not see any ads. There were lower odds of reporting seeing anti-tobacco messages among those aged 35-49 compared to those 18-34, and lower odds of seeing tobacco ads among those 65-74 and 75 or older. Those who smoked or used e-cigarettes had higher odds of reporting seeing anti-tobacco messages and tobacco ads.
CONCLUSIONS: The places people were aware they saw tobacco ads and anti-tobacco messaging were similar, and younger adults and those who currently smoked or used e-cigarettes were more likely to report seeing both anti- and pro-tobacco messaging.
STUDY DESIGN: Retrospective cross-sectional study using data from the 2022 Health Information National Trends Survey (HINTS 6; N = 6252).
METHODS: Weighted descriptive statistics assessed location of anti-tobacco messages or tobacco ads respondents reported seeing. Logistic regression models examined the odds of seeing anti-tobacco messages or tobacco advertising by smoking status, e-cigarette use, and demographics.
RESULTS: While 40.5 % of HINTS respondents did not notice any anti-tobacco messages in the previous 3 months, the places respondents reported seeing them most frequently were television, billboards, stores, and social media. The places respondents most often noticed tobacco advertisements were stores, billboards, television, and print media, but 52.2 % reported they did not see any ads. There were lower odds of reporting seeing anti-tobacco messages among those aged 35-49 compared to those 18-34, and lower odds of seeing tobacco ads among those 65-74 and 75 or older. Those who smoked or used e-cigarettes had higher odds of reporting seeing anti-tobacco messages and tobacco ads.
CONCLUSIONS: The places people were aware they saw tobacco ads and anti-tobacco messaging were similar, and younger adults and those who currently smoked or used e-cigarettes were more likely to report seeing both anti- and pro-tobacco messaging.