E-cigarette Marketing Exposure and Subsequent Experimentation Among Youth and Young Adults

Chen-Sankey, Julia; Unger, Jennifer B.; Bansal-Travers, Maansi; Niederdeppe, Jeff; Bernat, Edward M.; Choi, Kelvin

doi:10.1542/peds.2019-1119

Cited by 75 publications

(61 citation statements)

References 35 publications

(53 reference statements)

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“…Finally, although television advertising of combustible cigarettes has been banned since 1971, no such regulations exist for e-cigarettes, 1,35,36 resulting in the marketing of e-cigarettes via traditional (eg, print, television) and new social media channels with high rates of viewership among young persons. 1,[10][11][12][13][14][15][16] Thus, e-cigarette prevention programs must address the unique characteristics and marketing of e-cigarettes.…”

Section: Development Of Catch My Breathmentioning

confidence: 99%

“…e-cigarettes. 1,[10][11][12][13][14][15][16][17][18][19][20][21] Although retailers cannot sell e-cigarettes to minors, these devices are frequently accessed via social means (eg, peers, family members) or directly purchased via online or in-person retailers. [22][23][24] The combination of high prevalence, public health ramifications, and social/environmental reinforcers of adolescent e-cigarette use has resulted in a call to action for e-cigarette prevention programs aimed at adolescents.…”

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confidence: 99%

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A Middle School Program to Prevent E-Cigarette Use: A Pilot Study of “CATCH My Breath”

Kelder

Mantey

Dusen³

et al. 2020

Public Health Rep

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Objectives: From 2017 to 2018, electronic cigarette (e-cigarette) use increased 78% among high school students and 48% among middle school students in the United States. However, few e-cigarette prevention interventions have been evaluated. We determined the feasibility and initial effectiveness of “CATCH My Breath,” an e-cigarette prevention program, among a sample of middle schools in central Texas. Methods: Twelve middle schools in Texas (6 intervention schools and 6 control schools) participated in the CATCH My Breath pilot program during 2016-2017. CATCH My Breath is rooted in social cognitive theory, consists of 4 interactive in-class modules, and is collaboratively administered via classroom and physical education teachers, student–peer leaders, and social messaging (eg, school posters). We collected 3 waves of data: baseline (January 2017), 4-month follow-up (May 2017), and 16-month follow-up (May 2018). Using school as the unit of analysis, we tested a repeated cross-sectional, condition-by-time interaction on e-cigarette ever use, psychosocial determinants of use, and other tobacco use behaviors. Analyses controlled for school-level sociodemographic characteristics (eg, sex, race/ethnicity, and percentage of students eligible for free or reduced-price lunch). Results: From baseline to 16-month follow-up, increases in ever e-cigarette use prevalence were significantly lower among intervention schools (2.8%-4.9%) than among control schools (2.7%-8.9%), controlling for covariates ( P = .01). Intervention schools also had significantly greater improvements in e-cigarette knowledge (β = 0.71; 95% confidence interval [CI], 0.21-1.21; P = .008) and perceived positive outcomes (β = –0.12; 95% CI, –0.23 to –0.02; P = .02) than control schools, controlling for covariates from baseline to 16-month follow-up. Conclusion: Ever e-cigarette use was lower among middle schools that implemented the CATCH My Breath program than among those that did not. Replication of findings among a larger sample of schools, using a group-randomized, longitudinal study design and a longer follow-up period, is needed.

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Section: Development Of Catch My Breathmentioning

confidence: 99%

mentioning

confidence: 99%

A Middle School Program to Prevent E-Cigarette Use: A Pilot Study of “CATCH My Breath”

Kelder

Mantey

Dusen³

et al. 2020

Public Health Rep

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“…In addition, explicit techniques were more frequently used in the US group than the non-US group. Explicit techniques exposed more disposable e-cigarette products and flavors to Twitter users (especially young people) than implicit techniques, which could increase the probability of initiation of disposable e-cigarette use, given the previous identified positive association between e-cigarette advertising exposure and e-cigarette use [ 11 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Promotion of Disposable Electronic Cigarette Flavors and Topics on Twitter

Sun

Tao

Xie

et al. 2020

IJERPH

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Disposable electronic cigarettes (e-cigarettes) became popular among youth after the Food and Drug Administration (FDA) implemented an enforcement policy to restrict the sale of cartridge-based flavored e-cigarettes starting from February 2020 in the United States (US). We aimed to examine the flavors and topics related to disposable e-cigarettes on Twitter. The Twitter dataset, which includes 1489 tweets, was collected by the Tweepy streamapplication programming interface (API) using a keyword query from March to September 2020. The disposable e-cigarette flavors were curated from both online stores and collected tweets. Topics related to disposable e-cigarettes on Twitter were manually coded. Distributions of topics were compared between tweets from the US and tweets from non-US countries. The temporal analysis results showed a slight increase in the number of discussions over the study period. Strawberry, mango, watermelon, and mint were the most popular flavors of disposable e-cigarettes mentioned on Twitter. Almost all the tweets (97.11%) were commercial tweets, which were dominated by topics related to the product and flavor promotions. The US tweets focused more on product and flavor promotions and less on price promotions compared to non-US tweets. Our results suggest that companies exploited the limitations of legislation to promote flavors on Twitter, which could undermine public health and young people’s finances if they get hooked on addictive products.

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“…Marketing strategies such as video advertisements on television and other electronic platforms used by e-cigarette companies have been the most pervasive and are associated with an uptick in use among youth (Struik, et al, 2020). Marynak, et al (2018) estimate that 20.5 million U.S youth had been exposed to at least one source of e-cigarette advertisement in 2016.Youth that are exposed to advertisements are more likely to experiment with (Chen-Sankey, et al, 2019) and use e-cigarettes (Mantey, et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Youth-oriented packaging and the demand for e-liquids: Evidence from data scraped from Amazon in the United Kingdom

Lawani

Owusu-Amankwah

Ihuhwa³

2021

Preprint

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To address the threat e-cigarettes poses to public health, especially among youths, the Food and Drug Administration (FDA) issued a policy in 2020 that regulates the sale and distribution of e-cigarettes with fruit and mint flavors. Such flavors are alleged to lure youth into smoking and can increase the likelihood for addiction to other drugs. However, this regulation does not address packaging that can have a similar effect on the demand for e-cigarettes products. Indeed, certain e-liquids use youth-oriented (kiddish, cartoonish, and colorful) packaging which are attractive to youth but may also induce a no-harm perception among e-liquids users. In this paper, we examine the impact of the youth-oriented packaging on e-liquid sales. Using data scraped from Amazon, the results of our analysis reveal that youth-oriented packaging increases the sale of e-liquids. In addition, the demand for e-liquids is inelastic and the percentage of propylene glycol (PG), the rating, and the sentiment in the online reviews left by previous buyers also influence the sale of e-liquids. This research suggests that besides fruit and mint flavors, the policy goal of reducing use among youth should also include packaging. The analysis finds that taxation policies to raise prices of e-liquids will not affect appreciably the demand for e-liquids. Policies for e-liquids control should focus on designing packaging that reduces the no- or low-risk perception.

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E-cigarette Marketing Exposure and Subsequent Experimentation Among Youth and Young Adults

Cited by 75 publications

References 35 publications

A Middle School Program to Prevent E-Cigarette Use: A Pilot Study of “CATCH My Breath”

A Middle School Program to Prevent E-Cigarette Use: A Pilot Study of “CATCH My Breath”

Promotion of Disposable Electronic Cigarette Flavors and Topics on Twitter

Youth-oriented packaging and the demand for e-liquids: Evidence from data scraped from Amazon in the United Kingdom

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