E-Cigarette Marketing Exposure Is Associated With E-Cigarette Use Among US Youth

Abstract

Introduction E-cigarettes are currently the most commonly used tobacco product among U.S. youth. However, unlike conventional cigarettes, e-cigarettes are not subject to marketing restrictions. This study investigates the association between exposure to e-cigarette marketing and susceptibility and use of e-cigarettes in youth. Methods Data were obtained from the 2014 National Youth Tobacco Survey. Participants were 22,007 U.S. middle and high school students. Multivariate logistic regression models assessed the relationship between e-cigarette marketing (internet, print, retail, TV/movies) and current and ever use as well as susceptibility to use e-cigarettes among never e-cigarette users. Results Exposure to each type of e-cigarette marketing was significantly associated with increased likelihood of ever and current use of e-cigarettes among middle and high school students. Exposure was also associated with susceptibility to use of e-cigarettes among current non-users. In multivariate models, as the number of channels of e-cigarette marketing exposure increased, the likelihood of use and susceptibility also increased. Conclusions Findings highlight the significant associations between e-cigarette marketing and e-cigarette use among youth, and the need for longitudinal research on these relationships.

The relationships between sensation seeking and a spectrum of e-cigarette use behaviors: Cross-sectional and longitudinal analyses specific to Texas adolescents

“…Participants who indicated at least 1 day of use in the past 30 days at baseline were classified as current users, while those who indicated 0 days of use in the past 30 days were classified as non-current users. This approach is consistent with other recent studies (Barrington-Trimis et al, 2015; Bunnell et al, 2014; Mantey, Cooper, Clendennen, Pasch, & Perry, 2016). For the longitudinal analyses, non-current users who reported ever use at baseline were then classified as non-current or current users at follow-up.…”

Point-of-Sale E-cigarette Advertising Among Tobacco Stores

“…For example, youth and young adult exposure to television advertisements increased 256% and 321% respectively from 2011 to 2013 (Duke et al, 2014). Both media-based advertisements and retail store marketing have been related with e-cigarette use among youth in the United States (Mantey et al, 2016; Singh et al, 2016). All these evidences point to the necessity of continuous monitoring of youths’ exposure to e-cigarette marketing from both retail stores and the media.…”

“…It is projected that retail sources will account for 50% of e-cigarette sales in the near future (Robehmed, 2013). In addition, retail stores have been the major factor for e-cigarette marketing exposure among US youth (Mantey, Cooper, Clendennen, Pasch, & Perry, 2016). Therefore, understanding the characteristics of e-cigarette marketing among tobacco stores has important implications for e-cigarette prevalence studies and policy making works.…”

Changes in Electronic Cigarette Use from 2013 to 2015 and Reasons for Use among Finnish Adolescents

“…E-cigarette experimentation and use have been associated among youth with susceptibility to conventional cigarette smoking initiation [6,9], conventional cigarette smoking [4,5,8,10,11,12,13,14,15,16,17], male gender [4,8,12,13,15], ever-use of other tobacco (combustible and non-combustible) [10,11,13], alcohol use [4,8,13,17], perception of low harm of e-cigarettes [18,19,20,21], peer smoking behavior [4,12,17,20], parents’ smoking [20,22], peer e-cigarette use [23] and exposure to e-cigarette advertising [24,25]. Socioeconomic factors have been studied less, and their association with e-cigarette use is not so clear.…”