How Does Online e-cigarette Advertisement Promote Youth’s e-cigarettes Use? The Mediating Roles of Social Norm and Risk Perceptions

Zheng, Xia; Lin, Hsien-Chang

doi:10.1080/10410236.2021.2010350

Cited by 17 publications

(7 citation statements)

References 39 publications

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“…Given that our data were collected later (in 2022, compared with 2014–2018), it is also possible that health-related perceptions of vaping have changed over time. Another possibility is that, due to the government’s strong and consistent stance against vaping,22 people in Singapore continue to perceive vaping as a health risk despite any positive depictions of vaping on social media, for example, as a fun or trendy social activity 23…”

Section: Discussionmentioning

confidence: 99%

Vaping in a heavily regulated setting: cross-sectional survey of e-cigarette use, perceptions and social media exposure

Eijk

2023

Tob Control

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BackgroundSingapore has completely banned e-cigarettes and the government’s cautious stance against vaping has been consistent. Despite this, vaping appears to have gained popularity in Singapore, especially among younger people. With the heavy marketing of vaping products on social media, it is possible that such marketing, due to its cross-border nature, is reaching younger Singaporeans and driving changes in vaping-related perceptions or behaviours. This study examines their exposure to vaping-related content on social media, and whether such exposure is associated with more positive perceptions of vaping or e-cigarette ever use.MethodsAnalysis of cross-sectional survey data of 550 adult (age 21–40 years) Singaporeans recruited via convenience methods in May 2022, using descriptive statistics, bivariate analyses, and multiple linear and logistic regression models.Results16.9% of participants reported they had ever used e-cigarettes. 18.5% of those who used social media recalled seeing vaping-related content on a social media platform in the past 6 months, mostly from influencers or friends, and on Instagram, Facebook, TikTok and/or YouTube. Reporting exposure to such content was not associated with e-cigarette ever use. It was associated with having a more positive overall perception of vaping (β=1.47; 95% CI: 0.17 to 2.78), although no significant difference was observed when examining only health-related perceptions.ConclusionEven in a heavily regulated environment such as Singapore’s, people appear to be exposed to vaping-related content on social media platforms and this exposure is, in turn, associated with more positive perceptions of vaping, but not e-cigarette ever use.

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Section: Discussionmentioning

confidence: 99%

Vaping in a heavily regulated setting: cross-sectional survey of e-cigarette use, perceptions and social media exposure

Eijk

2023

Tob Control

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“…They also reported that those who overestimated e-cigarette prevalence had higher odds of being curious about e-cigarettes (odds ratio 3.29; 95% CI 2.41–4.48) than those who did not overestimate prevalence ( Agaku et al ., 2019 ). Adolescents may overestimate prevalence as repeated, frequent and wide exposure to positive e-cigarette marketing gives the impression the use is more common, popular and acceptable than in reality ( Liu et al ., 2020 ; Zheng and Lin, 2021 ). News articles that contain seemingly neutral text, such as the reporting of statements regarding the large diversity in devices and flavours, can inadvertently frame products as popular or desirable reinforcing the idea that e-cigarettes are common and widespread ( Duong and Liu, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Electronic cigarette social norms among adolescents in New South Wales, Australia

Yazidjoglou,

Watts,

Joshy

et al. 2024

Health Promotion International

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The use of electronic cigarettes (e-cigarettes) is common and increasing, especially among youth. In 2022/2023, 30% of 12- to 17-year-olds reported ever using e-cigarettes in Australia—a >50% increase from 2017 (14%). Several adverse e-cigarette health effects have been identified and most effects remain unknown. Social norms, rules that govern social behaviours, are associated with current and future adolescent e-cigarette use. Understanding social norms in Australian adolescents is critical to the development of targeted and effective e-cigarette prevention activities. This study aims to explore e-cigarette social norms among adolescents living in New South Wales, Australia. A total of 32 online single or paired semi-structured qualitative interviews were conducted involving 46 participants aged 14–17 years, as part of the Generation Vape project. Reflexive thematic analysis was applied within a constructivist perceptive. Adolescents perceived e-cigarettes use as prolific among their peers, with use considered common, acceptable and normal. Fuelled by social exposure to e-cigarettes, ‘everyone’ was generally thought to be using them (descriptive norms). E-cigarette use was considered so entrenched that it was part of adolescent identity, with abstinence regarded as atypical. Use was driven by an internalised desire to fit it (injunctive norm), rather than being attributed to overt/external ‘peer-pressure’. Positive e-cigarette norms exist among Australian adolescents with norm formation strongly influenced by social exposure, including e-cigarette promotion. Prevention efforts should include limiting adolescent exposure to e-cigarette marketing to help redefine existing pro-e-cigarette social norms and protect health.

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“…E-cigarettes, commonly touted as a less harmful substitute to conventional tobacco products, have experienced a rapid rise in popularity, especially among younger age groups ( Golan et al, 2023 ; Lewis et al, 2022 ; Short and Cole, 2021 ). Their marketing often highlights the perceived reduced risk, creating a narrative that leads to an increase in adoption among populations previously hesitant about tobacco usage ( Do et al, 2022 ; Mantey et al, 2016 ; Ozga et al, 2023 ; Stanton et al, 2022 ; Zheng and Lin, 2023 ). Concurrently, the decriminalization and legalization of cannabis in numerous states may have aided in an uptick in the use of e-cigarettes and cannabis ( Adhikari et al, 2021 ; Bhatia et al, 2022 ; Meng et al, 2022 ; Nicksic et al, 2020 ; Veligati et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Immigration status-related exclusive e-cigarette use and cannabis use and their dual use disparities associated with mental health disorder symptoms

Adzrago,

Sulley,

Williams

2024

Drug and Alcohol Dependence

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How Does Online e-cigarette Advertisement Promote Youth’s e-cigarettes Use? The Mediating Roles of Social Norm and Risk Perceptions

Cited by 17 publications

References 39 publications

Vaping in a heavily regulated setting: cross-sectional survey of e-cigarette use, perceptions and social media exposure

Vaping in a heavily regulated setting: cross-sectional survey of e-cigarette use, perceptions and social media exposure

Electronic cigarette social norms among adolescents in New South Wales, Australia

Immigration status-related exclusive e-cigarette use and cannabis use and their dual use disparities associated with mental health disorder symptoms

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