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ABSTRACT: Objective
To understand the relationship between exposure to online tobacco advertising and current smokeless tobacco use in the context of tobacco control policies.Methods
Three waves of a national probability-based sample of (n = 15,985) youth and young adults were used. Analysis consisted of GEE logistic models controlling for social media use, demographics, tobacco use, average price of smokeless tobacco inclusive of taxes, smoke-free indoor air laws (SFIA) and state tobacco control expenditures.Results
Frequent exposure to tobacco advertising on social media is associated with greater odds of current smokeless use (aOR: 2.05, 95% CI: 1.62, 2.60). Higher prices and SFIA coverage were associated with reduced current smokeless use when examined separately from other tobacco policy variables (aOR: 0.79, CI: 0.73, 0.85; aOR: 0.44, CI: 0.28, 0.70).Conclusions
Greater exposure to tobacco advertising online is associated with greater odds of smokeless use among surveyed youth and young adults. This effect of social media marketing exposure on smokeless use outweighs the mitigating impact of existing tobacco control policies. The findings underscore the need for strong advertising regulation of evolving tobacco products, including smokeless products, on social media and surveillance of digital marketing tactics to young people.
SUBMITTER: Diaz MC
PROVIDER: S-EPMC9026367 | biostudies-literature | 2022 Apr
REPOSITORIES: biostudies-literature
Diaz Megan C MC Kierstead Elexis C EC Edwards Domonique D Kim Yoonsang Y Rose Shyanika W SW Emery Sherry S Khatib Bushraa B Liu Michael M Kostygina Ganna G
International journal of environmental research and public health 20220414 8
<h4>Objective</h4>To understand the relationship between exposure to online tobacco advertising and current smokeless tobacco use in the context of tobacco control policies.<h4>Methods</h4>Three waves of a national probability-based sample of (<i>n</i> = 15,985) youth and young adults were used. Analysis consisted of GEE logistic models controlling for social media use, demographics, tobacco use, average price of smokeless tobacco inclusive of taxes, smoke-free indoor air laws (SFIA) and state t ...[more]