Young Adults' Perceptions of and Intentions to Use Nicotine and Cannabis Vaporizers in Response to e-Cigarette or Vaping-Associated Lung Injury Instagram Posts: Experimental Study.
Young Adults' Perceptions of and Intentions to Use Nicotine and Cannabis Vaporizers in Response to e-Cigarette or Vaping-Associated Lung Injury Instagram Posts: Experimental Study.
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DOI：
10.2196/46153
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发表时间：
2023-09-14
影响因子：
7.4
通讯作者：
中科院分区：
文献类型：
--
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吸入雾化尼古丁和大麻（俗称“vaping”）在年轻人中很普遍。Instagram的影响者经常推广尼古丁和大麻汽化器产品。然而，在2019年电子烟或电子烟相关肺损伤（EVALI）爆发期间，Instagram上不鼓励使用这两种产品的帖子受到了全国媒体的关注。该实验测试了查看Instagram上关于EVALI的帖子（图像和文本效价不同）对年轻人感知的尼古丁和大麻产品危害性、感知的尼古丁和大麻挥发罐使用风险以及未来使用尼古丁和大麻挥发罐的意图的影响。通过Qualtrics Research Services招募了18-25岁（平均21.40，SD 2.22）的参与者（N=1229），对曾经使用尼古丁或大麻挥发罐的参与者进行了过采样（618/1229，50.3%）。参与者被随机分配查看年轻人在Instagram上发布的描述他们在2（图像效价：正面或负面）× 2（文本效价：正面或负面）受试者间实验中使用EVALI的经历的帖子。正面的照片是有吸引力的，美观的自拍。积极的文本是支持和令人振奋的关于放弃使用汽化产品。负面的图像和文字是图形和恐惧诱导。在查看3个帖子后，参与者报告了尼古丁和大麻产品的感知危害，尼古丁和大麻汽化器使用的感知风险以及未来使用尼古丁和大麻汽化器的意图。有序逻辑回归模型评估了图像和文本效价对感知危害和风险的主要影响和相互作用。二元逻辑回归模型评估了图像和文本效价对使用尼古丁和大麻汽化器的意图的主要影响和相互作用。根据产品使用历史调整分析。与观看正面图像相比，观看负面图像会导致更大的尼古丁感知伤害（一次性豆荚式汽化器P= 0.02，其他电子烟“mods”设备P= 0.04）和大麻汽化产品（P= 0.01），尼古丁蒸发器的感知风险更大（P<0.01），未来使用尼古丁（P= 0.02）而不是大麻（P= 0.43）蒸发器的意图几率更低。有没有显着的主要影响，文字价感知的伤害，感知的风险，并打算使用尼古丁和大麻汽化产品。图像和文字效价没有显着的相互作用效应被发现。Instagram帖子中关于EVALI的负面图像可能会传达汽化产品使用的风险，并阻止年轻人进行这种行为，无论帖子的文字效价如何。Instagram上关于EVALI的公共卫生信息应强调使用大麻汽化器的风险，因为年轻人可能认为只有尼古丁汽化器的使用会增加他们患EVALI的风险。
Inhaling aerosolized nicotine and cannabis (colloquially called “vaping”) is prevalent among young adults. Instagram influencers often promote both nicotine and cannabis vaporizer products. However, Instagram posts discouraging the use of both products received national media attention during the 2019 outbreak of e-cigarette or vaping-associated lung injury (EVALI). This experiment tested the impact of viewing Instagram posts about EVALI, varying in image and text valence, on young adults’ perceived harmfulness of nicotine and cannabis products, perceived risk of nicotine and cannabis vaporizer use, and intentions to use nicotine and cannabis vaporizers in the future. Participants (N=1229) aged 18-25 (mean 21.40, SD 2.22) years were recruited through Qualtrics Research Services, oversampling for ever-use of nicotine or cannabis vaporizers (618/1229, 50.3%). Participants were randomly assigned to view Instagram posts from young people portraying their experiences of EVALI in a 2 (image valence: positive or negative) × 2 (text valence: positive or negative) between-subjects experiment. Positive images were attractive and aesthetically pleasing selfies. The positive text was supportive and uplifting regarding quitting the use of vaporized products. Negative images and text were graphic and fear inducing. After viewing 3 posts, participants reported the perceived harmfulness of nicotine and cannabis products, the perceived risk of nicotine and cannabis vaporizer use, and intentions to use nicotine and cannabis vaporizers in the future. Ordinal logistic regression models assessed the main effects and interactions of image and text valence on perceived harmfulness and risk. Binary logistic regression models assessed the main effects and interactions of image and text valence on intentions to use nicotine and cannabis vaporizers. Analyses were adjusted for product use history. Compared to viewing positive images, viewing negative images resulted in significantly greater perceived harm of nicotine (P=.02 for disposable pod-based vaporizers and P=.04 for other e-cigarette “mods” devices) and cannabis vaporized products (P=.01), greater perceived risk of nicotine vaporizers (P<.01), and lower odds of intentions to use nicotine (P=.02) but not cannabis (P=.43) vaporizers in the future. There were no significant main effects of text valence on perceived harm, perceived risk, and intentions to use nicotine and cannabis vaporized products. No significant interaction effects of image and text valence were found. Negative imagery in Instagram posts about EVALI may convey the risks of vaporized product use and discourage young adults from this behavior, regardless of the valence of the post’s text. Public health messaging regarding EVALI on Instagram should emphasize the risk of cannabis vaporizer use, as young adults may otherwise believe that only nicotine vaporizer use increases their risk for EVALI.
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影响因子：
4.2
作者：
Gaiha, Shivani M.;Epperson, Anna E.;Halpern-Felsher, Bonnie
通讯作者：
Halpern-Felsher, Bonnie
DOI：
10.1111/add.13854
发表时间：
2017-10
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Popova L;McDonald EA;Sidhu S;Barry R;Richers Maruyama TA;Sheon NM;Ling PM
通讯作者：
Ling PM
电子烟的使用与青春期早期燃烧烟草产品吸烟的启动。
DOI：
10.1001/jama.2015.8950
发表时间：
2015-08-18
期刊：
JAMA
影响因子：
--
作者：
Leventhal AM;Strong DR;Kirkpatrick MG;Unger JB;Sussman S;Riggs NR;Stone MD;Khoddam R;Samet JM;Audrain-McGovern J
通讯作者：
Audrain-McGovern J
影响因子：
7.6
作者：
Roditis, Maria;Delucchi, Kevin;Halpern-Felsher, Bonnie
通讯作者：
Halpern-Felsher, Bonnie
影响因子：
6.7
作者：
Boerman, Sophie C.;Muller, Celine M.
通讯作者：
Muller, Celine M.