Survey of the effect of viewing an online e-cigarette advertisement on attitudes towards cigarette and e-cigarette use in adults located in the UK and USA: a cross-sectional study
Survey of the effect of viewing an online e-cigarette advertisement on attitudes towards cigarette and e-cigarette use in adults located in the UK and USA: a cross-sectional study
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DOI：
10.1136/bmjopen-2018-027525
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发表时间：
2019-06-01
期刊：
影响因子：
2.9
通讯作者：
Frings, Daniel
中科院分区：
文献类型：
--
作者：
Booth, Paula;Albery, Ian P.;Frings, Daniel
目的本研究探讨电子烟广告的潜在作用：(1)提高人们对香烟的态度和/或(2)降低电子烟使用障碍。这项研究测试了吸烟者、不吸烟者、电子烟使用者和双重吸烟者(也使用电子烟的吸烟者)对在线电子烟广告的暴露是否改变了他们对香烟和电子烟的态度。设计横断面研究设置在线调查来自英国和美国的964名18至65岁(男性=36岁，SD=11.6)的参与者。参与者被分成当前不吸烟者、电子烟使用者、双重吸烟者和吸烟者。干预参与者观看了15个随机分配的在线电子烟广告中的1个。主要测量三个单一的七分利克特量表，测量广告暴露前后的健康、可取性和社会接受性。结果暴露后，所有吸烟组的社会接受或期望程度都有下降或没有变化。矛盾的是，双重用户在观看广告后将香烟评为明显更健康(p=0.01)，而所有其他吸烟组的评分保持不变。所有吸烟者对电子烟的健康和可取性的看法都有增加或没有变化。结论我们没有观察到任何证据表明，暴露在电子烟广告中会使吸烟者、不吸烟者或电子烟使用者重新正常或鼓励吸烟。然而，有一些迹象表明，观看电子烟广告可能会增加DUALS用户对吸烟健康的看法。
Objectives This study explored the potential for e-cigarette advertisements to (1) enhance attitudes towards cigarettes and/or (2) reduce barriers to e-cigarettes uptake. The study tested whether exposure to an online electronic cigarette advertisement changed attitudes towards cigarettes and e-cigarettes in smokers, non-smokers, e-cigarette users and dual users (smokers who also use e-cigarettes).Design Cross-sectional studySetting Online surveyParticipants Adults (n=964) aged 18 to 65 years old (M=36 years, SD=11.6) from the UK and USA. Participants were grouped into current non-smokers, e-cigarette users, dual users and smokers.Interventions Participants viewed 1 of 15 randomly assigned online e-cigarette advertisements.Primary measures Three single seven-point Likert scales measuring health, desirability, social acceptability were completed pre and post advertisement exposure.Results Post exposure all smoking groups showed a decrease or no change in how socially acceptable or desirable they rated cigarettes. Paradoxically, dual users rated cigarettes as being significantly healthier after viewing the advertisement (p=0.01) while all other smoking group ratings remained the same. There was an increase or no change in how all smoking groups perceived the healthiness and desirability of e-cigarettesConclusions We observed no evidence that exposure to an e-cigarette advertisement renormalises or encourages smoking in smokers, non-smokers or e-cigarette users. However, there is some indication that viewing an e-cigarette advertisement may increase duals users' perceptions of the health of smoking.