Vaping Media Literacy, Harm Perception, and Susceptibility of E-Cigarette Use Among Youth
Vaping Media Literacy, Harm Perception, and Susceptibility of E-Cigarette Use Among Youth
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DOI：
10.1016/j.amepre.2022.05.012
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发表时间：
2022-10-19
影响因子：
5.5
通讯作者：
Sussman, Steve
中科院分区：
文献类型：
--
作者：
Dai, Hongying Daisy;Ratnapradipa, Kendra;Sussman, Steve
简介：接触电子烟营销和媒体广告在青少年中很普遍。需要经过验证的电子烟媒介素养量表来为有效的电子烟预防计划提供信息。方法：6 项电子烟媒体素养量表改编自经过验证的吸烟和一般媒体素养量表，重点关注营销影响。进行了一项以学校为基础的调查（N=856），以评估电子烟媒体素养和 3 个分量表（即作者和受众 [电子烟作者和受众]、信息和含义 [电子烟信息和含义]、以及表征和现实 [电子烟表征和现实]）的可靠性。采用多变量逻辑回归模型来检查电子烟媒体素养与电子烟使用感知危害性和使用电子烟的敏感性之间的关联。分析于 2021 年进行。结果：学生的平均电子烟媒体素养为 2.6（范围 = 0-6）。初中生（相对于高中，p=0.03）、男性（相对于女性，p=0.003）和少数族裔学生（黑人、西班牙裔、其他人与白人，p=0.0009）的电子烟媒体素养较低，存在显着差异。较高的电子烟媒介素养与电子烟使用的感知危害性增加显着相关（AOR=1.2；95% CI=1.1, 1.2；p < 0.0001）。所有分量表也与电子烟危害认知相关。在从未使用过电子烟的学生中，电子烟媒介素养较高（相对于较低）的学生开始使用电子烟的敏感性较低（AOR=0.90；95% CI=0.83、0.97；p=0.005）。电子烟信息和含义以及电子烟表征和现实分量表均与电子烟易感性呈负相关。结论：电子烟媒体素养量表可以衡量电子烟营销对青少年的影响，具有较高的信度和效度。少数族裔、年轻青少年和男性似乎相对容易受到电子烟营销的影响。需要努力提高电子烟媒体素养，以遏制青少年电子烟的使用。
Introduction: Exposure to E-cigarette marketing and media advertisements is prevalent among adolescents. A validated vaping media literacy scale is needed to inform effective vaping prevention programs. Methods: A 6-item vaping media literacy scale was adapted from validated smoking and general media literacy scales with an emphasis on marketing influences. A school-based survey (N=856) was conducted to assess the reliability of vaping media literacy and 3 subscales (i.e., authors and audiences [vaping Authors and Audiences], messages and meanings [vaping Messages and Meanings], and representation and reality [vaping Representation and Reality]). Multivariable logistic regression models were performed to examine the associations of vaping media literacy with perceived harmfulness of E-cigarette use and susceptibility to use E-cigarettes. Analyses were con-ducted in 2021. Results: The mean vaping media literacy among students was 2.6 (range=0-6). There were significant disparities with lower vaping media literacy among middle-school (versus high-school, p=0.03) students, males (versus females, p=0.003), and racial/ethnic minority students (Blacks, His-panics, others versus Whites, p=0.0009). A higher vaping media literacy was significantly associated with increased perceived harmfulness of E-cigarette use (AOR=1.2; 95% CI=1.1, 1.2; p < 0.0001). All subscales were also associated with E-cigarette harm perception. Among never E-cigarette users, students with a higher (versus those with a lower) vaping media literacy had lower susceptibility to initiating E-cigarettes (AOR=0.90; 95% CI=0.83, 0.97; p=0.005). Both vaping Messages and Meanings and vaping Representation and Reality subscales were adversely associated with susceptibility to vaping. Conclusions: The vaping media literacy scale may gauge the influence of E-cigarette marketing on adolescents with high reliability and validity. Racial minorities, younger adolescents, and males appear relatively vulnerable to vaping marketing influence. Efforts to increase vaping media literacy are needed to curb youth E-cigarette use.