Characterization of Electronic Cigarette Warning Statements Portrayed in YouTube Videos
Characterization of Electronic Cigarette Warning Statements Portrayed in YouTube Videos
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DOI：
10.1093/ntr/ntaa272
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发表时间：
2021-01-05
影响因子：
4.7
通讯作者：
Fagan, Pebbles
中科院分区：
文献类型：
--
作者：
Jones, Dina M.;Guy, Mignonne C.;Fagan, Pebbles
简介：2018年，美国食品和药物管理局（FDA）要求电子烟（电子烟）制造商、包装商、进口商、分销商和零售商在电子烟视觉广告上显示上瘾或替代警告声明。很少有研究调查了FDA规定的和其他社交媒体上的警告。这项研究调查了电子烟相关YouTube视频中警告声明的流行程度和内容。方法：2019年，弗吉尼亚联邦大学烟草产品研究中心每两个月（2月至6月）进行一次YouTube搜索，通过相关性和观看次数来识别电子烟相关视频。总体而言，178个视频符合纳入标准。工作人员对每个视频进行编码，以确定是否存在视觉/口头警告声明、警告声明类型（例如，FDA规定的、成瘾/烟草、安全/毒性暴露、健康影响）、赞助和烟草产品特征。数据提取工具收集了视频的URL、标题、上传日期、观看次数、喜欢/不喜欢和评论。结果：只有5.1%的视频包含FDA强制性警告，21.9%包含非强制性警告。所有FDA强制性警告和46.2%的非强制性警告的视频都以视觉方式呈现。在强制生效日期后上传的行业赞助视频中，只有13.1%有FDA强制的警告声明，而带有FDA强制和非强制（v. no）警告的视频的观看次数、喜欢、不喜欢和评论数量明显减少。在所有非强制性的警告中，31.3%的内容是成瘾/烟草，18.8%是安全/毒性暴露，37.5%是健康影响warning.Conclusions：FDA强制性的警告声明在电子烟相关的YouTube视频中的流行率很低。FDA在YouTube上强制执行警告声明，可以增加公众对电子烟中尼古丁成瘾性的理解。
Introduction: In 2018, the United States Food and Drug Administration (FDA) required that electronic cigarette (e-cigarette) manufacturers, packagers, importers, distributors, and retailers display an addictive or alternate warning statement on e-cigarette visual advertisements. Few studies have investigated the FDA-mandated and other warnings on social media.This study examined the prevalence and content of warning statements in e-cigarette-related YouTube videos.Methods: In 2019, The Virginia Commonwealth University Center for the Study of Tobacco Products conducted bi-monthly (February-June) YouTube searches by relevance and view count to identify e-cigarette-related videos. Overall, 178 videos met the inclusion criteria. Staff coded each video for the presence of a visual/verbal warning statement, warning statement type (eg, FDA-mandated, addiction/tobacco, safety/toxic exposure, health effects), sponsorship, and tobacco product characteristics. A data extraction tool collected the video URL, title, upload date, and number of views, likes/dislikes, and comments.Results: Only 5.1% of videos contained FDA-mandated and 21.9% contained non-mandated warnings. All videos with FDA-mandated and 46.2% of non-mandated warnings were represented visually. Only 13.1% of industry-sponsored videos uploaded after the mandate effective date had an FDA-mandated warning statement and videos with FDA-mandated and non-mandated (v. no) warnings had significantly fewer views, likes, dislikes, and comments. Among all non-mandated warnings, 31.3% featured an addiction/tobacco, 18.8% a safety/toxic exposure, and 37.5% a health effects warning.Conclusions: The prevalence of FDA-mandated warning statements in e-cigarette related YouTube videos was low. FDA enforcement of the warning statement mandate on YouTube could increase the public's understanding of the addictive nature of nicotine in e-cigarettes.