Tobacco Marketing and Subsequent Use of Cigarettes, E-Cigarettes, and Hookah in Adolescents
Tobacco Marketing and Subsequent Use of Cigarettes, E-Cigarettes, and Hookah in Adolescents
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DOI：
10.1093/ntr/nty107
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发表时间：
2019-07-01
影响因子：
4.7
通讯作者：
Liu, Fei
中科院分区：
文献类型：
--
作者：
Cruz, Tess Boley;McConnell, Rob;Liu, Fei
导言：通过多种促销渠道，烟草营销已从卷烟扩展到其他烟草产品。营销风险与烟草产品的使用有关。然而，尚不清楚一种产品的营销是否会导致随后使用其他烟草产品。方法：这项前瞻性队列研究评估了2014年11年级和12年级学生在五个营销渠道中六种烟草产品的自我报告营销暴露情况。大约16个月后，在线(N=1553)进行了一项跟踪调查，以评估香烟、电子烟(电子烟)和水烟的开始。结果：经常接触互联网和商店香烟营销的青少年开始吸烟的可能性是年轻人的两倍多(互联网OR=2.98[95%CI=1.56~5.66]；商店OR=2.83[95%CI=1.23~6.50])。如果接触到互联网、商店和户外电子烟营销，电子烟的使用者从未明显更有可能开始使用电子烟。水烟的用户从来不会在看到水烟在商店里销售后更有可能使用水烟。在商店中接触电子烟、水烟、雪茄、无烟烟草和烟斗烟草的青少年开始吸烟的可能性是在商店销售电子烟、水烟、雪茄、无烟烟草和烟斗烟草的两到三倍，即使销售的产品不是香烟。结论：青少年接触烟草产品营销与青少年在成年后开始使用这些产品有关。接触非卷烟烟草产品的营销与随后吸烟有关，即使促销的产品不是卷烟。未来的研究和干预应考虑多种烟草产品的营销对青少年烟草使用的影响。
Introduction: Tobacco marketing has expanded from cigarettes to other tobacco products through many promotional channels. Marketing exposure is associated with use of that tobacco product. However, it is unclear if marketing for one product leads to subsequent use of other tobacco products.Methods: This prospective cohort study assessed self-reported marketing exposure for six tobacco products across five marketing channels in 11th and 12th grade students in 2014. Approximately 16 months later, a follow-up survey was conducted online (N = 1553) to assess initiation of cigarettes, electronic cigarettes (e-cigarettes), and hookah.Results: Adolescent never-smokers with frequent exposure to cigarette marketing on the Internet and in stores are more than two times as likely to begin smoking as young adults (Internet OR = 2.98 [95% CI = 1.56 to 5.66]; stores OR = 2.83 [95% CI = 1.23 to 6.50]). Never users of e-cigarettes were significantly more likely to initiate use, if exposed to Internet, store, and outdoor e-cigarette marketing. Never users of hookah were more likely to use hookah after seeing it marketed in stores. Youth exposed to marketing of e-cigarettes, hookah, cigars, smokeless tobacco, and pipe tobacco in stores were two to three times more likely to begin smoking cigarettes even though the marketed products were not cigarettes.Conclusions: Adolescent exposure to marketing of tobacco products is associated with initiation of those products as young adults. Exposure to marketing for non-cigarette tobacco products is associated with subsequent cigarette smoking, even when the promoted products are not cigarettes. Future research and interventions should consider the influence of marketing from multiple tobacco products on adolescent tobacco use.