Marketing exposure and smokeless tobacco use initiation among young adults: A longitudinal analysis
Marketing exposure and smokeless tobacco use initiation among young adults: A longitudinal analysis
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DOI：
10.1016/j.addbeh.2019.06.003
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发表时间：
2019-12-01
影响因子：
4.4
通讯作者：
Perry, Cheryl L.
中科院分区：
文献类型：
--
作者：
Mantey, Dale S.;Clendennen, Stephanie L.;Perry, Cheryl L.
目的：本研究探讨了自我报告的无烟烟草营销和启动/无烟烟草使用/易感性在6个月的后续行动之间的关系，在城市Texas.Methods的年轻人的队列：参与者是3597 18-25岁从未无烟烟草用户，参加24个得克萨斯州两年制学院和四年制大学。一个多层次，多变量逻辑回归模型，占学校集群，检查自我报告的回忆无烟烟草营销暴露在基线和随后开始使用无烟烟草的影响。对非易感的从不使用者（n = 3097）进行的子样本分析检查了基线时自我报告的无烟烟草营销暴露和对使用无烟烟草的易感性的影响。在6个月随访时评估了这两种结果。基线协变量包括年龄、人种/种族、性别、2年/4年住院时间和其他烟草使用。在全面分析中，基线时使用无烟烟草的敏感性作为协变量。结果：从基线到6个月随访，6.1%的从不使用者开始使用无烟烟草（n = 219），7.0%的不敏感的从不使用者变得对无烟烟草使用敏感（n = 221）。基线时自我报告的无烟烟草市场暴露回忆与开始无烟烟草相关（调整OR：1.17; 95% CI：1.08-1.27）和对使用无烟烟草的敏感性（调整OR：1.11; 95% CI：1.02-1.21），控制所有协变量。研究结果建立在以前的研究，通过展示无烟烟草营销和随后的使用之间的关联。调查结果令人担忧，因为从2006年到2016年，无烟烟草营销支出增加了300%。
Objectives: This study examines the relationships between self-reported exposure to smokeless tobacco marketing and initiation/onset of smokeless tobacco use/susceptibility at 6-month follow-up, among a cohort of young adults in urban Texas.Methods: Participants were 3597 18-25 year old never smokeless tobacco users, attending 24 Texas two-year colleges and four-year universities. A multi-level, multivariate logistic regression model, accounting for school clustering, examined the impact of self-reported recall of smokeless tobacco marketing exposure at baseline and subsequent initiation of smokeless tobacco use. A subsample analysis of non-susceptible never users (n = 3097) examined the impact of self-reported exposure to smokeless tobacco marketing at baseline and onset of susceptibility to use smokeless tobacco. Both outcomes were assessed at 6-month follow-up. Baseline covariates included age, race/ethnicity, sex, two - /four-year institution, and other tobacco use. For the full analysis, susceptibility to use smokeless tobacco at baseline was included as a covariate.Results: From baseline to 6-month follow-up, 6.1% of never users initiated smokeless tobacco use (n = 219) and 7.0% of non-susceptible never users became susceptible to smokeless tobacco use (n = 221). Self-reported recall of smokeless tobacco marketing exposure at baseline was associated with initiation of smokeless tobacco (Adj OR: 1.17; 95% CI: 1.08-1.27) and onset of susceptibility to use smokeless tobacco (Adj OR: 1.11; 95% CI: 1.02-1.21) at 6-month follow-up, controlling for all covariates.Conclusions: Findings build on previous research by demonstrating an association between recall of smokeless tobacco marketing and subsequent use. Findings are concerning given the 300% increase in smokeless tobacco marketing expenditures from 2006 to 2016.