Work

Differential Association of Exposure to advertising channels with ever E-cigarette use among youth in the United States: 2014–2022

Year: 2025

Type: article

Abstract: Objective: To examine how exposure to advertising channels is associated with e-cigarette use among youth in the United States. Methods: This study included 161,700 middle and high school students aged 9-18 years from the 2014-2022 National Youth Tobacco Survey data. Multivariate logistic regressions estimated adjusted odds ratios (aORs) and 95 % confidence intervals (CIs) for the association between exposure to advertising channels and ever e-cigarette use. Annual percent change (APC) for ever e-cigarette use and exposure to each advertising channel were analyzed using Joinpoint regression. Data for 2014-2018 and 2019-2022 were analyzed separately due to the change in survey format and weighting procedure. Results: Ever e-cigarette use prevalence increased (APC = + 2.78: 95 % CI -13.65, 21.38) between 2014 and 2018, then declined (APC = -18.20 %: 95 % CI -27.11, 8.36) between 2019 and 2022. Exposure to retail (2014-2018 aOR = 1.36: 95 % CI 1.29, 1.43; 2019-2022 aOR = 1.46: 95 % CI 1.38, 1.54) and internet advertising (2014-2018 aOR = 1.43: 95 % CI 1.35, 1.51; 2019-2022 aOR = 1.19: 95 % CI 1.13, 1.25) were associated with higher odds of ever e-cigarette use. Conclusions: Exposure to retail and internet marketing increased the likelihood of ever-use of e-cigarettes among youth in the US. Additional regulations for point-of-sale and internet advertisements should be implemented.

Source: Preventive Medicine Reports

DOI: 10.1016/j.pmedr.2025.103332

Authors: Elizabeth R. Stevens, Michelle He, Mohsen Abbasi-Kangevari, Omar El-Shahawy

Institution: New York University

Language: English

Topic: Smoking Behavior and Cessation

Subfield: Physiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,610