Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys

Brittney Keller-Hamilton, Hayley Curran, Elise M. Stevens, Michael D. Slater, Bo Lu, Megan E. Roberts and Amy K. Ferketich
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Brittney Keller-Hamilton: Division of Medical Oncology, Department of Internal Medicine, The Ohio State University College of Medicine, Columbus, OH 43214, USA
Hayley Curran: Division of Epidemiology, The Ohio State University College of Public Health, Columbus, OH 43210, USA
Elise M. Stevens: Division of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA 01605, USA
Michael D. Slater: School of Communication, The Ohio State University College of Arts and Sciences, Columbus, OH 43210, USA
Bo Lu: Division of Biostatistics, The Ohio State University College of Public Health, Columbus, OH 43210, USA
Megan E. Roberts: Division of Health Behavior and Health Promotion, The Ohio State University College of Public Health, Columbus, OH 43210, USA
Amy K. Ferketich: Division of Epidemiology, The Ohio State University College of Public Health, Columbus, OH 43210, USA

IJERPH, 2021, vol. 18, issue 21, 1-10

Abstract: Exposure to tobacco advertisements is associated with initiation of tobacco use among youth. The mechanisms underlying this association are less clear. We estimated longitudinal associations between youths’ cognitive and affective responses to advertisements for cigarettes, e-cigarettes, and smokeless tobacco (SLT) and initiation of these products. N = 1220 Ohio-residing boys of ages 11–16 were recruited into a cohort in 2015 and 2016. Participants completed surveys every six months for four years. Surveys assessed cognitive and affective responses to tobacco advertisements (which included health warnings) and tobacco use after an advertisement viewing activity. We used mixed-effects Poisson regression models with robust standard errors to estimate risk of initiating use of each tobacco product according to participants’ cognitive (i.e., memorability of health risks) and affective (i.e., likability of advertisement) responses to advertisements for that product. No associations between affective responses to advertisements and tobacco use outcomes were detected in adjusted models. However, finding health risks memorable was associated with reduced risk of ever smoking initiation (aRR = 0.57; 95% CI: 0.34, 0.95) and a reduced risk of ever SLT initiation that approached statistical significance (aRR = 0.61; 95% CI: 0.36, 1.05). Measures to increase saliency of health risks on cigarette and SLT advertisements might reduce use among youth.

Keywords: advertising; electronic cigarettes; cigarettes; smokeless tobacco; youth; longitudinal study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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