Online Tobacco Advertising and Current Chew, Dip, Snuff and Snus Use among Youth and Young Adults, 2018–2019

Megan C. Diaz, Elexis C. Kierstead, Domonique Edwards, Yoonsang Kim, Shyanika W. Rose, Sherry Emery, Bushraa Khatib, Michael Liu and Ganna Kostygina
Additional contact information
Megan C. Diaz: Schroeder Institute, Truth Initiative, Washington, DC 20001, USA
Elexis C. Kierstead: Schroeder Institute, Truth Initiative, Washington, DC 20001, USA
Domonique Edwards: Schroeder Institute, Truth Initiative, Washington, DC 20001, USA
Yoonsang Kim: NORC at the University of Chicago, Chicago, IL 60637, USA
Shyanika W. Rose: College of Medicine, Department of Behavioral Science, Center for Health Equity Transformation, University of Kentucky, Lexington, KY 40506, USA
Sherry Emery: NORC at the University of Chicago, Chicago, IL 60637, USA
Bushraa Khatib: Schroeder Institute, Truth Initiative, Washington, DC 20001, USA
Michael Liu: Schroeder Institute, Truth Initiative, Washington, DC 20001, USA
Ganna Kostygina: NORC at the University of Chicago, Chicago, IL 60637, USA

IJERPH, 2022, vol. 19, issue 8, 1-12

Abstract: Objective: To understand the relationship between exposure to online tobacco advertising and current smokeless tobacco use in the context of tobacco control policies. Methods: Three waves of a national probability-based sample of ( n = 15,985) youth and young adults were used. Analysis consisted of GEE logistic models controlling for social media use, demographics, tobacco use, average price of smokeless tobacco inclusive of taxes, smoke-free indoor air laws (SFIA) and state tobacco control expenditures. Results: Frequent exposure to tobacco advertising on social media is associated with greater odds of current smokeless use (aOR: 2.05, 95% CI: 1.62, 2.60). Higher prices and SFIA coverage were associated with reduced current smokeless use when examined separately from other tobacco policy variables (aOR: 0.79, CI: 0.73, 0.85; aOR: 0.44, CI: 0.28, 0.70). Conclusions: Greater exposure to tobacco advertising online is associated with greater odds of smokeless use among surveyed youth and young adults. This effect of social media marketing exposure on smokeless use outweighs the mitigating impact of existing tobacco control policies. The findings underscore the need for strong advertising regulation of evolving tobacco products, including smokeless products, on social media and surveillance of digital marketing tactics to young people.

Keywords: smokeless tobacco; tobacco advertising; social media; policy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/19/8/4786/pdf (application/pdf)
https://www.mdpi.com/1660-4601/19/8/4786/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:8:p:4786-:d:794319

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().