Tobacco Advertisement Liking, Vulnerability Factors, and Tobacco Use Among Young Adults

作者：Brianna A. Lienemann, Shyanika W. Rose, Jennifer B. Unger, Helen I. Meissner, Michael Byron, Lourdes Báezconde‐Garbanati, Li‐Ling Huang, Tess Boley Cruz · 发表于：Nicotine & Tobacco Research · 年份：2018 · DOI：10.1093/ntr/nty220 · 被引用次数：40 · 研究领域：Smoking Behavior and Cessation、Global Public Health Policies and Epidemiology、Substance Abuse Treatment and Outcomes

INTRODUCTION: Young adulthood (aged 18-24) is a crucial period in the development of long-term tobacco use patterns. Tobacco advertising and promotion lead to the initiation and continuation of smoking among young adults. We examined whether vulnerability factors moderated the association between tobacco advertisement liking and tobacco use in the United States. METHODS: Analyses were conducted among 9109 US young adults in the nationally representative Population Assessment of Tobacco and Health (PATH) Study wave 1 (2013-14). Participants viewed 20 randomly selected sets of tobacco advertisements (five each for cigarettes, e-cigarettes, cigars, and smokeless tobacco) and indicated whether they liked each ad. The outcome variables were past 30-day cigarette, e-cigarette, cigar, and smokeless tobacco use. Covariates included tobacco advertisement liking, age, sex, race or ethnicity, sexual orientation, education, poverty level, military service, and internalizing and externalizing mental health symptoms. RESULTS: Liking tobacco advertisements was associated with tobacco use, and this association was particularly strong among those with lower educational attainment (cigarettes, cigars) and living below the poverty level (e-cigarettes, smokeless tobacco). CONCLUSIONS: The association between tobacco advertisement liking and tobacco use was stronger among young adults with lower educational attainment and those living below the poverty level. Policies that restrict advertising ex...