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Association of e‐cigarette advertising with e‐cigarette and cigarette use among US adults
Author(s) -
Ali Fatma Romeh M.,
Dave Dhaval M.,
Colman Gregory J.,
Wang Xu,
Saffer Henry,
Marynak Kristy L.,
Dench Daniel,
Grossman Michael
Publication year - 2021
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/add.15281
Subject(s) - medicine , cigarette smoking , electronic cigarette , demography , consumption (sociology) , advertising , demographics , poisson regression , environmental health , logistic regression , young adult , gerontology , population , social science , pathology , sociology , business
Aims To estimate the association of e‐cigarette advertisement exposure with e‐cigarette and cigarette use behavior among US adults. Design Data from the 2013–14 National Adult Tobacco Survey (NATS) were linked to Kantar Media and National Consumer Study data to construct measures of e‐cigarette advertisements on TV and in magazines. The relationship between advertisement measures and outcomes was estimated using logistic and Poisson regressions, controlling for socio‐demographics, state cigarette taxes and state and year fixed‐effects. Setting United States. Participants/cases A total of 98 746 adults aged ≥ 18 years who responded to the 2013–14 NATS. Measurements The independent variables of interest were the number of e‐cigarette advertisements in magazines to which an adult was exposed in the past 6 months and the number of e‐cigarette advertisements on TV to which an adult was exposed in the past 6 months. Outcomes were awareness of e‐cigarettes, ever e‐cigarette use, current e‐cigarette use, current cigarette use and number of cigarettes smoked per month. Findings Exposure to one additional e‐cigarette advertisement on TV was associated with a 0.18, 0.13 and 0.03 percentage point increase, respectively, in awareness, ever use and current use of e‐cigarettes among all adults ( P < 0.05). This exposure also was associated with a 0.11 percentage point increase in current cigarette use among all adults and an increase in cigarette consumption of 2.24 cigarettes per month among adults aged ≥ 45 ( P < 0.05). Conclusions Exposure to e‐cigarette advertising appears to be positively associated with the use of e‐cigarettes and cigarettes among adults of all ages, and with increased cigarette consumption among older adults.