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

Author

Listed:
  • Brittney Keller-Hamilton

    (Division of Medical Oncology, Department of Internal Medicine, The Ohio State University College of Medicine, Columbus, OH 43214, USA
    Center for Tobacco Research, The Ohio State University Comprehensive Cancer Center, 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)

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.

Suggested Citation

  • Brittney Keller-Hamilton & Hayley Curran & Elise M. Stevens & Michael D. Slater & Bo Lu & Megan E. Roberts & Amy K. Ferketich, 2021. "Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys," IJERPH, MDPI, vol. 18(21), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11666-:d:673662
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    References listed on IDEAS

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    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    2. Ce Shang & Frank J. Chaloupka, 2017. "The Trend of Voluntary Warnings in Electronic Nicotine Delivery System Magazine Advertisements," IJERPH, MDPI, vol. 14(1), pages 1-12, January.
    3. Gilpin, E.A. & White, M.M. & Messer, K. & Pierce, J.P., 2007. "Receptivity to tobacco advertising and promotions among young adolescents as a predictor of established smoking in young adulthood," American Journal of Public Health, American Public Health Association, vol. 97(8), pages 1489-1495.
    4. Ruiz, Salvador & Sicilia, Maria, 2004. "The impact of cognitive and/or affective processing styles on consumer response to advertising appeals," Journal of Business Research, Elsevier, vol. 57(6), pages 657-664, June.
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