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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Megan C. Diaz & Elexis C. Kierstead & Domonique Edwards & Yoonsang Kim & Shyanika W. Rose & Sherry Emery & Bushraa Khatib & Michael Liu & Ganna Kostygina, 2022. "Online Tobacco Advertising and Current Chew, Dip, Snuff and Snus Use among Youth and Young Adults, 2018–2019," IJERPH, MDPI, vol. 19(8), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4786-:d:794319
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    References listed on IDEAS

    as
    1. Emery, S. & Kim, Y. & Choi, Y.K. & Szczypka, G. & Wakefield, M. & Chaloupka, F.J., 2012. "The effects of smoking-related television advertising on smoking and intentions to quit among adults in the United States: 1999-2007," American Journal of Public Health, American Public Health Association, vol. 102(4), pages 751-757.
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    4. Apollonio, D. & Glantz, S.A., 2017. "Tobacco industry research on nicotine replacement therapy: "if anyone is going to take away our business it should be us"," American Journal of Public Health, American Public Health Association, vol. 107(10), pages 1636-1642.
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