TY - JOUR
T1 - National Trends of Adolescent Exposure to Tobacco Advertisements
T2 - 2012-2020
AU - Li, Xiao
AU - Kaiser, Nina
AU - Borodovsky, Jacob T.
AU - Riordan, Raven
AU - Kasson, Erin
AU - Cao, Chao
AU - Cavazos-Rehg, Patricia A.
N1 - Funding Information:
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. FUNDING: Funded by National Institutes of Health grant K02 DA043657 (principal investigator: Dr Cavazos-Rehg) and National Institute on Alcohol Abuse and Alcoholism grant F32 AA027941 (principal investigator: Dr Borodovsky). The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the National Institute on Alcohol Abuse and Alcoholism. Funded by the National Institutes of Health (NIH). POTENTIAL CONFLICT OF INTEREST: Dr Borodovsky is a member of the board of directors and treasurer of MySafeRx Inc, a nonprofit scientific research organization. He receives no financial compensation from this organization; the other authors have indicated they have no potential conflicts of interest to disclose.
Publisher Copyright:
© 2021 American Academy of Pediatrics. All rights reserved.
PY - 2021/12/1
Y1 - 2021/12/1
N2 - BACKGROUND AND OBJECTIVES: The objective of the current study is to evaluate the temporal trends in the prevalence of cigarette and electronic cigarette (e-cigarette) advertisement exposure by venue and sociodemographic correlates among US adolescents from 2012 to 2020. METHODS: We conducted a serial cross-sectional analysis of nationally representative samples of middle and high school youth from the 2012-2020 National Youth Tobacco Survey. Advertisement exposure was defined as self-report of seeing advertisements "sometimes," "most of the time," and "always." The prevalence of cigarette (and other tobacco products) and e-cigarette advertisement exposure, including overall and at specific venues (Internet, press, screen, and retail stores), was estimated by survey year. RESULTS: A total of 139 795 adolescents aged 11 to 19 years old were included in the analysis. The prevalence of exposure to combustible cigarette marketing remained high across all years (any venue ranging from 77.0% [2018] to 91.1% [2014]). An increasing trend for cigarette advertisement exposure was observed from 2017 to 2020 after a drop in 2015 (β2012-2015 = 2.8, P for trend < .001; β2017-2020 = .7, P for trend = .03), driven by retail store-based and Internetbased exposure. A similar increasing pattern in the estimated prevalence of e-cigarette marketing was observed (β2014-2016 = 4.6, P for trend < .001; β2017-2020 = 5.1, P for trend < .001). CONCLUSIONS: Given the high estimated prevalence of cigarette and e-cigarette marketing exposure among US adolescents, further regulation efforts for both off-line and online tobacco marketing are needed to mitigate adolescent exposure to content regarding these products, reducing susceptibility to uptake.
AB - BACKGROUND AND OBJECTIVES: The objective of the current study is to evaluate the temporal trends in the prevalence of cigarette and electronic cigarette (e-cigarette) advertisement exposure by venue and sociodemographic correlates among US adolescents from 2012 to 2020. METHODS: We conducted a serial cross-sectional analysis of nationally representative samples of middle and high school youth from the 2012-2020 National Youth Tobacco Survey. Advertisement exposure was defined as self-report of seeing advertisements "sometimes," "most of the time," and "always." The prevalence of cigarette (and other tobacco products) and e-cigarette advertisement exposure, including overall and at specific venues (Internet, press, screen, and retail stores), was estimated by survey year. RESULTS: A total of 139 795 adolescents aged 11 to 19 years old were included in the analysis. The prevalence of exposure to combustible cigarette marketing remained high across all years (any venue ranging from 77.0% [2018] to 91.1% [2014]). An increasing trend for cigarette advertisement exposure was observed from 2017 to 2020 after a drop in 2015 (β2012-2015 = 2.8, P for trend < .001; β2017-2020 = .7, P for trend = .03), driven by retail store-based and Internetbased exposure. A similar increasing pattern in the estimated prevalence of e-cigarette marketing was observed (β2014-2016 = 4.6, P for trend < .001; β2017-2020 = 5.1, P for trend < .001). CONCLUSIONS: Given the high estimated prevalence of cigarette and e-cigarette marketing exposure among US adolescents, further regulation efforts for both off-line and online tobacco marketing are needed to mitigate adolescent exposure to content regarding these products, reducing susceptibility to uptake.
UR - http://www.scopus.com/inward/record.url?scp=85121544752&partnerID=8YFLogxK
U2 - 10.1542/peds.2021-050495
DO - 10.1542/peds.2021-050495
M3 - Article
C2 - 34851424
AN - SCOPUS:85121544752
VL - 148
SP - 45
EP - 59
JO - Pediatrics
JF - Pediatrics
SN - 0031-4005
IS - 6
ER -