A picture is worth a thousand words:  Electronic cigarette content on Instagram and Pinterest

Lee, Alexander S.; Hart, Joy L.; Sears, Clara G.; Walker, Kandi L.; Siu, Allison; Smith, Courteney

doi:10.18332/tpc/74709

Cited by 47 publications

(51 citation statements)

References 16 publications

(12 reference statements)

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“…Advertisements involving older individuals may have had a weaker effect; however, many ecigarette advertisements on social media are youth-friendly. 33 In summary, adolescents who reported using social media intensely in their daily lives and those who were randomized to view Instagram advertisements or posts with more e-cigarette content reported more positive attitudes toward e-cigarettes and had a greater likelihood of future use. Given that the vast majority of young people use social media regularly 7 and many are exposed to e-cigarette content on social media, 26,41 findings suggest a need to enforce and expand regulation of e-cigarette content.…”

Section: Accepted Manuscriptmentioning

confidence: 93%

“…Instagram-type posts were developed based on content analyses of e-cigarette-related and general Instagram content. [30][31][32][33][34] E-cigarette posts depicted e-liquids, devices, and young e-cigarette users. [31][32][33][34] Unrelated posts reflected popular photo categories on Instagram: selfies, friends, travel, sports, food, fashion, or gadgets.…”

Section: Social Media Postsmentioning

confidence: 99%

“…[30][31][32][33][34] E-cigarette posts depicted e-liquids, devices, and young e-cigarette users. [31][32][33][34] Unrelated posts reflected popular photo categories on Instagram: selfies, friends, travel, sports, food, fashion, or gadgets. 30 In all conditions, two posts contained images of people, with attention paid to racial and ethnic diversity, and the remainder did not contain people.…”

Section: Social Media Postsmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Social Media on Adolescents’ Willingness and Intention to Use E-Cigarettes: An Experimental Investigation

Vogel

Ramo

Rubinstein

et al. 2020

Nicotine &Amp; Tobacco Research

134

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Introduction This study examined effects of experimentally manipulated social media exposure on adolescents’ willingness and intention to use e-cigarettes. Methods Participants were 135 adolescents age 13-18 (52.6% female, M age=15.3) in California. Participants viewed 6 social media posts online in a 2 (post source: peer or advertisement) X 2 (e-cigarette content exposure: heavy or light) between-subjects design. Analyses were weighted to population benchmarks. We examined adolescents’ beliefs, willingness, and intention to use e-cigarettes in association with social media use intensity in daily life and with experimentally manipulated exposure to social media posts that varied by source (peer or advertisement) and content (e-cigarette heavy or light). Results Greater social media use in daily life was associated with greater willingness and intention to use e-cigarettes and more positive attitudes, greater perceived norms, and lower perceived danger of e-cigarette use (all p-values<.01). In tests of the experimental exposures, heavy (versus light) e-cigarette content resulted in greater intention (p=.049) to use e-cigarettes and more positive attitudes (p=.019). Viewing advertisements (versus peer-generated posts) resulted in greater willingness and intention (p-values<.01) to use e-cigarettes, more positive attitudes (p=.003), and greater norm perceptions (p=.009). The interaction effect of post source by post content was not significant for any of the outcomes (all p-values>0.529) Conclusions Greater social media use and heavier exposure to advertisements and e-cigarette content in social media posts are associated with a greater risk for e-cigarette use among adolescents. Regulatory action is needed to prohibit sponsored e-cigarette content on social media platforms used by youth.

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Section: Accepted Manuscriptmentioning

confidence: 93%

Section: Social Media Postsmentioning

confidence: 99%

Section: Social Media Postsmentioning

confidence: 99%

See 1 more Smart Citation

Effects of Social Media on Adolescents’ Willingness and Intention to Use E-Cigarettes: An Experimental Investigation

Vogel

Ramo

Rubinstein

et al. 2020

Nicotine &Amp; Tobacco Research

134

View full text Add to dashboard Cite

show abstract

“…Instagram provides a platform for individuals to upload pictures and videos using hashtags as keywords. Keyword searches allow people to explore the images linked to the hashtags, and therefore, interact with the user-generated content [ 16 ]. E-cigarette content is popular on Instagram, and advertising companies characterize e-cigarettes as novel devices [ 16 , 30 , 31 ].…”

Section: Introductionmentioning

confidence: 99%

Electronic Cigarette–Related Contents on Instagram: Observational Study and Exploratory Analysis

Gao¹,

Xie²,

Sun³

et al. 2020

JMIR Public Health Surveill

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Background Instagram is a popular social networking platform for users to upload pictures sharing their experiences. Instagram has been widely used by vaping companies and stores to promote electronic cigarettes (e-cigarettes), as well as by public health entities to communicate the risks of e-cigarette use (vaping) to the public. Objective We aimed to characterize current vaping-related content on Instagram through descriptive analyses. Methods From Instagram, 42,951 posts were collected using vaping-related hashtags in November 2019. The posts were grouped as (1) pro-vaping, (2) vaping warning, (3) neutral to vaping, and (4) not related to vaping based on the attitudes to vaping expressed within the posts. From these Instagram posts and the corresponding 18,786 unique Instagram user accounts, 200 pro-vaping and 200 vaping-warning posts as well as 200 pro-vaping and 200 vaping-warning user accounts were randomly selected for hand coding. Furthermore, follower counts and media counts of the Instagram user accounts as well as the “like” counts and hashtags of the posts were compared between pro-vaping and vaping-warning groups. Results There were more posts in the pro-vaping group (41,412 posts) than there were in the vaping-warning group (1539 posts). The majority of pro-vaping images were product display images (163/200, 81.5%), and the most popular image type in vaping-warning posts was educational (95/200, 47.5%). The highest proportion of pro-vaping user account type was vaping store (110/189, 58.1%), and the store account type had the highest mean number of posts (10.33 posts/account). The top 3 vaping-warning user account types were personal (79/155, 51%), vaping-warning community (37/155, 23.9%), and community (35/155, 22.6%), of which the vaping-warning community had the highest mean number of posts (3.68 posts/account). Pro-vaping user accounts had more followers (median 850) and media (median 232) than vaping-warning user accounts had (follower count: median 191; media count: 92). Pro-vaping posts had more “likes” (median 22) and hashtags (mean 20.39) than vaping-warning posts had (“like” count: median 12; hashtags: mean 7.16). Conclusions Instagram is dominated by pro-vaping content, and pro-vaping posts and user accounts seem to have more user engagement than vaping-warning accounts have. These results highlight the importance of regulating e-cigarette posts on social media and the urgency of identifying effective communication content and message delivery methods with the public about the health effects of e-cigarettes to ameliorate the epidemic of vaping in youth.

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“…Chu et al [ 20 ] categorized Instagram photos about the electronic cigarette and found that advertisement was the most common type of content, followed by product and activity. The results of Lee et al [ 21 ] also revealed that the most popular category of Instagram posts of electronic cigarettes was marketing. Laestadius et al [ 22 ] examined what kind of user mainly posted about electronic cigarettes on Instagram; it was found that over half of the posts were uploaded by corporate users.…”

Section: Related Workmentioning

confidence: 99%

#Antivaccination on Instagram: A Computational Analysis of Hashtag Activism through Photos and Public Responses

Kim

Song

Lee

2020

IJERPH

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A dramatic increase has been registered in the number of social media posts in photo form as well as in hashtag activism. Hashtags, which manifest thoughts and feelings clearly and concisely, originated on Twitter, where the length of a post is limited; their use, however, has expanded into other social media services, including Instagram. Hashtags, which make it easy to find and express support for posts of interest, have been widely used for online activism, although they have been criticized for fostering confirmation bias. Moreover, hashtag activism in photo form has been relatively understudied. This research analyzed Instagram photos with antivaccination hashtags as an example of hashtag activism through photos. In addition, we examined how the photo features were related to public response, which was manifested via engagement and comment sentiment. The results suggest that the photos which were categorized into “text” took the largest share. It was also found that the major way of claiming was to imprint key messages that persuade people not to vaccinate with remarks from professionals on photos and provide a source of supporting information in the post text with hashtags of antivaccine intention. Various photo features showed associations with engagement and comment sentiment, but the directions of correlation were usually the opposite: these results suggest that engagement and comment sentiment are separate domains that reveal different public responses.

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A picture is worth a thousand words: Electronic cigarette content on Instagram and Pinterest

Cited by 47 publications

References 16 publications

Effects of Social Media on Adolescents’ Willingness and Intention to Use E-Cigarettes: An Experimental Investigation

Effects of Social Media on Adolescents’ Willingness and Intention to Use E-Cigarettes: An Experimental Investigation

Electronic Cigarette–Related Contents on Instagram: Observational Study and Exploratory Analysis

#Antivaccination on Instagram: A Computational Analysis of Hashtag Activism through Photos and Public Responses

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