Receptivity to Tobacco Advertising and Susceptibility to Tobacco Products

Pierce, John P.; Sargent, James D.; White, Martha M.; Borek, Nicolette; Portnoy, David B.; Green, Victoria R.; Kaufman, Annette; Stanton, Cassandra A.; Bansal-Travers, Maansi; Strong, David R.; Pearson, Jennifer; Coleman, Blair; Leas, Eric C.; Noble, Madison; Trinidad, Dennis R.; Moran, Meghan Bridgid; Carusi, Charles; Hyland, Andrew; Messer, Karen

doi:10.1542/peds.2016-3353

Cited by 91 publications

(113 citation statements)

References 30 publications

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“…This high level of awareness by adolescents may translate into increased susceptibility to use e-cigarettes and potentially cigarettes or other tobacco products, a topic that has been investigated in a separate paper. 34 Future waves of the PATH Study will provide the longitudinal data necessary to solidify our understanding of adolescent susceptibility, receptivity to marketing, and uptake of tobacco products.…”

Section: Discussionmentioning

confidence: 99%

Susceptibility to tobacco product use among youth in wave 1 of the population Assessment of tobacco and health (PATH) study

Trinidad

Pierce

Sargent³

et al. 2017

Preventive Medicine

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The purpose of this study was to investigate susceptibility and ever use of tobacco products among adolescents and young adults in the US. Cross-sectional analysis of Wave 1(2013–2014) adolescent (12–17 year-olds; n=13,651) and young adult (18–24 year-olds; n=9,112) data from the nationally-representative Population Assessment of Tobacco and Health (PATH) Study was conducted. At 12 years, 5% were ever tobacco users and 36% were susceptible to use. Seventy percent were susceptible at age 17 years, and the same proportion were ever users at age 22 years. Susceptibility levels were comparable for cigarettes and e-cigarette (28.6% and 27.4%, respectively), followed by hookah (22.0%), pipes (17.5%), cigars (15.2%), and smokeless tobacco (9.7%). Non-Hispanic (NH) Black (Adjusted Odds Ratio [ORadj]=1.36; 95% Confidence Limit [CL], 1.18–1.56) and Hispanic (ORadj=1.34: 95% CL,1.19–1.49) adolescent never- users were more likely to be susceptible to future use of a tobacco product than NH Whites. Susceptibility was higher with age (15–17 yrs vs 12–14 yrs: ORadj=1.69; 95% CL, 1.55–1.85) and parental education (college graduates vs less than HS education: ORadj=1.22, 95% CL, 1.08–1.39). Compared to exclusive users of hookah, cigars, or smokeless products, larger proportions of exclusive e-cigarette ever users were also susceptible to cigarette use. Among adolescents, lower levels of ever use of tobacco products are often counterbalanced by higher levels of susceptibility for future use, which may suggest delayed initiation in some groups. Ever users of a given tobacco product were more susceptible to use other tobacco products, putting them at risk for future multiple tobacco product use.

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Section: Discussionmentioning

confidence: 99%

Susceptibility to tobacco product use among youth in wave 1 of the population Assessment of tobacco and health (PATH) study

Trinidad

Pierce

Sargent³

et al. 2017

Preventive Medicine

Self Cite

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“…Our findings have important implications for interpretation of results from cross-sectional studies of older adolescents that use the susceptibility to cigarette index as a surrogate for future cigarette initiation (e.g., (Pierce et al, 2017; Trinidad et al, 2017)). Because the susceptibility to smoking index is unable to distinguish future smokers from non-smokers among youth who have used e-cigarettes, studies attempting to use the susceptibility index as a marker of future smoking should interpret results with caution.…”

Section: Discussionmentioning

confidence: 88%

Performance of cigarette susceptibility index among e-cigarette and hookah users

Barrington‐Trimis

Leventhal

Alonzo

et al. 2018

Drug and Alcohol Dependence

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“…It is worldwide recognized that pro-tobacco messages, including tobacco advertising and promotions in movies, magazines and other media [26]has an impact on promoting youth smoking. Tobacco industries take advantage of advertisements to arouse adolescents' interest in tobacco use [27], through shaping their perceptions of smoking norm, and perceived benefits and smoking risks [7]. Previous studies [28]showed that exposure to Point-of-sale (POS)promotion was associated with 1.6 and 1.3 times higher odds of experimental smoking and smoking susceptibility respectively among adolescents [10].…”

Section: Discussionmentioning

confidence: 99%

The Influence and Interaction of Tobacco-Related Information Exposure on Youth Smoking Behavior and Smoking Susceptibility: Sex and School Type Difference

Zhu¹,

Li²,

He³

et al. 2019

Preprint

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This study investigated the influence and interaction of tobacco promotional and control information with adolescents’ current smoking and smoking susceptibility. 12,278 students were recruited from junior, senior and vocational high schools located in Shanghai, China. The exposure to tobacco promotional and control message of participants over the past 30 days were examined, as well as current smoking and never smokers’ initiation susceptibility. Complex sample analysis was applied. Descriptive and multivariate logistic regressions were conducted. 89.3% and 91.5% of adolescents investigated were exposed to tobacco promotional and control message respectively, which separately increased and decreased the risk of current smoking and never-smokers’ smoking susceptibility, especially among males and junior high school students. The risk changed in consistency with the exposure level（Ptrend < 0.001）. Tobacco control message seemed to mitigate the influence of tobacco promotions in the risk of both current smoking (OR = 0.64, 95%CI: 0.41–0.99) and smoking susceptibility (OR = 0.65, 95%CI: 0.46–0.93). Tobacco-related message exposure was highly prevalent and associated with youth smoking risk and smoking susceptibility. It is important to enhance the comprehensiveness and enforcement of promotion bans. Given the improvement of tobacco control message on smoking risk brought by tobacco promotions, the publicity and dissemination of tobacco control information need to be consistently strengthened.

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Receptivity to Tobacco Advertising and Susceptibility to Tobacco Products

Abstract: BACKGROUND AND OBJECTIVES: Non-cigarette tobacco marketing is less regulated and may promote cigarette smoking among adolescents. We quantified receptivity to advertising for multiple tobacco products and hypothesized associations with susceptibility to cigarette smoking.

Cited by 91 publications

References 30 publications

Susceptibility to tobacco product use among youth in wave 1 of the population Assessment of tobacco and health (PATH) study

Susceptibility to tobacco product use among youth in wave 1 of the population Assessment of tobacco and health (PATH) study

Performance of cigarette susceptibility index among e-cigarette and hookah users

The Influence and Interaction of Tobacco-Related Information Exposure on Youth Smoking Behavior and Smoking Susceptibility: Sex and School Type Difference

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