Tobacco Marketing Receptivity and Other Tobacco Product Use Among Young Adult Bar Patrons

Abstract Introduction The decline in tobacco smoking among US adolescents has been exceeded by the exponential rise in nicotine vaping with an overall net gain in youth tobacco product use. While cigarette companies are restricted from advertising on television/radio, vaping promotions have been largely unrestricted. This study examined exposure to tobacco product promotions in a US sample of 1003 adolescents and its associations with product use and susceptibility to use. Aims and Methods Adolescents (13–17) were recruited online and anonymously surveyed in 2019 about their ever and current (past 30 days) tobacco smoking (cigarette and cigar) and nicotine vaping behaviors, and among never-users, susceptibility to vaping. Multivariate models tested associations with past-month exposure to tobacco product promotions controlling for demographic features, harm perceptions, and family and peer influences. Results Tobacco product use was 34% ever-use and 20% current-use. Most had seen cigarette (91%) and nicotine vaping (80%) product promotions in the past 30 days. A majority reported exposure at point-of-sale and on major (television and cinema) and social media. In adjusted multivariate models, greater exposure to tobacco product promotions was significantly associated with ever and current smoking and vaping; and among never-users, susceptibility to vaping (all p < .01, effect sizes 1.03–1.05). Family/peer use and attitudes also were significant correlates. Conclusions Tobacco product promotions remain ubiquitous and are significantly associated with adolescents’ tobacco product use and susceptibility to vape. Peers and family are important social influences and may reflect indirect channels of tobacco marketing. Stricter regulatory restrictions on tobacco marketing to young people are warranted. Implications This study adds to mounting evidence showing that tobacco marketing remains pervasive and is associated with tobacco use and susceptibility to use. Most youth report seeing cigarette and nicotine vaping product promotions, with notable differences by channel: traditional media predominate for cigarettes and social media/email for e-cigarettes. Greater exposure to tobacco promotions is significantly associated with ever and current smoking and vaping, and among never-users, susceptibility to vaping. The accumulating findings support stricter regulatory restrictions on marketing of tobacco products in media channels accessed by youth.

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Flavour types used by youth and adult tobacco users in wave 2 of the Population Assessment of Tobacco and Health (PATH) Study 2014–2015

Tobacco Control ◽

10.1136/tobaccocontrol-2018-054852 ◽

2019 ◽

pp. tobaccocontrol-2018-054852 ◽

Cited By ~ 2

Author(s):

Shyanika W Rose ◽

Amanda L Johnson ◽

Allison M Glasser ◽

Andrea C Villanti ◽

Bridget K Ambrose ◽

...

Keyword(s):

Young Adult ◽

Age Groups ◽

Tobacco Product ◽

Health Study ◽

Age Group ◽

Population Assessment ◽

Product Use ◽

Type 3

BackgroundMost youth and young adult (YA) tobacco users use flavoured products; however, little is known about specific flavours used.MethodsWe report flavour types among US tobacco users from the Population Assessment of Tobacco and Health Study, wave 2, 2014–2015. At wave 2, we examined (1) flavour use and type at past 30-day use; (2) new flavoured tobacco product use and type; (3) product-specific flavour patterns across youth (ages 12–17) (n=920), YA (18–24) (n=3726) and adult (25+) (n=10 346) past 30-day and new tobacco users and (4) concordance between self-coded and expert-coded brand flavour type among all adults (18+).ResultsPrevalence of flavoured tobacco product use was highest among youth, followed by YA and adult 25+ any tobacco users. Within each age group, flavoured use was greatest among hookah, e-cigarette and snus users. Overall, menthol/mint, fruit and candy/sweet were the most prevalent flavour types at first and past 30-day use across age groups. For past 30-day use, all flavour types except menthol/mint exhibited an inverse age gradient, with more prevalent use among youth and YAs, followed by adults 25+. Prevalence of menthol/mint use was high (over 50% youth, YAs; 76% adults 25+) and exhibited a positive age gradient overall, though the reverse for cigarettes. Brand-categorised and self-reported flavour use measures among adults 18+ were moderately to substantially concordant across most products.ConclusionsCommon flavours like menthol/mint, fruit and candy/sweet enhance appeal to young tobacco users. Information on flavour types used by product and age can inform tobacco flavour regulations to addess flavour appeal especially among youth.

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Other Tobacco Product Use Among Sexual Minority Young Adult Bar Patrons

American Journal of Preventive Medicine ◽

10.1016/j.amepre.2017.03.006 ◽

2017 ◽

Vol 53 (3) ◽

pp. 327-334 ◽

Cited By ~ 5

Author(s):

Amanda Fallin-Bennett ◽

Nadra E. Lisha ◽

Pamela M. Ling

Keyword(s):

Young Adult ◽

Sexual Minority ◽

Tobacco Product ◽

Product Use

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Marketing Exposure Recall is Associated With Past 30-Day Single, Dual, Polytobacco Use Among US Adolescents

Nicotine & Tobacco Research ◽

10.1093/ntr/nty114 ◽

2018 ◽

Vol 20 (suppl_1) ◽

pp. S55-S61 ◽

Cited By ~ 8

Author(s):

Dale S Mantey ◽

MeLisa R Creamer ◽

Keryn E Pasch ◽

Cheryl L Perry

Keyword(s):

High School Students ◽

Multinomial Logistic Regression ◽

Tobacco Product ◽

School Students ◽

Single Product ◽

Tobacco Products ◽

Tobacco Marketing ◽

Product Use ◽

Product Marketing ◽

The Relationship

Abstract Introduction This study assesses the relationship between tobacco/e-cigarette marketing exposure and single, dual, and polytobacco product use, among adolescents. Given the increased use of noncigarette tobacco products (eg, cigars, e-cigarettes, hookah) among youth, it is imperative to understand if marketing exposure is associated with dual and polytobacco product use. Methods Data were obtained from the 2014 National Youth Tobacco Survey and weighted to be representative of US middle and high school students. Multivariable multinomial logistic regression models were used to assess the relationships between product marketing (via internet, print, retail, and TV/movies) and past 30-day single, dual, and poly (three or more) tobacco product use. Three analyses were conducted using different categories as referent groups to allow for comprehensive examination of the relationships between all groups. Results Marketing exposure was significantly correlated with a greater risk of single, dual, and polytobacco product use relative to nonusers. Relative to single product users, product marketing exposure was significantly correlated with a greater relative risk of dual and polytobacco use. There was no statistical difference in the association of marketing exposure between dual and polytobacco use, in any model. Conclusion A positive relationship between tobacco product marketing exposure and number of tobacco products used was observed. The magnitude of the relationship grew from single product to dual/poly use. Restrictions of marketing of all tobacco products, similar to cigarettes, particularly in the retail setting, should be considered. Implications This study has two primary public health implications. First, self-reported exposure to tobacco/e-cigarette marketing is widespread among adolescents of all tobacco product categories. Second, this widespread exposure to tobacco/e-cigarette marketing appears to not only be correlated with use of a single tobacco product (eg, cigarettes, e-cigarettes), but also multiple tobacco products. While longitudinal studies are needed to further investigate the relationships observed in this study, findings justify further study given the known relationship between tobacco marketing exposure and subsequent cigarette use.

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Young Adult Tobacco and E-cigarette Use Transitions: Examining Stability Using Multistate Modeling

Nicotine & Tobacco Research ◽

10.1093/ntr/ntz030 ◽

2019 ◽

Vol 22 (5) ◽

pp. 647-654 ◽

Cited By ~ 5

Author(s):

Raymond Niaura ◽

Ilan Rich ◽

Amanda L Johnson ◽

Andrea C Villanti ◽

Alexa R Romberg ◽

...

Keyword(s):

Young Adults ◽

Young Adult ◽

State Transition ◽

Transition Probabilities ◽

Observation Interval ◽

National Sample ◽

Tobacco Product ◽

Product Use ◽

Youth And Young Adults

Abstract Introduction The objective of this study was to describe tobacco and nicotine product use state transition probabilities among youth and young adults over time. Methods A national sample of young adult tobacco product users and nonusers between the ages of 18 and 34 years at baseline was surveyed at 6-month intervals for 3 years. Use and nonuse states were defined as mutually exclusive categories based on self-reported, past 30-day use of the various products. Never use, noncurrent use, and current use of combustible, noncombustible tobacco, and electronic cigarette (e-cigarette) products was assessed at each interval. A multistate model was fit to estimate transition probabilities between states and length of stay within each state. Results After 6 months, same-state transition probabilities were high for all use states (0.76–0.96), except for dual product use (0.48). After 3 years, transition probabilities were smaller and tended to converge toward combustible product use for baseline e-cigarette (0.42), combustible (0.51), and dual product users (0.52). Age was inversely associated with transition risk from never or noncurrent use to use of combustible or e-cigarette products. Conclusions Never and noncurrent users, followed by combustible product users, were most likely to remain in those states throughout the 3-year observation interval. Users of any tobacco or e-cigarette product at baseline were most likely to transition to combustible product use or noncurrent use by the final follow-up. Implications This study describes the probability of transitioning between various states of tobacco product use, including never and no current use, over a span of 3 years in a sample of young adults. This type of longitudinal description, which includes all tobacco product use states, is lacking in most studies that tend to focus on one or only a few products. The results suggest that it is important to assess outcomes over a sufficiently long period to capture true variability in patterns of product use.

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