scholarly journals Exploring How Social Media Exposure and Interactions Are Associated With ENDS and Tobacco Use in Adolescents From the PATH Study

2020 ◽  
Author(s):  
Patricia Cavazos-Rehg ◽  
Xiao Li ◽  
Erin Kasson ◽  
Nina Kaiser ◽  
Jacob T Borodovsky ◽  
...  
Keyword(s):  
Public Health ◽  
Social Media ◽  
Tobacco Use ◽  
Tobacco Product ◽  
Media Content ◽  
Tobacco Prevention ◽  
Logistic Regression Models ◽  
Prevention Messages ◽  
A Current

Abstract Introduction Tobacco use is a current public health epidemic that puts individuals at risk for many health conditions and diseases, and adolescents are at high risk for the initiation and persistence of tobacco use behaviors partly due to engagement with social media content. The objective of this study is to examine the association between engaging in social media behaviors and patterns of electronic nicotine delivery systems (ENDS) and tobacco use at a 1-year follow-up among 11 279 adolescents from the PATH study. Methods Five social media variables were questioned at Wave 2 and then compared to ENDS and tobacco status transitions (i.e., initiation, persistence, and escalation) at a 1-year follow-up, respectively. Survey-weighted multivariable logistic regression models were used to calculate adjusted odds ratios and 95% confidence interval. Results Passive behaviors on social media were related to higher likelihoods of starting to use ENDS and other tobacco products. Additionally, active behaviors on social media were related to higher likelihoods for the initiation and persistence of tobacco use. In particular, sending tobacco content to other users was further associated with a higher likelihood of escalation of tobacco product use. Discussion Both exposure to and interactions with social media tobacco content had a significant impact on the patterns of ENDS and tobacco use in adolescents. Due to the amount of time adolescents spend engaging with online content, social media may be a critical place in which to intervene, possibly with the use of antitobacco or tobacco prevention messages. Implications The results of this study have implications for public health and the policies surrounding adolescents and their exposure to social media. Reducing the ENDS and tobacco content to which adolescents are exposed has the potential to decrease the instances of initiation and persistence of ENDS and tobacco use. Intervening on social media may prevent or slow the progression of ENDS and tobacco use, and increase motivation and actions toward the cessation of tobacco use in adolescents.

scholarly journals Blunt and Non-Blunt Cannabis Use and Risk of Subsequent Combustible Tobacco Product Use Among Adolescents

2019 ◽  
Vol 22 (8) ◽  
pp. 1409-1413 ◽  
Author(s):  
Margaret E Mayer ◽  
Grace Kong ◽  
Jessica L Barrington-Trimis ◽  
Rob McConnell ◽  
Adam M Leventhal ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Regression Models ◽  
Tobacco Product ◽  
Cannabis Use ◽  
Tobacco Prevention ◽  
Tobacco Products ◽  
Total N ◽  
Logistic Regression Models ◽  
Product Use

Abstract Introduction Cannabis—including blunts (cannabis rolled in tobacco-containing cigar casing) —is commonly the first substance used among adolescents and may increase the likelihood of subsequent initiation of combustible tobacco products. Aims and Methods Data were pooled from two prospective studies of adolescents in California and Connecticut (total N = 4594). Logistic regression models assessed the association of baseline ever blunt use and ever non-blunt cannabis use (vs. never cannabis use) with subsequent initiation of any combustible tobacco-only product (ie, cigarettes, cigars, or cigarillos) by 1-year follow-up after adjustment for demographic characteristics and other tobacco product use at baseline. We also assessed whether estimates differed by prior e-cigarette or hookah use at baseline. Results Among never combustible tobacco-only product users (N = 2973), 221 (7.4%) had ever used a blunt and 114 (3.8%) had ever used only non-blunt cannabis at baseline. Blunt use (adjusted odds ratio [AOR] = 1.98, 95% confidence interval [CI]: 1.30 to 3.01) and non-blunt cannabis use (AOR = 2.38, 95% CI: 1.41 to 4.00) were independently associated with greater odds of combustible tobacco-only product initiation by follow-up. Among those who had not tried e-cigarettes or who had not tried hookah, blunt use and non-blunt cannabis use were associated with significantly increased odds of combustible tobacco product initiation; among those who had tried e-cigarettes or hookah, the association was not significant. Conclusions We found blunt and non-blunt cannabis use to be associated with subsequent combustible tobacco-only product initiation, particularly among adolescents who had not also tried other products containing nicotine. Implications Adolescent-focused tobacco prevention efforts should consider incorporating cannabis products, including blunts. More research is needed to understand how blunt use and cannabis use more broadly are associated with initiation of tobacco products.

scholarly journals Keeping It Fresh With Hip-Hop Teens: Promising Targeting Strategies for Delivering Public Health Messages to Hard-to-Reach Audiences

2020 ◽  
Vol 21 (1_suppl) ◽  
pp. 61S-71S ◽  
Author(s):  
Merrybelle Guo ◽  
Ollie Ganz ◽  
Brian Cruse ◽  
Mario Navarro ◽  
Dana Wagner ◽  
...  
Keyword(s):  
Social Media ◽  
Tobacco Use ◽  
Asian American ◽  
Hip Hop ◽  
Target Population ◽  
Tobacco Prevention ◽  
Public Education Campaign ◽  
Prevention Messages ◽  
Minimum Number ◽  
High Engagement

Despite overall declines in youth cigarette use, tobacco use inequities exist by race/ethnicity. Health communication campaigns can be effective in changing tobacco-related attitudes, intentions, and behaviors and can be used to address tobacco use inequities by targeting young people who are at high risk for tobacco use. In 2015, the U.S. Food and Drug Administration launched Fresh Empire, the first tobacco public education campaign designed to reach primarily African American, Hispanic, and/or Asian American/Pacific Islander youth ages 12 to 17 years who identify with the Hip-Hop peer crowd. This article presents an overview of two targeting strategies—(a) influencers on social media and (b) paid digital and social media advertisements—that Fresh Empire uses to reach its audience and increase message credibility that can inform future campaigns targeting hard-to-reach populations. These strategies help the campaign expand its reach, be authentic, and increase engagement with the target audience. Microinfluencers are selected for their alignment with Hip-Hop values and high engagement rates; local influencers are teens recruited to promote the campaign in their communities; and digital and social ads are purchased with a minimum number of in-target guaranteed impressions. Across both strategies, metrics have met or exceeded expectations, including a sentiment analysis that revealed 87.3% of comments on microinfluencer posts were positive. Initial findings suggest that the tobacco prevention messages have reached the target population and resonated positively, which may help to increase message credibility and improve receptivity to tobacco prevention messages.

scholarly journals Worksite Tobacco Prevention: A Randomized, Controlled Trial of Adoption, Dissemination Strategies, and Aggregated Health-Related Outcomes across Companies

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Verena Friedrich ◽  
Adrian Brügger ◽  
Georg F. Bauer
Keyword(s):  
Public Health ◽  
Longitudinal Design ◽  
Controlled Trial ◽  
Mass Scale ◽  
Tobacco Prevention ◽  
Dissemination Strategy ◽  
Health Measures ◽  
Health Related ◽  
Randomized Control

Evidence based public health requires knowledge about successful dissemination of public health measures. This study analyses (a) the changes in worksite tobacco prevention (TP) in the Canton of Zurich, Switzerland, between 2007 and 2009; (b1) the results of a multistep versus a “brochure only” dissemination strategy; (b2) the results of a monothematic versus a comprehensive dissemination strategy that aim to get companies to adopt TP measures; and (c) whether worksite TP is associated with health-related outcomes. A longitudinal design with randomized control groups was applied. Data on worksite TP and health-related outcomes were gathered by a written questionnaire (baselinen=1627; follow-upn=1452) and analysed using descriptive statistics, nonparametric procedures, and ordinal regression models. TP measures at worksites improved slightly between 2007 and 2009. The multistep dissemination was superior to the “brochure only” condition. No significant differences between the monothematic and the comprehensive dissemination strategies were observed. However, improvements in TP measures at worksites were associated with improvements in health-related outcomes. Although dissemination was approached at a mass scale, little change in the advocated adoption of TP measures was observed, suggesting the need for even more aggressive outreach or an acceptance that these channels do not seem to be sufficiently effective.

scholarly journals Establishing the Predictive Validity of Intentions to Smoke Among Preadolescents and Adolescents Surviving Cancer

2010 ◽  
Vol 28 (3) ◽  
pp. 431-436 ◽  
Author(s):  
James L. Klosky ◽  
Vida L. Tyc ◽  
Ashley Hum ◽  
Shelly Lensing ◽  
Joanna Buscemi ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Childhood Cancer ◽  
Predictive Validity ◽  
Tobacco Use ◽  
Smoking Status ◽  
Significant Proportion ◽  
High Risk Group ◽  
Tobacco Prevention ◽  
Tobacco Initiation

Purpose A significant proportion of adults surviving childhood cancer are smokers. Although these estimated rates of smoking are slightly lower than those in the US population, they remain alarmingly high for this high-risk group. The purpose of this study was to examine the predictive validity of adolescent self-reported smoking intentions for later smoking among childhood cancer survivors. Patients and Methods Baseline tobacco intentions were collected from 119 nonsmoking cancer survivors, age 10 to 18 years, who participated in a tobacco-based clinical trial during the late 1990s. Follow-up smoking status was systematically collected annually up to 10 years postintervention (median follow-up, 6.0 years; interquartile range, 3.0 to 6.9 years) as part of clinical survivorship care. Results Twenty-seven participants (22.7%) subsequently initiated tobacco use within 5 years of study enrollment. The 5-year cumulative incidence was 29.8% ± 6.0% for those who were susceptible to smoking compared with 12.8% ± 5.4% for those who were committed never smokers (P = .022). Past use (P < .001) and having friends who smoked (P = .038) were also associated (univariate model) with tobacco initiation, and there was a trend for an association for older adolescents (P = .073). Every unit increase on the intentions scale was associated with a 17% increase in the risk for tobacco initiation (P = .002) after adjusting for age group and past tobacco use in a multivariable model. Conclusion Because early intentions to smoke are predictive of later tobacco use, survivors as young as 10 years of age who waver in their commitment to remain tobacco abstinent should be targeted for tobacco prevention interventions.

scholarly journals Electronic cigarettes: the solution or yet another phase of the tobacco epidemic?

2018 ◽  
Vol 49 (2) ◽  
pp. 199-205
Author(s):  
Catherine O Egbe ◽  
Charles DH Parry ◽  
Bronwyn Myers
Keyword(s):  
Public Health ◽  
Tobacco Use ◽  
Electronic Cigarettes ◽  
Tobacco Product ◽  
World Health ◽  
Global Public Health ◽  
Negative Consequences ◽  
Tobacco Products ◽  
Tobacco Epidemic ◽  
The Individual

Tobacco use is the single largest preventable cause of death globally. For years, the tobacco industry sought to create a tobacco product that is less controversial than conventional cigarettes. Electronic cigarettes were created out of the supposed need to supply consumers of tobacco products with a less harmful tobacco product. The question remains, is it really less harmful for consumers of traditional cigarettes and other tobacco products to switch to electronic cigarettes? This article takes a closer look at the overall harm in relation to benefits of using electronic cigarettes for the individual and public health and the unintended negative consequences the introduction of electronic cigarette has had on overall public health. Given the evidence that the use of electronic cigarettes is a gateway to the use of other tobacco products especially among adolescents, we view electronic cigarettes as having the potential to cause a rebound of the tobacco use glut which the global public health community has been succeeding in reversing. We therefore support the World Health Organization’s suggestion that electronic cigarettes should be regulated as other tobacco products since there is, as yet, no harmless tobacco product. In the same vein, we view the new Tobacco Products and Electronic Delivery Systems Bill seeking to regulate electronic cigarettes in South Africa as other tobacco products as a step in the right direction.

scholarly journals How to create public health Facebook posts based on Motivational Interviewing a pproach ?

2021 ◽  
Author(s):  
Dávid Pócs
Keyword(s):  
Public Health ◽  
Social Media ◽  
Motivational Interviewing ◽  
Control Group ◽  
Media Content ◽  
Tobacco Use Cessation ◽  
Change Talk ◽  
Public Health Professionals ◽  
Rate Building ◽  
Insight Into

Objective: This research aimed at identifying which types of social media content could achieve higher engagement rate and encourage smokers' motivational language. Intervention contents were classified according to motivational interviewing (MI) strategies. Methods: We categorized the included 701 Facebook posts (N=701) into five different groups according to specific MI strategies. Entertaining and informative strategies were in the control group. Facebook users’ interactions were the primary outcomes (engagement rate, negative feedback, and fan-total reach ratio). The comments reflecting smokers’ motivational language were the secondary outcomes (change talk and sustain talk). Results:MI strategies achieved significantly higher engagement rate, higher fan-total reach ratio, and evoked more change talk. “Elaborating change talk” strategies elicited considerably more change talk. “Affirming change talk” strategies obtained higher fan-total reach ratio and generated significantly more change talk. “Relational MI” strategies achieved significantly higher engagement rate. Conclusions: This study offers an important insight into the Facebook post creating for public health professionals who design Facebook-based interventions. These MI strategies can increase the engagement rate: ”Building Partnership” and ”Expressing Empathy”. These MI strategies can reach more fans: ”Affirming Change Talk” and ”Reflecting Change Talk” strategies. Finally, these MI strategies can support smoking cessation: ”Elaborating Change Talk” and ”Affirming Change Talk” strategies. Source: Pócs D, Óvári T, Watti J, Hamvai Cs, Kelemen O. How to create social media contents based on Motivational Interviewing approach to support tobacco use cessation? A content analysis. Journal of Substance Use 2021; DOI: 10.1080/14659891.2021.1967484. [Full preprint with appendix is available at ResearchGate.]

scholarly journals Social Media Behaviors and Experiences During the COVID-19 Pandemic: Associations With Anxiety, Depression, and Stress

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
J. Mitchell Vaterlaus ◽  
Lori A. Spruance ◽  
Emily V. Patten
Keyword(s):  
Public Health ◽  
Social Media ◽  
The United States ◽  
Media Content ◽  
Snowball Sampling ◽  
Emotional Experiences ◽  
Online Surveys ◽  
Social Media Platforms ◽  
Forward Stepwise ◽  
Anxiety Depression

The majority of research concerning public health crises and social media platforms has focused on analyzing the accuracy of information within social media posts. The current exploratory study explored social media users’ specific social media behaviors and experiences during the early weeks of the COVID-19 pandemic and whether these behaviors and experiences related to anxiety, depression, and stress. Data were collected March 21–31, 2020 from adults in the United States (<em>N</em> = 564) through snowball sampling on social media sites and Prime Panels. Online surveys included questions regarding social media use during the pandemic and the Depression Anxiety and Stress Scales (DASS). Forward stepwise modeling procedures were used to build three models for anxiety, stress, and depression. Participants who actively engaged with COVID-19 social media content were more likely to experience higher anxiety. Those who had emotional experiences via social media and used social media to connect during the pandemic were susceptible to higher levels of stress and depression. The current study suggests that during the pandemic specific behaviors and experiences via social media were related to anxiety, stress, and depression. Thus, limiting time spent on social media during public health crises may protect the mental health of individuals.

scholarly journals Heat-not-burn Tobacco Products and the Increased Risk for Poly-tobacco Use

2021 ◽  
Vol 45 (1) ◽  
pp. 195-204
Author(s):  
Pallav Pokhrel ◽  
Thaddeus A. Herzog ◽  
Crissy T. Kawamoto ◽  
Pebbles Fagan
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Tobacco Use ◽  
Tobacco Product ◽  
Dual Use ◽  
Cigarette Smokers ◽  
Product Use ◽  
Increased Risk ◽  
Current Cigarette

Objectives: In this study, we tested the use of ecigarette, cigarette, and dual use of both as predictors of heat-not-burn (HNB) tobacco product use onset among young adults, and examined common predictors of smoking cessation as predictors of HNB product use. Methods: We collected data from 2229 young adults [mean age = 21.1 (SD = 2.1); 55% women] in Hawaii, at 2 time-points 6 months apart. Results: Current cigarette-only use was the strongest concurrent predictor of HNB product use, followed by dual use, and ecigarette-only use. Among HNB product never users at Wave 1, dual and ecigarette-only use at Wave 1 significantly predicted HNB product use onset at Wave 2. Among cigarette smokers who had never used an HNB product at Wave 1, current use of ecigarette for help with smoking cessation predicted increased odds of HNB product use at 6-month follow-up. Conclusions: Although promoted as a safer alternative for exclusive cigarette smokers, HNB products may increase the risk of dual or poly-tobacco product use among young adults, including current exclusive e-cigarette users. Surveillance of HNB product use as a modified risk tobacco product may need to consider the effects of HNB products on poly-tobacco use among young people.

Addictions: Tobacco

2013 ◽  
Author(s):  
Mansoo Yu ◽  
Rachel Fischer
Keyword(s):  
Public Health ◽  
Social Workers ◽  
Tobacco Use ◽  
Geographic Location ◽  
The United States ◽  
Screening Tools ◽  
Health Concern ◽  
Sociocultural Factors ◽  
Tobacco Prevention ◽  
United States Intervention

Tobacco use is a major public-health concern in the United States. Intervention and prevention strategies for tobacco use are an urgent public-health priority because tobacco use is the single most preventable cause of death. To help social workers better understand tobacco use problems, this entry presents an overview, including definitions of terms, the scope and impact of tobacco use problems in terms of different segments of the population (that is, age, gender, race or ethnicity, geographic location, and education level or socioeconomic status), etiology of tobacco use (for example, biological or genetic; psychiatric; psychosocial; or environmental or sociocultural factors), policy history, tobacco prevention, clinical issues (such as cessation desire, treatment and success, or screening tools for tobacco use disorder and tobacco withdrawal), and practice interventions for tobacco use problems. Based on the information, the roles of social workers will be addressed.

Tobacco and Marijuana Co-use Behaviors among Cigarillo Users

2020 ◽  
Vol 6 (5) ◽  
pp. 306-317
Author(s):  
Elizabeth L. Albert ◽  
Karen J. Ishler ◽  
Rachel Perovsek ◽  
Erika S. Trapl ◽  
Susan A. Flocke
Keyword(s):  
Social Media ◽  
Linear Regression ◽  
Nicotine Dependence ◽  
Tobacco Use ◽  
Tobacco Product ◽  
Cross Sectional ◽  
Web Based ◽  
Simultaneous Use ◽  
Close Temporal Proximity ◽  
Smoking Marijuana

Objectives: In this study, we examine the frequency of 'simultaneous use' (smoking tobacco in close temporal proximity to smoking marijuana) and substitution (smoking a cigarillo in place of a marijuana blunt – a cigar wrapper filled with marijuana) and their association with nicotine dependence (ND) among young cigarillo users. Methods: The sample consisted of 686 cigarillo and blunt co-users who responded to a cross-sectional, Web-based survey of 14-28-year-olds recruited via social media. We used bivariate analyses and multiple linear regression to examine the association of simultaneous use and substitution with participant demographics, tobacco product use, marijuana use, and ND. Results: Most users reported simultaneous use (72.4%) and substitution (67.9%). Chasing was the most common form of simultaneous use (63%). Simultaneous users were more likely to use tobacco daily and to smoke cigarettes, and reported a lower age of initiation to marijuana and tobacco than non-simultaneous users. The most common reason for substituting (73%) was the lack of availability of marijuana. Both practices were strongly and independently associated with greater ND, adjusting for covariates. Conclusions: Simultaneous use and substitution are common co-use behaviors among cigarillo users, and may play a role in promoting increased tobacco use and nicotine dependence.

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