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Pfeiffer JA, Tompkins LK, Hart JL, Kesh A, Groom A, Vu THT, Ma JZ, Landry R, Payne TJ, Giachello AL, Robertson RM, Walker KL. Relationship between population characteristics, e-cigarette and tobacco-related perceptions, and likelihood of ever using e-cigarettes. Tob Prev Cessat 2020; 6:20. [PMID: 32548357 PMCID: PMC7291885 DOI: 10.18332/tpc/117477] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2019] [Revised: 01/25/2020] [Accepted: 01/26/2020] [Indexed: 01/22/2023]
Abstract
INTRODUCTION Electronic nicotine delivery systems (ENDS) are a relatively new type of nicotine-containing product that has risen greatly in use within the past decade, displacing conventional tobacco products as the dominant source of nicotine exposure by many groups. Among those impacted are large sections of US youth. Though health outcomes associated with ENDS use are still being assessed, several potential harms have been noted in the extant literature. The purpose of this study is to examine which US youth subpopulations are at greatest risk for ENDS ever use and how perceptions pertaining to nicotine-containing products relate to this risk. METHODS A nationwide online survey was administered to US youth ENDS users and non-users aged 13–18 years. A total weighted sample of 2501 participants was obtained. Statistical analyses included binomial logistic regression and a likelihood ratio test. RESULTS Of these youth, 1346 (53.8%) reported having ever used an ENDS product. Those most likely to have used ENDS were White males in their late teens. Those who reported ever using a conventional tobacco product were much more likely to have reported ever using ENDS (AOR= 19.96; 95% CI: 15.30–26.05). A number of perceptions related to nicotine-containing products, including product safety and health effects, were significantly associated with an increased likelihood of ENDS use. CONCLUSIONS Certain sections of the US youth population have elevated odds of being ENDS ever users. As increasing evidence supports the need to combat ENDS use by youth, effectively targeted education and prevention campaigns will be necessary.
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Affiliation(s)
- Jack A Pfeiffer
- Department of Epidemiology, University of Louisville, Louisville, United States.,Christina Lee Brown Envirome Institute, University of Louisville, Louisville, United States
| | - Lindsay K Tompkins
- Department of Epidemiology, University of Louisville, Louisville, United States
| | - Joy L Hart
- Christina Lee Brown Envirome Institute, University of Louisville, Louisville, United States.,Department of Communication, University of Louisville, Louisville, United States.,American Heart Association, Tobacco Regulation and Addiction Center, Dallas, United States
| | - Anshula Kesh
- American Heart Association, Tobacco Regulation and Addiction Center, Dallas, United States
| | - Allison Groom
- American Heart Association, Tobacco Regulation and Addiction Center, Dallas, United States
| | - Thanh-Huyen T Vu
- American Heart Association, Tobacco Regulation and Addiction Center, Dallas, United States.,Department of Preventative Medicine (Epidemiology), Feinberg School of Medicine, Northwestern University, Chicago, United States
| | - Jennie Z Ma
- American Heart Association, Tobacco Regulation and Addiction Center, Dallas, United States.,Division of Biostatistics, University of Virginia, Charlottesville, United States
| | - Robyn Landry
- American Heart Association, Tobacco Regulation and Addiction Center, Dallas, United States
| | - Thomas J Payne
- American Heart Association, Tobacco Regulation and Addiction Center, Dallas, United States.,Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, United States
| | - Aida L Giachello
- American Heart Association, Tobacco Regulation and Addiction Center, Dallas, United States.,Department of Preventative Medicine (Public Health Practice), Feinberg School of Medicine, Northwestern University, Chicago, United States
| | - Rose Marie Robertson
- American Heart Association, Tobacco Regulation and Addiction Center, Dallas, United States
| | - Kandi L Walker
- Christina Lee Brown Envirome Institute, University of Louisville, Louisville, United States.,Department of Communication, University of Louisville, Louisville, United States.,American Heart Association, Tobacco Regulation and Addiction Center, Dallas, United States
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Cruz TB, Rose SW, Lienemann BA, Byron MJ, Meissner HI, Baezconde-Garbanati L, Huang LL, Carroll DM, Soto C, Unger JB. Pro-tobacco marketing and anti-tobacco campaigns aimed at vulnerable populations: A review of the literature. Tob Induc Dis 2019; 17:68. [PMID: 31582956 PMCID: PMC6770621 DOI: 10.18332/tid/111397] [Citation(s) in RCA: 52] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2019] [Revised: 07/29/2019] [Accepted: 07/29/2019] [Indexed: 01/01/2023] Open
Abstract
INTRODUCTION We reviewed research literature on pro-tobacco marketing and anti-tobacco campaigns targeting eight vulnerable populations to determine key findings and research gaps. Results can inform tobacco policy and control efforts and the design of public education campaigns for these groups. METHODS Five journal databases in medicine, communication, and science, were used to identify 8875 peer-reviewed, original articles in English, published in the period 2004-2018. There were 144 articles that met inclusion criteria on pro-tobacco marketing or anti-tobacco campaigns aimed at eight US groups: women of reproductive age, racial/ethnic minority groups (African American, Hispanic/Latino, Asian/Pacific Islander and American Indian/Alaska Native), Lesbian/Gay/Bisexual/Transgender (LGBT) populations, groups with low socioeconomic status, rural/inner city residents, military/veterans, and people with mental health or medical co-morbidities. We summarized the number of articles for each population, type of tobacco, and pro-tobacco or anti-tobacco focus. Narrative summaries were organized by population and by pro-tobacco or anti-tobacco focus, with key strategies and gaps by group. RESULTS There were more studies on pro-tobacco marketing rather than anti-tobacco campaigns, and on cigarettes rather than other tobacco products. Major gaps included studies on Asian Americans, American Indian/Alaska Natives, pregnant women, LGBT populations, and those with mental health or medical co-morbidities. Gaps related to tobacco products were found for hookah, snus, and pipe/roll-your-own tobacco in the pro-tobacco studies, and for all products except cigarettes in anti-tobacco studies. Common tobacco industry methods used were tailoring of product and package design and messages that were used to reach and appeal to different sociodemographic groups. Studies varied by research design making it difficult to compare results. CONCLUSIONS We found major research gaps for specific groups and tobacco products. Public education campaigns need a stronger foundation in empirical studies focused on these populations. Research and practice would benefit from studies that permit comparisons across studies.
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Affiliation(s)
- Tess Boley Cruz
- Keck School of Medicine, University of Southern California, Los Angeles, United States
| | - Shyanika W Rose
- Truth Initiative Schroeder Institute, Washington, United States.,Center for Health Equity Transformation and Behavioral Science, University of Kentucky College of Medicine, Lexington, United States
| | - Brianna A Lienemann
- Keck School of Medicine, University of Southern California, Los Angeles, United States.,Moores Cancer Center, University of California San Diego, San Diego, United States
| | - M Justin Byron
- Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, United States
| | - Helen I Meissner
- Office of Disease Prevention, National Institutes of Health, Bethesda, United States
| | | | - Li-Ling Huang
- Global Health and Health Security, Taipei Medical University, Taipei, Taiwan
| | - Dana M Carroll
- Masonic Cancer Center, University of Minnesota, Minneapolis, United States
| | - Claradina Soto
- Keck School of Medicine, University of Southern California, Los Angeles, United States
| | - Jennifer B Unger
- Keck School of Medicine, University of Southern California, Los Angeles, United States
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