Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys

Exposure to tobacco advertisements is associated with initiation of tobacco use among youth. The mechanisms underlying this association are less clear. We estimated longitudinal associations between youths’ cognitive and affective responses to advertisements for cigarettes, e-cigarettes, and smokele...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Brittney Keller-Hamilton, Hayley Curran, Elise M. Stevens, Michael D. Slater, Bo Lu, Megan E. Roberts, Amy K. Ferketich
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
Materias:
R
Acceso en línea:https://doaj.org/article/be399a8bda8440c6b422473cad1ef073
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:be399a8bda8440c6b422473cad1ef073
record_format dspace
spelling oai:doaj.org-article:be399a8bda8440c6b422473cad1ef0732021-11-11T16:45:42ZAssociations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys10.3390/ijerph1821116661660-46011661-7827https://doaj.org/article/be399a8bda8440c6b422473cad1ef0732021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11666https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Exposure to tobacco advertisements is associated with initiation of tobacco use among youth. The mechanisms underlying this association are less clear. We estimated longitudinal associations between youths’ cognitive and affective responses to advertisements for cigarettes, e-cigarettes, and smokeless tobacco (SLT) and initiation of these products. <i>N</i> = 1220 Ohio-residing boys of ages 11–16 were recruited into a cohort in 2015 and 2016. Participants completed surveys every six months for four years. Surveys assessed cognitive and affective responses to tobacco advertisements (which included health warnings) and tobacco use after an advertisement viewing activity. We used mixed-effects Poisson regression models with robust standard errors to estimate risk of initiating use of each tobacco product according to participants’ cognitive (i.e., memorability of health risks) and affective (i.e., likability of advertisement) responses to advertisements for that product. No associations between affective responses to advertisements and tobacco use outcomes were detected in adjusted models. However, finding health risks memorable was associated with reduced risk of ever smoking initiation (aRR = 0.57; 95% CI: 0.34, 0.95) and a reduced risk of ever SLT initiation that approached statistical significance (aRR = 0.61; 95% CI: 0.36, 1.05). Measures to increase saliency of health risks on cigarette and SLT advertisements might reduce use among youth.Brittney Keller-HamiltonHayley CurranElise M. StevensMichael D. SlaterBo LuMegan E. RobertsAmy K. FerketichMDPI AGarticleadvertisingelectronic cigarettescigarettessmokeless tobaccoyouthlongitudinal studyMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11666, p 11666 (2021)
institution DOAJ
collection DOAJ
language EN
topic advertising
electronic cigarettes
cigarettes
smokeless tobacco
youth
longitudinal study
Medicine
R
spellingShingle advertising
electronic cigarettes
cigarettes
smokeless tobacco
youth
longitudinal study
Medicine
R
Brittney Keller-Hamilton
Hayley Curran
Elise M. Stevens
Michael D. Slater
Bo Lu
Megan E. Roberts
Amy K. Ferketich
Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys
description Exposure to tobacco advertisements is associated with initiation of tobacco use among youth. The mechanisms underlying this association are less clear. We estimated longitudinal associations between youths’ cognitive and affective responses to advertisements for cigarettes, e-cigarettes, and smokeless tobacco (SLT) and initiation of these products. <i>N</i> = 1220 Ohio-residing boys of ages 11–16 were recruited into a cohort in 2015 and 2016. Participants completed surveys every six months for four years. Surveys assessed cognitive and affective responses to tobacco advertisements (which included health warnings) and tobacco use after an advertisement viewing activity. We used mixed-effects Poisson regression models with robust standard errors to estimate risk of initiating use of each tobacco product according to participants’ cognitive (i.e., memorability of health risks) and affective (i.e., likability of advertisement) responses to advertisements for that product. No associations between affective responses to advertisements and tobacco use outcomes were detected in adjusted models. However, finding health risks memorable was associated with reduced risk of ever smoking initiation (aRR = 0.57; 95% CI: 0.34, 0.95) and a reduced risk of ever SLT initiation that approached statistical significance (aRR = 0.61; 95% CI: 0.36, 1.05). Measures to increase saliency of health risks on cigarette and SLT advertisements might reduce use among youth.
format article
author Brittney Keller-Hamilton
Hayley Curran
Elise M. Stevens
Michael D. Slater
Bo Lu
Megan E. Roberts
Amy K. Ferketich
author_facet Brittney Keller-Hamilton
Hayley Curran
Elise M. Stevens
Michael D. Slater
Bo Lu
Megan E. Roberts
Amy K. Ferketich
author_sort Brittney Keller-Hamilton
title Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys
title_short Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys
title_full Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys
title_fullStr Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys
title_full_unstemmed Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys
title_sort associations between cognitive and affective responses to tobacco advertisements and tobacco use incidence: a four-year prospective study among adolescent boys
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/be399a8bda8440c6b422473cad1ef073
work_keys_str_mv AT brittneykellerhamilton associationsbetweencognitiveandaffectiveresponsestotobaccoadvertisementsandtobaccouseincidenceafouryearprospectivestudyamongadolescentboys
AT hayleycurran associationsbetweencognitiveandaffectiveresponsestotobaccoadvertisementsandtobaccouseincidenceafouryearprospectivestudyamongadolescentboys
AT elisemstevens associationsbetweencognitiveandaffectiveresponsestotobaccoadvertisementsandtobaccouseincidenceafouryearprospectivestudyamongadolescentboys
AT michaeldslater associationsbetweencognitiveandaffectiveresponsestotobaccoadvertisementsandtobaccouseincidenceafouryearprospectivestudyamongadolescentboys
AT bolu associationsbetweencognitiveandaffectiveresponsestotobaccoadvertisementsandtobaccouseincidenceafouryearprospectivestudyamongadolescentboys
AT meganeroberts associationsbetweencognitiveandaffectiveresponsestotobaccoadvertisementsandtobaccouseincidenceafouryearprospectivestudyamongadolescentboys
AT amykferketich associationsbetweencognitiveandaffectiveresponsestotobaccoadvertisementsandtobaccouseincidenceafouryearprospectivestudyamongadolescentboys
_version_ 1718432263006322688