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...
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MDPI AG
2021
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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) |
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advertising electronic cigarettes cigarettes smokeless tobacco youth longitudinal study Medicine R |
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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 |
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