The Effect of Exposure to Pro-Tobacco Advertising on Experimentation With Emerging Tobacco Products Among U.S. Adolescents

Health Educ Behav. 2014 Jun;41(3):275-80. doi: 10.1177/1090198113511817. Epub 2013 Dec 16.


Introduction: This study assessed the influence of exposure to pro-tobacco advertisements on experimentation with emerging tobacco products among U.S. adolescents aged ≥9 years, in Grades 6 to 12.

Method: Data were obtained from the 2011 National Youth Tobacco Survey. Multivariate logistic regression was used to measure the association between experimentation with snus and e-cigarettes and exposure to pro-tobacco advertisements from three sources: over the Internet, in newspapers/magazines, and at retail stores.

Results: After controlling for sociodemographic characteristics and current use of other tobacco products, the odds of experimenting with snus were 1.36 (95% confidence interval [CI] = 0.88-3.16), 2.03 (95% CI = 1.30-3.17), and 3.24 (95% CI = 2.07-5.07), among students exposed to one, two, or all three types of pro-tobacco advertisements, respectively, compared with those exposed to none. Similar results were obtained for e-cigarettes.

Conclusion: Stronger restrictions on tobacco advertisements, in concert with increased tobacco taxes and warning about the dangers of tobacco, use may help reduce youth tobacco use.

Keywords: adolescents; advertisements; electronic cigarettes; smokeless tobacco; snus; tobacco.

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Advertising*
  • Child
  • Electronic Nicotine Delivery Systems
  • Female
  • Humans
  • Internet
  • Male
  • Periodicals as Topic
  • Risk Factors
  • Tobacco Use / epidemiology*
  • Tobacco, Smokeless
  • United States / epidemiology