Adolescents' interpretations of e-cigarette advertising and their engagement with e-cigarette information: results from five focus groups

Psychol Health. 2020 Feb;35(2):163-176. doi: 10.1080/08870446.2019.1652752. Epub 2019 Aug 16.

Abstract

Objective: The objective of this study is to explore adolescent non-e-cigarette users' interpretations of e-cigarette advertising and their engagement with e-cigarette information. Given adolescents' lack of persuasion knowledge and the association between advertising and behaviour, insights from non-users who are heavily targeted by the industry add evidence to a field that mainly focuses on risk perceptions and reasons for experimentation. Design: Five focus groups were conducted with 39 adolescents (mean = 14.21 years, age range = 12-17, 80% female). Data were analysed using the thematic approach. Results: Three themes were emerged: (1) advertising motivates nonsmokers to use e-cigarettes, (2) there is fascination with the technical and emotional appeals featured in commercials and (3) searching for information about e-cigarettes involves little validation. Adolescents also recalled health and social appeals that are consistent with content analysis of e-cigarette advertising. Further, adolescents used digital platforms and interpersonal sources for information on e-juice ingredients, health effects, accessibility, and price to satisfy their curiosity and justify their use. Very few, however, questioned the trustworthiness of the information. Conclusion: Findings provide support for the implementation of strategies, such as media literacy in public health and media campaigns, and the development of regulations vis-à-vis advertising and access to e-cigarette products to reduce future uptake.

Keywords: Adolescents; e-cigarette advertising; engagement with information; focus group; media literacy; regulations.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Advertising*
  • Child
  • Consumer Health Information / statistics & numerical data*
  • Electronic Nicotine Delivery Systems*
  • Female
  • Focus Groups
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male