Exposure to tobacco websites: Associations with cigarette and e-cigarette use and susceptibility among adolescents |
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| Affiliation: | 1. University of Southern California Keck School of Medicine, United States;2. Miami University, United States;1. Schroeder Institute for Tobacco Research and Policy Studies at Truth Initiative, 900 G St NW, Fourth Floor, Washington, DC 20001, USA;2. Battelle Memorial Institute, 2111 Wilson Blvd, #1000, Arlington, VA 22201, USA;3. Department of Oncology, Georgetown University Medical Center, Cancer Prevention and Control Program, Georgetown Lombardi Comprehensive Cancer Center, 3800 Reservoir Road NW, Washington, DC 20057, USA;4. Department of Pediatrics, University of Oklahoma Health Sciences Center, 1200 Children''s Ave, Suite 14000, Oklahoma city, OK 73104, USA;5. Oklahoma Tobacco Research Center, University of Oklahoma Health Sciences Center, 655 Research Pkwy #400, Oklahoma City, OK 73104, USA;6. Vermont Center on Behavior and Health, Department of Psychiatry, University of Vermont College of Medicine, 1 South Prospect Street, MS 482, Burlington, VT 05401, USA;1. Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, United States;2. Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI, United States;3. Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI, United States;4. Department of Emergency Medicine, Rhode Island Hospital, Providence, RI, United States;1. Department of Health Behavior & Health Systems, School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, TX 76107, United States;2. Department of Biostatistics and Epidemiology, School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, TX 76107, United States;1. Cancer Prevention Program, University of Hawaii Cancer Center, 701 Ilalo Street, Room 528, Honolulu, HI 96816, USA;2. Cancer Control Program, Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756 |
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| Abstract: | IntroductionExposure to tobacco advertising is a risk factor for tobacco use and susceptibility among adolescents. Although tobacco company websites are ostensibly targeted to adults, some youth access these websites and are exposed to tobacco-related content.MethodsThis study analyzed data from the Population Assessment of Tobacco and Health (PATH) survey to estimate the prevalence of exposure to tobacco websites and the associations between website exposure and tobacco product use and susceptibility among adolescents in the United States.ResultsAlthough only 2.3% of youth had ever visited a tobacco company website, youth who visited tobacco company websites were 3.2 times more likely to have used cigarettes and 3.0 times more likely to have used e-cigarettes in the past month, relative to those who had not visited a tobacco website. Among never-users, those who had visited tobacco company websites were 2.4 times more likely to be susceptible to cigarettes and 2.9 times more likely to be susceptible to e-cigarettes.ConclusionsResults indicate that more effective regulations are needed to prevent youth from accessing tobacco websites. Stricter age verification procedures on websites could minimize exposure to tobacco websites by youth. |
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