Disparities in self-reported exposure to tobacco marketing among youth and young adults from low-socioeconomic status neighbourhoods in Mexico City

ABSTRACTExposure to tobacco marketing is positively associated with smoking initiation and behaviours. There is limited literature examining disparities among reported exposure in low- and middle-income countries. This study sought to fill this gap with a survey among 1427 adolescents and 889 adult...

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Main Authors: Qinghua Nian, Graziele Grilo, Joanna E. Cohen, Katherine C. Smith, Luz Myriam Reynales-Shigematsu, Maria Guadalupe Flores Escartin, Meghan B. Moran
Format: Article
Language:English
Published: Taylor & Francis Group 2023-01-01
Series:Global Public Health
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/17441692.2022.2049346
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author Qinghua Nian
Graziele Grilo
Joanna E. Cohen
Katherine C. Smith
Luz Myriam Reynales-Shigematsu
Maria Guadalupe Flores Escartin
Meghan B. Moran
author_facet Qinghua Nian
Graziele Grilo
Joanna E. Cohen
Katherine C. Smith
Luz Myriam Reynales-Shigematsu
Maria Guadalupe Flores Escartin
Meghan B. Moran
author_sort Qinghua Nian
collection DOAJ
description ABSTRACTExposure to tobacco marketing is positively associated with smoking initiation and behaviours. There is limited literature examining disparities among reported exposure in low- and middle-income countries. This study sought to fill this gap with a survey among 1427 adolescents and 889 adult smokers in Mexico City in 2020. Data were analysed using chi-square and hierarchical regression models. Two-thirds of adolescents noticed cigarette pack displays in stores. Participants from low- and mid-socioeconomic status (SES) neighbourhoods were more exposed to tobacco marketing than their counterparts through several channels. After addressing the shared variance among participants from the same household nested in neighbourhood SES level and controlling for gender, adolescent non-smokers and adult smokers who noticed pack displays were more likely to be susceptible to smoking (OR = 1.8, 95% CI 1.4–2.4) and to smoke more (OR = 1.7, 95% CI 1.21–2.47); adult smokers who noticed tobacco marketing at more places were less likely to be certain about smoking risks (OR = 0.9, 95% CI 0.8–0.9). The results suggest that the tobacco industry targets youth and individuals from low-SES neighbourhoods through several channels. Greater exposure to tobacco marketing was associated with increased susceptibility to smoking and decreased risk perception. These findings support a comprehensive ban on tobacco marketing in Mexico.
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spelling doaj.art-4eee6571b07f4aacbae06fe84dbf25d32023-12-10T21:00:26ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062023-01-0118110.1080/17441692.2022.2049346Disparities in self-reported exposure to tobacco marketing among youth and young adults from low-socioeconomic status neighbourhoods in Mexico CityQinghua Nian0Graziele Grilo1Joanna E. Cohen2Katherine C. Smith3Luz Myriam Reynales-Shigematsu4Maria Guadalupe Flores Escartin5Meghan B. Moran6Department of Health, Behaviour & Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USADepartment of Health, Behaviour & Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USADepartment of Health, Behaviour & Society, Institute for Global Tobacco Control, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USADepartment of Health, Behaviour & Society, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USADepartamento de Prevención y Control de Tabaquismo, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, MéxicoDepartamento de Prevención y Control de Tabaquismo, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, MéxicoDepartment of Health, Behaviour & Society, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USAABSTRACTExposure to tobacco marketing is positively associated with smoking initiation and behaviours. There is limited literature examining disparities among reported exposure in low- and middle-income countries. This study sought to fill this gap with a survey among 1427 adolescents and 889 adult smokers in Mexico City in 2020. Data were analysed using chi-square and hierarchical regression models. Two-thirds of adolescents noticed cigarette pack displays in stores. Participants from low- and mid-socioeconomic status (SES) neighbourhoods were more exposed to tobacco marketing than their counterparts through several channels. After addressing the shared variance among participants from the same household nested in neighbourhood SES level and controlling for gender, adolescent non-smokers and adult smokers who noticed pack displays were more likely to be susceptible to smoking (OR = 1.8, 95% CI 1.4–2.4) and to smoke more (OR = 1.7, 95% CI 1.21–2.47); adult smokers who noticed tobacco marketing at more places were less likely to be certain about smoking risks (OR = 0.9, 95% CI 0.8–0.9). The results suggest that the tobacco industry targets youth and individuals from low-SES neighbourhoods through several channels. Greater exposure to tobacco marketing was associated with increased susceptibility to smoking and decreased risk perception. These findings support a comprehensive ban on tobacco marketing in Mexico.https://www.tandfonline.com/doi/10.1080/17441692.2022.2049346Tobacco industrycigarettespolicyglobal healthmiddle-income country
spellingShingle Qinghua Nian
Graziele Grilo
Joanna E. Cohen
Katherine C. Smith
Luz Myriam Reynales-Shigematsu
Maria Guadalupe Flores Escartin
Meghan B. Moran
Disparities in self-reported exposure to tobacco marketing among youth and young adults from low-socioeconomic status neighbourhoods in Mexico City
Global Public Health
Tobacco industry
cigarettes
policy
global health
middle-income country
title Disparities in self-reported exposure to tobacco marketing among youth and young adults from low-socioeconomic status neighbourhoods in Mexico City
title_full Disparities in self-reported exposure to tobacco marketing among youth and young adults from low-socioeconomic status neighbourhoods in Mexico City
title_fullStr Disparities in self-reported exposure to tobacco marketing among youth and young adults from low-socioeconomic status neighbourhoods in Mexico City
title_full_unstemmed Disparities in self-reported exposure to tobacco marketing among youth and young adults from low-socioeconomic status neighbourhoods in Mexico City
title_short Disparities in self-reported exposure to tobacco marketing among youth and young adults from low-socioeconomic status neighbourhoods in Mexico City
title_sort disparities in self reported exposure to tobacco marketing among youth and young adults from low socioeconomic status neighbourhoods in mexico city
topic Tobacco industry
cigarettes
policy
global health
middle-income country
url https://www.tandfonline.com/doi/10.1080/17441692.2022.2049346
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