Electronic cigarette marketing and smoking behaviour in adolescence: a cross-sectional study
The aim of this study was to investigate the association between exposure to electronic cigarette (e-cigarette) advertisements and use of e-cigarettes, combustible cigarettes and hookahs. A cross-sectional survey of 6902 German students (mean age 13.1 years, 51.3% male) recruited in six German state...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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European Respiratory Society
2018-11-01
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| Series: | ERJ Open Research |
| Online Access: | http://openres.ersjournals.com/content/4/4/00155-2018.full |
| _version_ | 1818288317003726848 |
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| author | Julia Hansen Reiner Hanewinkel Matthis Morgenstern |
| author_facet | Julia Hansen Reiner Hanewinkel Matthis Morgenstern |
| author_sort | Julia Hansen |
| collection | DOAJ |
| description | The aim of this study was to investigate the association between exposure to electronic cigarette (e-cigarette) advertisements and use of e-cigarettes, combustible cigarettes and hookahs. A cross-sectional survey of 6902 German students (mean age 13.1 years, 51.3% male) recruited in six German states was performed. Exposure to e-cigarette advertisements was measured with self-rated contact frequency to three advertising images. Multilevel mixed-effect logistic regression models were used to assess associations between exposure to e-cigarette advertisement and use of e-cigarettes, combustible cigarettes and hookahs (ever and past 30 days). Overall, 38.8% of the students were exposed to e-cigarette advertisements; ever-use of e-cigarettes was 21.7%, of combustible cigarettes was 21.8% and of hookahs was 23.2%, and poly-use of all three products was 12.4%. Exposure to e-cigarette advertisements was positively related to ever and past 30-day use of e-cigarettes, combustible cigarettes, hookahs and combined use. We concluded that a considerable number of German teenagers are exposed to e-cigarette advertisement. There was a clear exposure–behaviour link, indicating that advertising contact was associated with different kinds of “vaping” and also smoking behaviour. Although causal interpretation is not possible due to the cross-sectional design, findings raise concerns about the current tobacco control policies. |
| first_indexed | 2024-12-13T01:54:27Z |
| format | Article |
| id | doaj.art-9fddc1f9a7b44dc39def18c7ea23e278 |
| institution | Directory Open Access Journal |
| issn | 2312-0541 |
| language | English |
| last_indexed | 2024-12-13T01:54:27Z |
| publishDate | 2018-11-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | ERJ Open Research |
| spelling | doaj.art-9fddc1f9a7b44dc39def18c7ea23e2782022-12-22T00:03:26ZengEuropean Respiratory SocietyERJ Open Research2312-05412018-11-014410.1183/23120541.00155-201800155-2018Electronic cigarette marketing and smoking behaviour in adolescence: a cross-sectional studyJulia Hansen0Reiner Hanewinkel1Matthis Morgenstern2 Institute for Therapy and Health Research, Kiel, Germany Institute for Therapy and Health Research, Kiel, Germany Institute for Therapy and Health Research, Kiel, Germany The aim of this study was to investigate the association between exposure to electronic cigarette (e-cigarette) advertisements and use of e-cigarettes, combustible cigarettes and hookahs. A cross-sectional survey of 6902 German students (mean age 13.1 years, 51.3% male) recruited in six German states was performed. Exposure to e-cigarette advertisements was measured with self-rated contact frequency to three advertising images. Multilevel mixed-effect logistic regression models were used to assess associations between exposure to e-cigarette advertisement and use of e-cigarettes, combustible cigarettes and hookahs (ever and past 30 days). Overall, 38.8% of the students were exposed to e-cigarette advertisements; ever-use of e-cigarettes was 21.7%, of combustible cigarettes was 21.8% and of hookahs was 23.2%, and poly-use of all three products was 12.4%. Exposure to e-cigarette advertisements was positively related to ever and past 30-day use of e-cigarettes, combustible cigarettes, hookahs and combined use. We concluded that a considerable number of German teenagers are exposed to e-cigarette advertisement. There was a clear exposure–behaviour link, indicating that advertising contact was associated with different kinds of “vaping” and also smoking behaviour. Although causal interpretation is not possible due to the cross-sectional design, findings raise concerns about the current tobacco control policies.http://openres.ersjournals.com/content/4/4/00155-2018.full |
| spellingShingle | Julia Hansen Reiner Hanewinkel Matthis Morgenstern Electronic cigarette marketing and smoking behaviour in adolescence: a cross-sectional study ERJ Open Research |
| title | Electronic cigarette marketing and smoking behaviour in adolescence: a cross-sectional study |
| title_full | Electronic cigarette marketing and smoking behaviour in adolescence: a cross-sectional study |
| title_fullStr | Electronic cigarette marketing and smoking behaviour in adolescence: a cross-sectional study |
| title_full_unstemmed | Electronic cigarette marketing and smoking behaviour in adolescence: a cross-sectional study |
| title_short | Electronic cigarette marketing and smoking behaviour in adolescence: a cross-sectional study |
| title_sort | electronic cigarette marketing and smoking behaviour in adolescence a cross sectional study |
| url | http://openres.ersjournals.com/content/4/4/00155-2018.full |
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