The role of socioeconomic status in the association between advertising exposure and electronic cigarette use among young adults in China: A moderated mediation analysis
Introduction Exposure to advertising is a determinant of electronic cigarette (e-cigarette) use among young adults. Few studies have explored the underlying mechanisms of advertising exposure on e-cigarette use among young Chinese adults. Methods An online survey was administered to a sample of 295...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2024-02-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | https://www.tobaccoinduceddiseases.org/The-role-of-socioeconomic-status-in-the-association-between-nadvertising-exposure,183801,0,2.html |
| _version_ | 1797231993788825600 |
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| author | Duo Yan Xiaoyang Lv Linnea Laestadius Fernando A. Wilson Miaoqing Yang Adam Martin Yang Wang |
| author_facet | Duo Yan Xiaoyang Lv Linnea Laestadius Fernando A. Wilson Miaoqing Yang Adam Martin Yang Wang |
| author_sort | Duo Yan |
| collection | DOAJ |
| description | Introduction
Exposure to advertising is a determinant of electronic cigarette
(e-cigarette) use among young adults. Few studies have explored the underlying
mechanisms of advertising exposure on e-cigarette use among young Chinese
adults.
Methods
An online survey was administered to a sample of 2956 young adults (aged
20–34 years) who were never smokers, from April to May 2022, in
China. Mediation analyses were used to test the mediating effects of curiosity and
harm perception, and moderated mediation models were conducted to examine
whether the relationships in mediation modeling vary across different levels of socioeconomic status (household income, education level, and residence).
Results
Greater advertising exposure was associated with a higher likelihood of
e-cigarette use (AOR=1.39; 95% CI: 1.26–1.54) and curiosity about e-cigarettes
(AOR=1.33; 95% CI: 1.25–1.42), and the latter mediated the association between advertising exposure and e-cigarette use (proportion mediated=26.9%; 95% CI: 15.8%–40.7%)
while harm
perception did not. Additionally, the effect of advertising exposure on curiosity
was moderated by household income (p=0.03) and residential area (p=0.001),
and was stronger among participants with lower socioeconomic status.
Conclusions
E-cigarette advertising may promote young adults’ experimentation
by increasing their curiosity towards the products. Socially disadvantaged groups
may be more susceptible to e-cigarette advertising. The study suggests that the
government should explore options for better regulation of e-cigarettes to prevent
initiation by never smokers and protect vulnerable populations. |
| first_indexed | 2024-04-24T15:53:13Z |
| format | Article |
| id | doaj.art-ff282795851f4270b61cfd2d8513675d |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-04-24T15:53:13Z |
| publishDate | 2024-02-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-ff282795851f4270b61cfd2d8513675d2024-04-01T10:14:53ZengEuropean PublishingTobacco Induced Diseases1617-96252024-02-0122February11210.18332/tid/183801183801The role of socioeconomic status in the association between advertising exposure and electronic cigarette use among young adults in China: A moderated mediation analysisDuo Yan0https://orcid.org/0000-0002-1151-2672Xiaoyang Lv1Linnea Laestadius2Fernando A. Wilson3Miaoqing Yang4Adam Martin5Yang Wang6https://orcid.org/0000-0002-5632-1909School of Public Health, Peking University, Beijing, ChinaSchool of Public Health, Peking University, Beijing, ChinaJoseph J. Zilber College of Public Health, University of Wisconsin - Milwaukee, Milwaukee, United StatesMatheson Center for Health Care Studies, University of Utah, Salt Lake City, United StatesLeeds Institute of Health Sciences, University of Leeds, Leeds, United KingdomLeeds Institute of Health Sciences, University of Leeds, Leeds, United KingdomChina Center for Health Development Studies, Peking University, Beijing, ChinaIntroduction Exposure to advertising is a determinant of electronic cigarette (e-cigarette) use among young adults. Few studies have explored the underlying mechanisms of advertising exposure on e-cigarette use among young Chinese adults. Methods An online survey was administered to a sample of 2956 young adults (aged 20–34 years) who were never smokers, from April to May 2022, in China. Mediation analyses were used to test the mediating effects of curiosity and harm perception, and moderated mediation models were conducted to examine whether the relationships in mediation modeling vary across different levels of socioeconomic status (household income, education level, and residence). Results Greater advertising exposure was associated with a higher likelihood of e-cigarette use (AOR=1.39; 95% CI: 1.26–1.54) and curiosity about e-cigarettes (AOR=1.33; 95% CI: 1.25–1.42), and the latter mediated the association between advertising exposure and e-cigarette use (proportion mediated=26.9%; 95% CI: 15.8%–40.7%) while harm perception did not. Additionally, the effect of advertising exposure on curiosity was moderated by household income (p=0.03) and residential area (p=0.001), and was stronger among participants with lower socioeconomic status. Conclusions E-cigarette advertising may promote young adults’ experimentation by increasing their curiosity towards the products. Socially disadvantaged groups may be more susceptible to e-cigarette advertising. The study suggests that the government should explore options for better regulation of e-cigarettes to prevent initiation by never smokers and protect vulnerable populations.https://www.tobaccoinduceddiseases.org/The-role-of-socioeconomic-status-in-the-association-between-nadvertising-exposure,183801,0,2.htmlelectronic cigaretteadvertisementssocioeconomic statusmoderated mediation |
| spellingShingle | Duo Yan Xiaoyang Lv Linnea Laestadius Fernando A. Wilson Miaoqing Yang Adam Martin Yang Wang The role of socioeconomic status in the association between advertising exposure and electronic cigarette use among young adults in China: A moderated mediation analysis Tobacco Induced Diseases electronic cigarette advertisements socioeconomic status moderated mediation |
| title | The role of socioeconomic status in the association between
advertising exposure and electronic cigarette use among
young adults in China: A moderated mediation analysis |
| title_full | The role of socioeconomic status in the association between
advertising exposure and electronic cigarette use among
young adults in China: A moderated mediation analysis |
| title_fullStr | The role of socioeconomic status in the association between
advertising exposure and electronic cigarette use among
young adults in China: A moderated mediation analysis |
| title_full_unstemmed | The role of socioeconomic status in the association between
advertising exposure and electronic cigarette use among
young adults in China: A moderated mediation analysis |
| title_short | The role of socioeconomic status in the association between
advertising exposure and electronic cigarette use among
young adults in China: A moderated mediation analysis |
| title_sort | role of socioeconomic status in the association between advertising exposure and electronic cigarette use among young adults in china a moderated mediation analysis |
| topic | electronic cigarette advertisements socioeconomic status moderated mediation |
| url | https://www.tobaccoinduceddiseases.org/The-role-of-socioeconomic-status-in-the-association-between-nadvertising-exposure,183801,0,2.html |
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