Next Article in Journal
Faculty of Education Professors’ Perception about the Inclusion of University Students with Disabilities
Next Article in Special Issue
Integrating Self-Report and Psychophysiological Measures in Waterpipe Tobacco Message Testing: A Novel Application of Multi-Attribute Decision Modeling
Previous Article in Journal
Urbanization Affects Soil Microbiome Profile Distribution in the Russian Arctic Region
Previous Article in Special Issue
Longitudinal Impact of Depressive Symptoms and Peer Tobacco Use on the Number of Tobacco Products Used by Young Adults
Article

Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys

1
Division of Medical Oncology, Department of Internal Medicine, The Ohio State University College of Medicine, Columbus, OH 43214, USA
2
Center for Tobacco Research, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43214, USA
3
Division of Epidemiology, The Ohio State University College of Public Health, Columbus, OH 43210, USA
4
Division of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA 01605, USA
5
School of Communication, The Ohio State University College of Arts and Sciences, Columbus, OH 43210, USA
6
Division of Biostatistics, The Ohio State University College of Public Health, Columbus, OH 43210, USA
7
Division of Health Behavior and Health Promotion, The Ohio State University College of Public Health, Columbus, OH 43210, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(21), 11666; https://doi.org/10.3390/ijerph182111666
Received: 27 September 2021 / Revised: 1 November 2021 / Accepted: 3 November 2021 / Published: 6 November 2021
(This article belongs to the Special Issue Behavioral Research in Regulatory Tobacco Science)
Exposure to tobacco advertisements is associated with initiation of tobacco use among youth. The mechanisms underlying this association are less clear. We estimated longitudinal associations between youths’ cognitive and affective responses to advertisements for cigarettes, e-cigarettes, and smokeless tobacco (SLT) and initiation of these products. N = 1220 Ohio-residing boys of ages 11–16 were recruited into a cohort in 2015 and 2016. Participants completed surveys every six months for four years. Surveys assessed cognitive and affective responses to tobacco advertisements (which included health warnings) and tobacco use after an advertisement viewing activity. We used mixed-effects Poisson regression models with robust standard errors to estimate risk of initiating use of each tobacco product according to participants’ cognitive (i.e., memorability of health risks) and affective (i.e., likability of advertisement) responses to advertisements for that product. No associations between affective responses to advertisements and tobacco use outcomes were detected in adjusted models. However, finding health risks memorable was associated with reduced risk of ever smoking initiation (aRR = 0.57; 95% CI: 0.34, 0.95) and a reduced risk of ever SLT initiation that approached statistical significance (aRR = 0.61; 95% CI: 0.36, 1.05). Measures to increase saliency of health risks on cigarette and SLT advertisements might reduce use among youth. View Full-Text
Keywords: advertising; electronic cigarettes; cigarettes; smokeless tobacco; youth; longitudinal study advertising; electronic cigarettes; cigarettes; smokeless tobacco; youth; longitudinal study
MDPI and ACS Style

Keller-Hamilton, B.; Curran, H.; Stevens, E.M.; Slater, M.D.; Lu, B.; Roberts, M.E.; Ferketich, A.K. Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys. Int. J. Environ. Res. Public Health 2021, 18, 11666. https://doi.org/10.3390/ijerph182111666

AMA Style

Keller-Hamilton B, Curran H, Stevens EM, Slater MD, Lu B, Roberts ME, Ferketich AK. Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys. International Journal of Environmental Research and Public Health. 2021; 18(21):11666. https://doi.org/10.3390/ijerph182111666

Chicago/Turabian Style

Keller-Hamilton, Brittney, Hayley Curran, Elise M. Stevens, Michael D. Slater, Bo Lu, Megan E. Roberts, and Amy K. Ferketich. 2021. "Associations between Cognitive and Affective Responses to Tobacco Advertisements and Tobacco Use Incidence: A Four-Year Prospective Study among Adolescent Boys" International Journal of Environmental Research and Public Health 18, no. 21: 11666. https://doi.org/10.3390/ijerph182111666

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop