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Real-Time Context of Tobacco Marketing Exposure and Community Vulnerability-An Ecological Momentary Assessment Among Young Adults.

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Title: Real-Time Context of Tobacco Marketing Exposure and Community Vulnerability-An Ecological Momentary Assessment Among Young Adults.
Authors: Chen-Sankey, Julia C (AUTHOR), van de Venne, Judy (AUTHOR), Westneat, Susan (AUTHOR), Rahman, Basmah (AUTHOR), Folger, Shanell (AUTHOR), Anesetti-Rothermel, Andrew (AUTHOR), Debnam, Charles (AUTHOR), Ribisl, Kurt M (AUTHOR), Cohn, Amy (AUTHOR), Rose, Shyanika W (AUTHOR)
Source: Annals of Behavioral Medicine. Jun2022, Vol. 56 Issue 6, p620-631. 12p.
Subjects: Young adults, Poor communities, Ecological momentary assessments (Clinical psychology), Smoking statistics, Tobacco industry, Health policy, Tobacco products, Advertising
Geographic Terms: Washington Metropolitan Area
Abstract: Background: Exposure to tobacco product marketing increases tobacco use among young adults, especially those from vulnerable communities (VCs).Purpose: This study examined real-time tobacco marketing exposure among young adults from vulnerable and non-vulnerable communities using Ecological Momentary Assessment (EMA).Methods: This study used EMA data to assess context (e.g., location and activity) of tobacco marketing exposure using four text-messaging surveys per day over 2 weeks. Young adult non-current tobacco users living in Washington, D.C. (n = 146; ages 18-24) recorded 5,285 surveys, including 20 participants (13.2%) from VCs with high proportions of lower income and racial/ethnic minorities, and high smoking rates. Unadjusted and adjusted multilevel logistic regressions were used to assess the associations between exposure to any and flavored tobacco marketing, VC residence, and real-time context.Results: Fifty-nine participants (40.4%) reported at least one tobacco marketing exposure and recorded 94 exposure moments. In adjusted models, odds of exposure were higher among VC residents (AOR = 2.6, 95% CI = 1.2-5.4), in the presence of anyone using tobacco versus no use (AOR = 4.0, 95% CI = 2.4-6.7), at store/retail (AOR = 17.0, 95% CI = 6.4-44.8), or outside/in transit (AOR = 4.1, 95% CI = 2.1-7.8) versus at home. VC residence (AOR = 7.2, 95% CI = 2.3-22.2) was the strongest predictor of flavored tobacco marketing exposure among all covariates examined.Conclusions: Young adults are predominantly exposed to tobacco marketing in their daily lives through retail advertisements. Young adults from VCs are at increased risks of seeing any tobacco and especially flavored tobacco marketing. Policies that curtail tobacco retailer density and advertisement displays may reduce overall and differential tobacco marketing exposure. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Behavioral Medicine is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Real-Time Context of Tobacco Marketing Exposure and Community Vulnerability-An Ecological Momentary Assessment Among Young Adults.
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  Data: <searchLink fieldCode="AR" term="%22Chen-Sankey%2C+Julia+C%22">Chen-Sankey, Julia C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+de+Venne%2C+Judy%22">van de Venne, Judy</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Westneat%2C+Susan%22">Westneat, Susan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rahman%2C+Basmah%22">Rahman, Basmah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Folger%2C+Shanell%22">Folger, Shanell</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anesetti-Rothermel%2C+Andrew%22">Anesetti-Rothermel, Andrew</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Debnam%2C+Charles%22">Debnam, Charles</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ribisl%2C+Kurt+M%22">Ribisl, Kurt M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cohn%2C+Amy%22">Cohn, Amy</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rose%2C+Shyanika+W%22">Rose, Shyanika W</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Annals+of+Behavioral+Medicine%22">Annals of Behavioral Medicine</searchLink>. Jun2022, Vol. 56 Issue 6, p620-631. 12p.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Young+adults%22">Young adults</searchLink><br /><searchLink fieldCode="DE" term="%22Poor+communities%22">Poor communities</searchLink><br /><searchLink fieldCode="DE" term="%22Ecological+momentary+assessments+%28Clinical+psychology%29%22">Ecological momentary assessments (Clinical psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Smoking+statistics%22">Smoking statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco+industry%22">Tobacco industry</searchLink><br /><searchLink fieldCode="DE" term="%22Health+policy%22">Health policy</searchLink><br /><searchLink fieldCode="DE" term="%22Tobacco+products%22">Tobacco products</searchLink><br /><searchLink fieldCode="DE" term="%22Advertising%22">Advertising</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Washington+Metropolitan+Area%22">Washington Metropolitan Area</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: <bold>Background: </bold>Exposure to tobacco product marketing increases tobacco use among young adults, especially those from vulnerable communities (VCs).<bold>Purpose: </bold>This study examined real-time tobacco marketing exposure among young adults from vulnerable and non-vulnerable communities using Ecological Momentary Assessment (EMA).<bold>Methods: </bold>This study used EMA data to assess context (e.g., location and activity) of tobacco marketing exposure using four text-messaging surveys per day over 2 weeks. Young adult non-current tobacco users living in Washington, D.C. (n = 146; ages 18-24) recorded 5,285 surveys, including 20 participants (13.2%) from VCs with high proportions of lower income and racial/ethnic minorities, and high smoking rates. Unadjusted and adjusted multilevel logistic regressions were used to assess the associations between exposure to any and flavored tobacco marketing, VC residence, and real-time context.<bold>Results: </bold>Fifty-nine participants (40.4%) reported at least one tobacco marketing exposure and recorded 94 exposure moments. In adjusted models, odds of exposure were higher among VC residents (AOR = 2.6, 95% CI = 1.2-5.4), in the presence of anyone using tobacco versus no use (AOR = 4.0, 95% CI = 2.4-6.7), at store/retail (AOR = 17.0, 95% CI = 6.4-44.8), or outside/in transit (AOR = 4.1, 95% CI = 2.1-7.8) versus at home. VC residence (AOR = 7.2, 95% CI = 2.3-22.2) was the strongest predictor of flavored tobacco marketing exposure among all covariates examined.<bold>Conclusions: </bold>Young adults are predominantly exposed to tobacco marketing in their daily lives through retail advertisements. Young adults from VCs are at increased risks of seeing any tobacco and especially flavored tobacco marketing. Policies that curtail tobacco retailer density and advertisement displays may reduce overall and differential tobacco marketing exposure. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Annals of Behavioral Medicine is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1093/abm/kaab066
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 620
    Subjects:
      – SubjectFull: Young adults
        Type: general
      – SubjectFull: Poor communities
        Type: general
      – SubjectFull: Ecological momentary assessments (Clinical psychology)
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      – SubjectFull: Smoking statistics
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      – SubjectFull: Tobacco industry
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              Text: Jun2022
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