Exposure to E-cigarette marketing and susceptibility to future vaping among Black and Latino adolescents in the United States Journal Article


Authors: Hernández-Torres, R.; Wang, H.; Orfin, R.; Castro-Figueroa, E. M.; Freeman, J.; Cupertino, A. P.; Ossip, D. J.; Wilson, K. M.; Cartujano-Barrera, F.
Article Title: Exposure to E-cigarette marketing and susceptibility to future vaping among Black and Latino adolescents in the United States
Abstract: Evidence suggests an association between exposure to electronic cigarette (e-cigarette) marketing and e-cigarette use (vaping) among adolescents. However, there is limited evidence on exposure to e-cigarette marketing and susceptibility to future vaping, especially among Black and Latino adolescents. This study aimed to examine associations between exposure to e-cigarette marketing and susceptibility to future vaping among Black and Latino adolescents in the United States (US). Participants (N = 362; equal representation between Black and Latino adolescents) completed a baseline assessment (available in English and Spanish) including sociodemographic characteristics (e.g., racial/ethnic group, age, gender, sexual orientation, etc.), exposure to e-cigarette marketing, and susceptibility to future vaping. Exposure to e-cigarette marketing was recoded and organized into two categories (high exposure = 2 to 3; low exposure = 0 to 1). Cochran–Mantel–Haenszel tests were used to evaluate the association between exposure to e-cigarette marketing and susceptibility to future vaping, stratified by racial/ethnic group. Multiple logistic regressions assessed the association between exposure to e-cigarette marketing and susceptibility to future vaping, controlling for gender, sexual orientation, grade, and academic performance within each racial/ethnic group. Black adolescents reported significantly higher frequencies of exposure to e-cigarette marketing (p = 0.005). A significant interaction was found between exposure to e-cigarette marketing and racial/ethnic group (X2 (1) = 6.294, p = 0.012). Among Black adolescents, high exposure to e-cigarette marketing (vs. low exposure) was associated with a higher probability of susceptibility to future vaping (OR: 2.399, 95% CI 1.147–5.021, p = 0.020). For Latino adolescents, exposure to e-cigarette marketing was not associated with susceptibility to future vaping (OR: 0.503, 95% CI 0.245–1.03, p = 0.062). Future studies should evaluate how and where adolescents are exposed to e-cigarette marketing. Prevention efforts must include the implementation of effective counter-marketing campaigns and the reduction of exposure to e-cigarette marketing among Black and Latino adolescents. © 2024 by the authors.
Keywords: adolescent; controlled study; united states; internet; smoking cessation; questionnaire; probability; multivariate logistic regression analysis; bisexuality; sexual orientation; homosexuality; language; ethnic group; marketing; mantel haenszel test; race; hispanic; human experiment; academic achievement; exposure; heterosexuality; adolescents; environmental health; social media; human; male; female; article; transgender; black person; homosexual male; sociodemographics; likert scale; vaping; racial/ethnic minority; e-cigarette
Journal Title: Children
Volume: 11
Issue: 4
ISSN: 2227-9067
Publisher: MDPI  
Date Published: 2024-04-01
Start Page: 465
Language: English
DOI: 10.3390/children11040465
PROVIDER: scopus
PMCID: PMC11049197
PUBMED: 38671682
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK author: Ruthmarie Hernández-Torres -- Source: Scopus
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