Evidence map›Paper›PMID 29673887›Full record

ArticlePreventive medicine2018

Socioeconomic status and adolescent e-cigarette use: The mediating role of e-cigarette advertisement exposure.

Patricia Simon, Deepa R Camenga, Meghan E Morean, Grace Kong, Krysten W Bold, Dana A Cavallo, Suchitra Krishnan-Sarin

Abstract read
In one paragraph

Article in Preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Identifying Salient Beliefs Underlying Young Adults' Flavored E-Cigarette Use to Inform Campaign Development: Results from an Elicitation Survey.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Perceptions of e-Cigarettes and Heated Tobacco Products Among Never Users of Nicotine in the European Union.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  11. Article
  12. Who Reports Greater Chronic Disease Risk Behaviours? A Closer Look at Sociodemographic Differences Among Australian Adolescents: A Cross-Sectional Analysis.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Kids No Longer Smoke Cigarettes. Why Aren't We Celebrating?American journal of public health · 2024
    Article
  18. A Scoping Review of Vaping Among the Asian Adolescent Population.Asia-Pacific journal of public health · 2024
    Article
  19. Article
  20. Selective Reduction of Socioeconomic Disparities in the Experimental Tobacco Marketplace: Effects of Cigarette and E-cigarette Flavor Restrictions.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Patricia SimonYale School of Medicine, Department of Psychiatry & The Consultation Center, 389 Whitney Avenue, New Haven, CT 06511, USA. Electronic address: p.simon@yale.edu.
Deepa R CamengaYale School of Medicine, Department of Emergency Medicine, 464 Congress Avenue Suite 260, New Haven, CT 06519, USA.
Meghan E MoreanOberlin College, Department of Psychology, 120 West Lorain, Oberlin, OH 44074, USA.
Grace KongYale School of Medicine, Department of Psychiatry, 34 Park Street, New Haven, CT 06519, USA.
Krysten W BoldYale School of Medicine, Department of Psychiatry, 34 Park Street, New Haven, CT 06519, USA.
Dana A CavalloYale School of Medicine, Department of Psychiatry, 34 Park Street, New Haven, CT 06519, USA.
Suchitra Krishnan-SarinYale School of Medicine, Department of Psychiatry, 34 Park Street, New Haven, CT 06519, USA.

Funding

Yale Tobacco Center of Regulatory ScienceP50DA036151 · NIDA · YALE UNIVERSITY · PI KRISHNAN-SARIN, SUCHITRA, O'MALLEY, STEPHANIE S · 2013 to 2017
$20.6M
Research Training Program in Substance Use PreventionT32DA019426 · NIDA · YALE UNIVERSITY · PI TAMI P SULLIVAN · 2005 to 2026
$7.5M
NIDA NIH HHS L40 DA042454NIDA NIH HHS P50 DA036151NIDA NIH HHS T32 DA019426
6 · The paper itself

Abstract

Among adolescents, low socioeconomic status (SES) is associated with greater exposure to tobacco cigarette advertising and cigarette use. However, associations among SES, e-cigarette advertising and e-cigarette use are not well understood. This study examined exposure to e-cigarette advertisements as a mediator of the relationship between SES and adolescent e-cigarette use. Adolescents (N = 3473; 51% Female) from 8 high schools in Connecticut completed an anonymous survey in Spring 2015. Mediation analysis was used to examine whether the total number of sources of recent e-cigarette advertising exposure (e.g., TV, radio, billboards, magazines, local stores [gas stations, convenience stores], vape shops, mall kiosks, tobacco shops, social media) mediated the association between SES (measured by the Family Affluence Scale) and past-month frequency of e-cigarette use. We clustered for school and controlled for other tobacco product use, age, sex, race/ethnicity and perceived social norms for e-cigarette use in the model. Our sample recently had seen advertisements via 2.1 (SD = 2.8) advertising channels. Mediation was supported (indirect effect: β = 0.01, SE = 0.00, 95% CI [0.001, 0.010], p = 0.02), such that higher SES was associated with greater recent advertising exposure, which, in turn, was associated with greater frequency of e-cigarette use. Our study suggests that regulations to reduce youth exposure to e-cigarette advertisement may be especially relevant to higher SES youth. Future research should examine these associations longitudinally and evaluate which types of advertisements target different SES groups.

Indexed as

AdvertisingElectronic Nicotine Delivery SystemsSocioeconomic FactorsVapingAdolescentConnecticutFemaleHumansMaleSchoolsSurveys and QuestionnairesTobacco UseAdolescentsAdvertisingE-cigarettesSES

Identifiers

PMID29673887
PMCPMC6007030

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.