ArticleAddictive behaviors2019
The magnitude and impact of tobacco marketing exposure in adolescents' day-to-day lives: An ecological momentary assessment (EMA) study.
Article in Addictive behaviors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Readdressing the Ongoing Challenge of Missing Data in Youth Ecological Momentary Assessment Studies: Meta-Analysis Update.Journal of medical Internet research · 2025Pooled it
- Causal effects of point-of-sale cigarette promotions and subjective social status on cigarette craving: a randomised within-person experiment.Tobacco control · 2025Trial
- Within-Day Dynamics of Self-Efficacy and Smoking Attitudes: Ecological Momentary Assessment Study of Motivation to Quit and Forgoing Behavior.Journal of medical Internet research · 2026Article
- The interaction of tobacco retailer density and rurality with tobacco use prevalence in Kentucky.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Associations of emotional experience with gaming duration and risk of gaming disorder among adolescent gamers: An ecological momentary assessment study.Addiction (Abingdon, England) · 2025Article
- Quantifying Cigarette and e-Cigarette Marketing Exposure Among Chinese Adolescents Using Ecological Momentary Assessment.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Association between tobacco industry advertising expenses and tobacco advertising exposure among Korean adolescents.BMJ open · 2023Article
- Predicting Participation Willingness in Ecological Momentary Assessment of General Population Health and Behavior: Machine Learning Study.Journal of medical Internet research · 2023Article
- Feasibility of remotely assessing hormonal contraceptive use and smoking-related symptomatology: Evidence from a preliminary prospective cohort study.Drug and alcohol dependence reports · 2023Article
- Tobacco advertising exposure and product use among young adults: An ecological momentary assessment approach.Addictive behaviors · 2023Article
- U.S. digital tobacco marketing and youth: A narrative review.Preventive medicine reports · 2023Review
- Socio-temporal contextual and community factors associated with daily exclusive ENDS use and dual use with tobacco cigarettes among adolescent vapers: an ecological momentary assessment study.BMC public health · 2022Article
- Testing if attitudes mediate the association between advertising exposure and adolescent tobacco use.Addictive behaviors · 2022Article
- Real-Time Context of Tobacco Marketing Exposure and Community Vulnerability-An Ecological Momentary Assessment Among Young Adults.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Article
- Prospective associations between attitudes toward alcohol advertisements and alcohol use behaviors among adolescent boys.Addictive behaviors reports · 2022Article
- Peer and Community Influences on Adolescent Substance Use in the Context of Adverse Childhood Experiences.Sociological perspectives : SP : official publication of the Pacific Sociological Association · 2022Article
- U.S. public opinion toward policy restrictions to limit tobacco product placement and advertising at point-of-sale and on social media.Preventive medicine · 2022Article
- Cumulative disadvantage as a framework for understanding rural tobacco use disparities.Experimental and clinical psychopharmacology · 2021Review
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeResearch indicates that tobacco marketing contributes to higher pro-tobacco attitudes and behaviors among adolescents, but no studies have been able to assess the impact of real-world tobacco marketing exposures in real-time. The purpose of this study was to examine the magnitude and impact of tobacco marketing exposure on adolescents using ecological momentary assessment (EMA). Our primary hypotheses were that (1) youth would most frequently report tobacco marketing at the retail points-of-sale and (2) greater exposures to tobacco marketing would be associated with more favorable tobacco-related attitudes, use, and expectancies.
methodsParticipants were adolescent males from rural and urban Ohio (N = 176, ages 11-16). For ten days, these adolescents were prompted at two-three random times/day to complete a brief smartphone-based survey about their exposures and responses to tobacco-related advertising.
resultsAdolescents reported exposures to tobacco marketing an average of 1.9 times over the 10-day EMA period, with over 10% seeing a tobacco advertisement 5 or more times. Reports of marketing exposures occurred most frequently at the point-of-sale; exposures were higher among tobacco users and rural adolescents. Consistent with hypotheses, marketing exposure was related to more positive attitudes to the tobacco advertisements, more tobacco use, and higher expectancies to use in the future.
conclusionsOverall, these findings signal the magnitude of tobacco marketing exposures and their pernicious impact on youth. Findings underscore the importance of federal, state, and local-level tobacco regulatory policies to protect youth from the marketing that puts them at risk for a lifetime of nicotine addiction and tobacco-related diseases.
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