Evidence map›Paper›PMID 30253933›Full record

ArticleAddictive behaviors2019

From Apple to Werewolf: A content analysis of marketing for e-liquids on Instagram.

Linnea I Laestadius, Megan M Wahl, Pallav Pokhrel, Young I Cho

Abstract read
In one paragraph

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 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 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

59 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Sharing Antivaping Social Media Messages.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Trial
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  10. Impact of flavorants on nicotine vapor self-administration in adolescent mice: Cherry on top?The Journal of pharmacology and experimental therapeutics · 2025
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  19. Scalable Surveillance of E-Cigarette Products on Instagram and TikTok Using Computer Vision.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  20. Article
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

4 authors.

Linnea I LaestadiusJoseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, 1240 N 10th Street, Milwaukee, WI 53205, USA. Electronic address: llaestad@uwm.edu.
Megan M WahlJoseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, 1240 N 10th Street, Milwaukee, WI 53205, USA.
Pallav PokhrelCancer Prevention in the Pacific Program, University of Hawaii Cancer Center, University of Hawaii at Manoa, 701 Ilalo St., Honolulu, HI 96813, USA.
Young I ChoJoseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, 1240 N 10th Street, Milwaukee, WI 53205, USA.

Funding

Prospective effects of electronic cigarette marketing on expectancies and behaviorR01CA202277 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI POKHREL, PALLAV · 2016 to 2020
$2.6M
Social Processes of E-cigarette Marketing's Influence on BehaviorR01CA228905 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI POKHREL, PALLAV · 2018 to 2020
$1.4M
Refilling addiction: Investigating marketing for e-liquid on InstagramR03CA216528 · NCI · UNIVERSITY OF WISCONSIN MILWAUKEE · PI LAESTADIUS, LINNEA · 2017 to 2018
$218k
NCI NIH HHS R01 CA202277NCI NIH HHS R01 CA228905NCI NIH HHS R03 CA216528
6 · The paper itself

Abstract

introductionWith the growing popularity of refillable e-cigarettes and recent FDA regulatory action on e-liquid warning labels, e-liquids are an increasingly important area of study. At present, however, little is known about how e-liquids are marketed. This study examined e-liquid marketing on the visual social media platform Instagram, on which users have created significant amounts of e-cigarette related content.

methodsA systematic, random sample of Instagram posts with either #eliquid or #ejuice was collected from the Instagram API during one week in May 2017 and in October 2017 using the Netlytic application. A final sample of 1000 posts was analyzed using qualitative content analysis to discern e-liquid themes, claims, promotions, and products promoted.

resultsOf the 1000 posts, 61.1% promoted e-liquid. These posts were most frequently made by vape shops and ambassadors/representatives. Almost 80% of promotional posts featured a flavored e-liquid. Posts focused largely on e-liquids tasting good (35.4%) or being cool/edgy (19.0%). Many posts made use of Instagram's visual nature to share creative label designs. Just over a third of posts made some claim about e-liquid benefits or quality, with smokeless tobacco claims being most common. Although posts most commonly originated from the United States, posts made from Indonesia and the United Kingdom were also common.

conclusionsE-liquid marketing on Instagram emphasizes positive experiences, personalization, and aspirational identities rather than explicit health and cessation claims. Appeal to youth is a significant concern based both on marketing strategies and the demographics of Instagram users.

Indexed as

AdvertisingElectronic Nicotine Delivery SystemsSocial MediaTobacco ProductsHumansIndonesiaMarketingQualitative ResearchUnited KingdomUnited StatesVapingE-cigarettesE-liquidInstagramMarketingSocial media

Identifiers

PMID30253933
PMCPMC6358470

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.