ArticleBMC public health2020
Exposure to e-cigarette advertising, attitudes, and use susceptibility in adolescents who had never used e-cigarettes or cigarettes.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of e-cigarette advertising, promotion, and sponsorship on cognition and behavior: a systematic review of public responses.BMC health services research · 2025Pooled it
- Predictors of vaping intention among adolescents: a systematic review.BMC public health · 2025Pooled it
- Article
- A study on the impact of social environmental exposure to e-cigarettes on the intention to use them among Chinese middle and high school students and the differences between genders.BMC public health · 2026Article
- Perception of e-cigarette as a harmful product delays initiation by two years among Mexican students aged 14-29 years.BMC pulmonary medicine · 2026Observational
- Correlates of Susceptibility to Nicotine Pouch Use Among Australian Adolescents and Younger Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026Article
- Unmasking the appeal: voices of young adults prior to World No Tobacco Day at Qatar University.Frontiers in public health · 2026Article
- Article
- Exposure to tobacco advertisements or promotions and smoking susceptibility among adolescents in China from 2013-14 to 2021: findings from the China National Youth Tobacco Survey.BMC public health · 2025Article
- The Normalization of Vaping on TikTok Using Computer Vision, Natural Language Processing, and Qualitative Thematic Analysis: Mixed Methods Study.Journal of medical Internet research · 2024Article
- Racial and Ethnic Disparities in Adolescent Combustible Tobacco Smoking From 2014 to 2020: Declines Are Lagging Among Non-Hispanic Black Youth.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Exploring the Influence of E-cigarette Ad Features on Perceived Product Appeal and Use Interest Among Young Adults of Varying Tobacco-Use Behaviors.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Effectiveness of an intervention program to develop e-cigarette control leaders at the University in Lampang Province, Thailand.Tobacco prevention & cessation · 2024Article
- Susceptibility to e-cigarette use and associated factors in high school youth, Oklahoma Youth Tobacco Survey, 2021-2022.Frontiers in public health · 2024Article
- Patterns in Tobacco, E-Cigarette, and Cannabis Advertising Exposure Among California Adolescents and Associations With Future Use Expectations.Substance use & misuse · 2024Article
- Susceptibility to e-cigarette among high school students: a study based on the ecological model of health behavior.Frontiers in public health · 2024Article
- Is e-cigarette advertising associated with e-cigarette use among young people? New survey evidence from Poland.Frontiers in public health · 2024Article
- Susceptibility to e-cigarette adoption among tobacco-naïve youths: a cross-sectional study in Shenzhen, China.Frontiers in public health · 2024Article
- E-cigarette-related beliefs, behaviors, and policy support among young people in China.Tobacco induced diseases · 2023Article
- Association between e-cigarette use and susceptibility to tobacco product use: findings from the 2019 China National Youth Tobacco Survey.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTobacco advertisements have been banned in Hong Kong, but low intensity e-cigarette (EC) advertising can still be found in various media outlets. We investigated the associations between exposure to EC advertising and susceptibility to EC use in adolescents who had never used cigarettes or ECs, with potential mediation by attitudes towards ECs and the tobacco industry.
methodsThe School-based Smoking Survey 2016/17 assessed exposure to EC advertising in the past 30 days, attitudes towards ECs and the tobacco industry, susceptibility to EC use, and other covariates. Generalised linear mixed models and multiple mediation analysis methods were used in data analyses.
resultsAmong 7082 students (mean age 14.9 years), 28.8% reported exposure to EC advertising. Exposure was associated with being uncertain about the harm of EC use, being tolerant towards ECs, believing the tobacco industry is respectable, and being susceptible to EC use; the magnitudes of these associations increased with the number of types of advertising exposed (0, 1, and ≥ 2) (all p-values < 0.01). These attitudinal factors were in turn associated with EC use susceptibility (all p-values < 0.001). The perception that tobacco companies make youth smoke was not associated with the advertising exposure or EC use susceptibility. Of the total effects of EC advertising on use susceptibility, only 16.6% were mediated by attitudinal factors: perceived harm (3.1%), attitudes towards ECs (8.2%), and attitudes towards the tobacco industry (4.9%).
conclusionsEven exposure to low intensity EC advertising was associated with susceptibility to EC use in adolescents who had never used cigarettes or ECs. The association was weakly mediated by tolerant attitudes towards ECs and the tobacco industry. The government should reinforce the regulations on EC advertising to protect adolescent health.
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