Evidence map›Paper›PMID 33582623›Full record

ArticleAddictive behaviors2021

Digital marketing of smokeless tobacco: A longitudinal analysis of exposure and initiation among young adults.

Stephanie L Clendennen, Dale S Mantey, Anna V Wilkinson, Cheryl L Perry, Melissa B Harrell, Alexandra Loukas

Open access · greenAbstract read
In one paragraph

Article in Addictive behaviors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Willingness to Use Commercial Nicotine Gums, Lozenges, and Gummies Among Nontobacco Using Adolescents in Southern California.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Trial
  2. Impact of Hispanic Ethnicity on Adolescent Tobacco Use Estimates in the United States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. The Impact of Social Media Use and Gaming on Initiation of Smokeless Tobacco Use Among Rural Male Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. 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

6 authors at 2 institutions in 1 country.

Stephanie L ClendennenDepartment of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, 1616 Guadalupe, Suite 6.300, Austin, TX 78701, USA. Electronic address: Stephanie.L.Clendennen@uth.tmc.edu.
Dale S ManteyDepartment of Epidemiology, Human Genetics and Environmental Sciences, UTHealth School of Public Health, 1616 Guadalupe, Suite 6.300, Austin, TX 78701, USA.
Anna V WilkinsonDepartment of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, 1616 Guadalupe, Suite 6.300, Austin, TX 78701, USA; Department of Epidemiology, Human Genetics and Environmental Sciences, UTHealth School of Public Health, 1616 Guadalupe, Suite 6.300, Austin, TX 78701, USA.
Cheryl L PerryDepartment of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, 1616 Guadalupe, Suite 6.300, Austin, TX 78701, USA.
Melissa B HarrellDepartment of Epidemiology, Human Genetics and Environmental Sciences, UTHealth School of Public Health, 1616 Guadalupe, Suite 6.300, Austin, TX 78701, USA.
Alexandra LoukasDepartment of Kinesiology and Health Education, the University of Texas at Austin, 2109 San Jacinto Blvd., Austin, TX 78712, USA.
University of Texas Health Science Center at Dallas · USThe University of Texas at Austin · US

Funding

Training & Education Core p335-350P50CA180906 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI PERRY, CHERYL LEE · 2013 to 2017
$19.7M
Cancer Prevention and Control Research Training and Career Development ProgramT32CA057712 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Bijal A. Balasubramanian, Maria Eulalia Fernandez · 2018 to 2026
$3.2M
NCI NIH HHS P50 CA180906NCI NIH HHS T32 CA057712
6 · The paper itself

Abstract

objectivesThis study examines the relationships between recall of exposure to digital marketing of smokeless tobacco, via the internet and social media, and subsequent initiation of smokeless tobacco use at one-year follow-up, among young adult never users of smokeless tobacco in Texas.

methodsData were from waves 6 (Spring 2017) and 7 (Spring 2018) of the Marketing and Promotions Across Colleges in Texas Study (Project M-PACT); a longitudinal study of two- and four-year Texas college students. Participants were 2731 young adult never smokeless tobacco users (ages 20-32) with complete data at both assessment periods. A multi-level, multiple logistic regression model was applied, accounting for school clustering, to examine the relationship between recall of exposure to digital marketing of smokeless tobacco at baseline (wave 6) and smokeless tobacco use initiation at one-year follow-up (wave 7). Analyses controlled for important baseline covariates (socio-demographic factors, other marketing exposure, other tobacco product use).

resultsOverall, 14.6% of never smokeless tobacco users reported exposure to smokeless tobacco marketing via digital media. Exposure to digital marketing of smokeless tobacco at baseline was associated with greater odds of smokeless tobacco use initiation among young adult never users (AOR: 2.14; 95%CI: 1.12 - 4.06) at one-year follow-up.

conclusionsFindings reveal exposure to smokeless tobacco marketing via digital media was common. Further, there appears to be a strong relationship between this exposure and subsequent smokeless tobacco use among young adult never smokeless tobacco users.

Indexed as

Tobacco ProductsTobacco, SmokelessAdultHumansInternetLongitudinal StudiesMarketingTexasYoung AdultInitiationInternetMarketingSmokeless TobaccoSocial MediaYoung Adults

Identifiers

PMID33582623
PMCPMC8207676
OpenAlexW3127056259

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.