ArticleHealth communication2023
How Does Social Media Exposure and Engagement Influence College Students' Use of ENDS Products? A Cross-lagged Longitudinal Study.
Article in Health communication, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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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
16 citing papers in PubMed, 1 synthesis or guideline 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
- Bidirectional Associations Between Engagement with Tobacco Information on Social Media and Young Adults' Depressive Symptoms: A Longitudinal Cross-Lagged Analysis.Behavioral sciences (Basel, Switzerland) · 2026Article
- The mediating role of relative harm perception in the association between social media marketing exposure-engagement patterns and e-cigarette use behaviors: A cross-sectional study.Tobacco induced diseases · 2026Article
- An analysis of social media strategies used to promote the e-cigarette brand Vuse.Health promotion international · 2025Article
- Clearing the haze: novel methodology objectively assessing children's online exposure to tobacco and vape marketing.Health promotion international · 2025Article
- Effective features of e-cigarette prevention videos: A qualitative study with primary school students.Tobacco induced diseases · 2025Article
- Associations between social media engagement and young adults' subsequent onset of ENDS dependence symptoms one year later.Addictive behaviors · 2024Article
- Characteristics of Adolescents' and Young Adults' Exposure to and Engagement with Nicotine and Tobacco Product Content on Social Media.Journal of health communication · 2024Article
- Cumulative Exposure to E-Cigarette Coupons and Changes in E-Cigarette Use Among U.S. Adults.American journal of preventive medicine · 2024Article
- Exposure to e-cigarette and heated tobacco product advertisements via digital, traditional media, and points-of-sale: An examination of associations with use intentions and perceived risk among adults in Armenia and Georgia.Tobacco prevention & cessation · 2024Article
- Prospective predictors of electronic nicotine delivery system initiation in tobacco naive young adults: A machine learning approach.Preventive medicine reports · 2023Article
- "I Crave a Blunt, I Don't Crave a Cigarillo": A Focus Group Study on Perceptions of Nicotine and Addiction among US Adults Who Currently Smoke Little Cigars or Cigarillos.International journal of environmental research and public health · 2023Article
- A Comparative Analysis of E-Cigarette and Cigarette Posts on Instagram.International journal of environmental research and public health · 2023Article
- Exposure to e-cigarette advertisements and non-advertising content in relation to use behaviors and perceptions among US and Israeli adults.Tobacco prevention & cessation · 2023Article
- Association between E-Cigarette Advertising Exposure and Use of E-Cigarettes among a Cohort of U.S. Youth and Young Adults.International journal of environmental research and public health · 2022Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Electronic nicotine delivery systems (ENDS) products have been marketed heavily on social media throughout the past years, which exerts great influence on young adults' ENDS use. Despite scholars' pioneering efforts in investigating the influence of tobacco and nicotine products marketing on young adults' vaping behavior, scholarly attention has been paid primarily to passive exposure to rather than active engagement with the information on social media. In addition, the majority of existing research has been cross-sectional or focused on the unidirectional path from marketing information to behavior. To extend previous research in tobacco regulatory science on new media, we examined the bidirectional associations between self-reported exposure to and engagement with tobacco and nicotine products messaging on social media, and subsequent use of ENDS products one year later among a large, diverse sample of young adults. Results from cross-lagged panel analyses indicated that pro-tobacco/ENDS engagement and advertising exposure elevated risk whereas anti-tobacco/ENDS engagement decreased risk for the subsequent use of ENDS products one year later. On the other hand, the use of ENDS products positively predicted both pro- and anti-tobacco/ENDS engagement one year later. Findings provide empirical support for the reasoned action approach and the confirmation bias rooted in cognitive dissonance theory through rigorous longitudinal examination. Our findings not only point to the imperativeness of and offer guidance for regulating marketing information on social media, but also suggest social media as a promising platform to prevent young adults from initiating ENDS product use.
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Registered trials
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.