ArticleAddictive behaviors2024
Social media use, brand engagement, and tobacco product initiation among youth: Evidence from a prospective cohort study.
Article in Addictive behaviors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Youth Appeal in Tobacco Advertising: Evolving Tactics Targeting Those Under the Legal Age of Sale.Substance use & misuse · 2026Article
- Problematic Social Media Use Among University Entrance Test-Takers: Prevalence, Psychosocial Factors, and a Mediation-Moderation Model.Brain and behavior · 2025Article
- Social Media Engagement and Quit Intentions Among Youth With Exclusive E-cigarette Use: The Moderating Role of Social Norms.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Mobile phone ownership, social media use, and substance use at ages 11-13 in the ABCD study.Addictive behaviors · 2025Article
- Social media use and child cigarette smoking and e-cigarette use: A cohort study 2015-2023.Tobacco induced diseases · 2025Article
- Protecting historically marginalized groups or targeted marketing? A computational analysis of individuals engaging with public and protected cigar-branded tweets.Drug and alcohol dependence · 2025Article
- Concurrent Mentions of Vaping and Alcohol on Twitter: Latent Dirichlet Analysis.Journal of medical Internet research · 2024Article
- Health Warnings on Instagram Advertisements for Synthetic Nicotine E-Cigarettes and Engagement.JAMA network open · 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
- Regional insights on tobacco-related tweets: unveiling user opinions and usage patterns.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo evaluate whether frequent social media use and liking/following tobacco brand accounts was associated with increased risk of tobacco and polytobacco initiation over approximately 1-year follow-up among youth with no prior tobacco use.
methodsAssociations between measures of social media engagement (daily social media use and liking/following tobacco brands) and tobacco initiation risk were examined using data from Waves 2 and 3 (2014-2015) of the US Population Assessment for Tobacco and Health study. Separate log-binomial models, accounting for missing data via multiple imputation and using propensity score adjustment to address confounding, estimated the adjusted relative risk (aRR) of any tobacco initiation and poly-use (2 + products) initiation at 1-year follow-up.
resultsAmong the 8,672 youth with no prior tobacco use (49.3% female, mean [SD] age 14.1 [1.7]), 63.5% used social media at least daily, and 3.3% reported liking/following ≥ 1 tobacco brands on social media. Those reporting daily or more frequent social media use (compared to less) were at increased risk for tobacco (aRR 1.67; 95% CI 1.38-2.02) and polytobacco initiation (aRR 1.32; 95% CI 0.98-1.78). Although results were imprecise, liking/following ≥ 1 tobacco brands on social media (versus none) was associated with tobacco (aRR 1.34; 95% CI 0.95-1.89) or polytobacco initiation (aRR 1.60; 95% CI 0.99-2.60). In sensitivity analyses, liking/following cigarette or cigarillo brands was associated with polytobacco initiation.
conclusionsThis study adds to a growing evidence-base describing the exposure of youth to tobacco-related social media content. Such content-often generated by tobacco companies-may contribute to youth tobacco initiation.
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