Evidence map›Paper›PMID 41241158›Full record

ArticleAmerican journal of preventive medicine2026

Young Adults' Responses to E-Cigarette Advertisements: An Examination for Potential Regulation.

Elise M Stevens, Donghee N Lee, Seunghyun Kim, Russell B Clayton, Katherine Oduguwa, Glenn Leshner, Darren Mays, Andrea C Villanti, Theodore L Wagener

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Trial
  2. 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

9 authors.

Elise M StevensDivision of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, Massachusetts. Electronic address: Elise.Stevens@umassmed.edu.
Donghee N LeeDivision of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, Massachusetts; Population Sciences in the Pacific Program, University of Hawaii Cancer Center, Honolulu, Hawaii.
Seunghyun KimSchool of Business, University of Arkansas Little Rock, Little Rock, Arkansas.
Russell B ClaytonCognition and Emotion Lab, School of Communication, Florida State University, Tallahassee, Florida.
Katherine OduguwaDepartment of Medicine, University of Minnesota, Minneapolis, Minnesota.
Glenn LeshnerGaylord College of Journalism and Mass Communication, University of Oklahoma, Norman, Oklahoma.
Darren MaysCenter for Tobacco Research, The Ohio State University James Comprehensive Cancer Center, Columbus, Ohio; Department of Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio.
Andrea C VillantiInstitute for Nicotine & Tobacco Studies, Rutgers University, New Brunswick, New Jersey; Department of Health, Behavior, Society, & Policy, Rutgers School of Public Health, Piscataway, New Jersey.
Theodore L WagenerCenter for Tobacco Research, The Ohio State University James Comprehensive Cancer Center, Columbus, Ohio; Department of Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio.

Funding

Identifying and examining the effects of source and presentation on responses to electronic cigarette public education messages in young adult vapers and non-vapersK99CA281094 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LEE, DONGHEE NICOLE · 2024 to 2025
$289k
Young Adults Responses to E-Cigarette Advertisement Features and the Effect of Restricting Features on Tobacco UseK99DA046563 · NIDA · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI STEVENS, ELISE MARIE · 2019 to 2020
$237k
NCI NIH HHS K99 CA281094NIDA NIH HHS K99 DA046563
6 · The paper itself

Abstract

introductionE-cigarette use among young adults is strongly influenced by marketing strategies. Given the U.S. Food and Drug Administration's authority to regulate E-cigarette marketing, this study identified which advertisements and specific features are most appealing to young adults to inform potential regulatory action. STUDY

designUsing a within-subjects laboratory design, participants viewed 15 print E-cigarette advertisements from 3 brands (Blu, Juul, and MarkTen), each featuring combinations of people, descriptors, branding, and warnings during 2021-2022. SETTING/

participantsYoung adults (N=62; aged 18-26 years) who were susceptible to but not current E-cigarette users completed the study. While viewing advertisements, heart rate (attention) and eye tracking (visual attention) were continuously recorded. After each advertisement, participants rated perceived risk and motivation to avoid E-cigarettes.

interventionAll participants completed the same advertisement-viewing task. Self-reported message perceptions and psychophysiological indicators of cognition and emotion were collected. Data were integrated using a multiattribute decision-making framework to identify advertisements with the highest overall appeal.

main outcome measuresPrimary outcomes included perceived risk, motivation to avoid, heart rate deceleration, visual attention, and recognition accuracy.

resultsData were analyzed from 2022 to 2025. Participants spent more time viewing descriptors and people than brand logos or warnings (p<0.001). Integrated rankings identified 2 Blu advertisements and 1 Juul advertisement as most appealing.

conclusionsPeople and descriptive language captured the most attention in E-cigarette advertisements. Limiting testimonials, switching language, and restricting advertisements to branding-only formats may reduce appeal among young adults and help prevent initiation.

Indexed as

AdvertisingElectronic Nicotine Delivery SystemsVapingAdolescentAdultAttentionFemaleHeart RateHumansMaleUnited StatesUnited States Food and Drug AdministrationYoung Adult

Identifiers

PMID41241158
PMCPMC13035312

What OpenQuestion holds

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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.