Evidence map›Paper›PMID 42283948›Full record

ArticleAlcohol, clinical & experimental research2026

Characterizing In Vivo Exposure to Alcohol Content in the Media: Media Platform, Engagement, and Associations With Attitudes.

Kristina M Jackson, Joy Gabrielli, Suzanne M Colby, Tyler B Wray, Michelle L Rogers, Tim Janssen, Erin Corcoran, Shimei Nelapati, Alex Clement, Matthew Meisel

Abstract read
In one paragraph

Article in Alcohol, clinical & experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Kristina M JacksonRutgers Addiction Research Center, Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey, USA.ORCID https://orcid.org/0000-0001-5449-5473
Joy GabrielliDepartment of Clinical and Health Psychology & Center for Addiction Research and Education, University of Florida, Gainesville, Florida, USA.ORCID https://orcid.org/0000-0001-8003-6078
Suzanne M ColbyCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island, USA.
Tyler B WrayCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island, USA.
Michelle L RogersDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, USA.
Tim JanssenCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island, USA.
Erin CorcoranDepartment of Clinical and Health Psychology & Center for Addiction Research and Education, University of Florida, Gainesville, Florida, USA.
Shimei NelapatiDepartment of Clinical and Health Psychology & Center for Addiction Research and Education, University of Florida, Gainesville, Florida, USA.
Alex ClementDepartment of Clinical and Health Psychology & Center for Addiction Research and Education, University of Florida, Gainesville, Florida, USA.
Matthew MeiselCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island, USA.ORCID https://orcid.org/0000-0003-2035-9291

Funding

Understanding Adolescent In-Vivo Exposure to Alcohol Content in the MediaR01AA027968 · NIAAA · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI JACKSON, KRISTINA MELIA · 2020 to 2023
$2.6M
NIAAA NIH HHS AA027968NIAAA NIH HHS R01 AA027968NIDA NIH HHS DA035167
6 · The paper itself

Abstract

backgroundAlcohol-related content in media is overwhelmingly presented positively, and exposure to this content is linked to adolescent drinking. Yet, less is known about how often adolescents encounter alcohol content via media, how exposure varies across platforms, and how adolescents typically engage with such content. We used ecological momentary assessment (EMA) methods to collect detailed, real-time data about alcohol-related content encountered across a variety of digital media sources.

methodsHigh school students recruited through social media (N = 302; mean age = 16.2; 63.9% female sex) completed three 21-day EMA bursts spaced 4 months apart. Participants reported alcohol-related content encountered via scheduled and self-initiated smartphone surveys, yielding 55,352 total reports, including 8792 with alcohol content. We fit multilevel models to evaluate momentary associations between exposure to alcohol content and cognitive outcomes (personal attitudes, perceived peer norms, beliefs that content promotes alcohol use).

resultsNearly all participants (99.3%) reported exposure to alcohol-related content during the monitoring period. The most common sources were Instagram (32.4% of alcohol reports), TikTok (18.1%), and YouTube (7.8%). About one-third of exposures originated from influencers; nearly half of YouTube and Instagram exposures involved industry sources. In-depth engagement (e.g., commenting) with content was rare, although engagement requiring minimal effort ("liking") was endorsed for 25.6% of content reports. Encountering alcohol content on Instagram and Snapchat was associated with personal disapproval of the content; there were few associations with perceived peer norms. Engagement significantly predicted more cognitions favoring alcohol.

conclusionsAdolescents frequently encounter alcohol content across diverse platforms, often from influencers and industry. Much of the content was believed to promote alcohol use. Although behavioral engagement was limited, exposure was linked to attitudes toward content encountered on some platforms. Greater understanding of components and contexts to be targeted for just-in-time interventions delivered in proximity to in vivo exposures can reduce risk for early alcohol engagement.

Indexed as

Adolescent BehaviorAlcohol DrinkingAttitudeMedia ExposureSocial MediaUnderage DrinkingAdolescentDigital MediaEcological Momentary AssessmentFemaleHumansMaleStudentsadolescentalcoholattitudesecologicalmedia

Identifiers

PMID42283948
PMCPMC13262662

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.