E-Cigarette Marketing Exposure Is Associated With E-Cigarette Use Among US Youth
Open accessAbstract
Purpose E-cigarettes are currently the most commonly used tobacco product among US youth. However, unlike conventional cigarettes, e-cigarettes are not subject to marketing restrictions. This study investigates the association between exposure to e-cigarette marketing and susceptibility and use of e-cigarettes in youth. Methods Data were obtained from the 2014 National Youth Tobacco Survey. Participants were 22,007 US middle and high school students. Multivariate logistic regression models assessed the relationship between e-cigarette marketing (internet, print, retail, and TV/movies) and current and ever use as well as susceptibility to use e-cigarettes among never e-cigarette users. Results Exposure to each type of e-cigarette marketing was significantly associated with increased likelihood of ever and current use of e-cigarettes among middle and high school students. Exposure was also associated with susceptibility to use of e-cigarettes among current nonusers. In multivariate models, as the number of channels of e-cigarette marketing exposure increased, the likelihood of use and susceptibility also increased. Conclusions Findings highlight the significant associations between e-cigarette marketing and e-cigarette use among youth and the need for longitudinal research on these relationships.
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The widespread availability of marketing for flavored electronic cigarettes has fueled an epidemic of vaping and led to dual consumption of cigarettes and vapes among adolescents.
“The widespread availability of marketing for flavored electronic cigarettes has fueled an epidemic of vaping, which has also led to a troubling trend of dual consumption—both cigarettes and vapes—among adolescents.”
From Mobilizing for Health: A Case Study of Kazakhstan’s Vaping Ban Advocacy Campaign (2025) · cites this paper as [13]
The Discussion reports that exposure to e-cigarette marketing is associated with adolescent e-cigarette use, and the Introduction describes a sharp rise in youth use. The paper does not establish that marketing caused that rise: its Discussion says the cross-sectional analysis prohibits causal inference. The cited passages do not specifically address flavored e-cigarette marketing or show that marketing led to dual use of cigarettes and vapes. (LLM, conf=0.90)
Experimental — accuracy not yet measuredSeveral studies indicate that the dual consumption trend is contributing to an increase in cigarette smoking among young people.
“Several studies have indicated that this trend is contributing to an increase in cigarette smoking among young people [13,14,15].”
From Mobilizing for Health: A Case Study of Kazakhstan’s Vaping Ban Advocacy Campaign (2025) · cites this paper as [13]
The Introduction (page not provided) reports a link between adolescent e-cigarette use and conventional cigarette use, and says e-cigarette use may precede combustible tobacco use. It does not establish that dual consumption is causing an increase in cigarette smoking among young people. The Discussion (page not provided) also cautions that this study’s cross-sectional analyses cannot support causal inference. (LLM, conf=0.85)
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- Authors
- Mantey, D. S., Cooper, M. R., Clendennen, S. L., Pasch, K. E., & Perry, C. L.
- Affiliations
- The University of Texas Health Science Center at Houston (US)
- The University of Texas at Austin (US)
- Corresponding author
- Mantey, Dale S.
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2016-06
- Volume
- 58
- Issue
- 6
- Pages
- 686-690
- ISSN
- 1054-139X (ISSN-L)
- PMC
- PMC4900536
- OpenAlex
- W2338122609
- Cited by
- 268
- References
- 28
- Citations by year
- 2026: 8 · 2025: 21 · 2024: 27 · 2023: 21 · 2022: 37 · 2021: 24 · 2020: 47 · 2019: 24 · 2018: 34 · 2017: 17 · 2016: 8
- FWCI
- 22.28
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (P50CA180906)
- Center for Tobacco Products (1 P50 CA180906)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- electronic cigarettes, e-cigarette marketing, youth tobacco use, adolescent tobacco use, distribution channels, tobacco marketing restrictions, school students
- MeSH terms
- Smoking Prevention, Adolescent, Adolescent Behavior, Advertising, Female, Humans, Male, Mass Media, Surveys and Questionnaires, Smoking, Students, Odds Ratio, Electronic Nicotine Delivery Systems
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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