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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, 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]
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“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]
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Metadata
- 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 › Public Health, Environmental and Occupational Health › 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
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