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. 2024 Feb 15;26(Supplement_1):S3-S12.
doi: 10.1093/ntr/ntad108.

Young Adults' Exposure to and Engagement With Tobacco-Related Social Media Content and Subsequent Tobacco Use

Erin A Vogel  1   2 , Jessica L Barrington-Trimis  1   2 , Julia Vassey  1 , Daniel Soto  1   2 , Jennifer B Unger  1   2
Affiliations

Young Adults' Exposure to and Engagement With Tobacco-Related Social Media Content and Subsequent Tobacco Use

Erin A Vogel et al. Nicotine Tob Res. .

Abstract

Introduction: Nicotine/tobacco social media content may increase young people's risk for use. This study examined prospective associations between exposure to and engagement with nicotine/tobacco-related social media content and nicotine/tobacco use among young adults.

Aims and methods: Young adults (N = 2080) originally recruited from Southern California high schools for a prospective cohort study reported frequency of viewing and posting nicotine/tobacco content on four social media platforms (Facebook, Instagram, Twitter, and YouTube). Participants also reported frequency of seeing nicotine/tobacco posts from friends, seeing nicotine/tobacco posts from influencers or celebrities, and liking nicotine/tobacco posts. Within subsamples of nicotine/tobacco never users (n = 794), past users (n = 897) and current users (n = 389), analyses examined associations of baseline (May-October 2020) social media content exposure and engagement with follow-up (January-June 2021) tobacco use initiation (among never users), resumption (among past users), and continuation (among current users), adjusting for sociodemographic and socioenvironmental characteristics.

Results: Never users who saw nicotine/tobacco posts from friends (Adjusted Odds Ratio [AOR] = 2.91 [95% Confidence Interval [CI]: 1.46, 5.82], p = .002) or from celebrities or influencers (AOR = 2.77 [1.32, 5.84], p = .007) were significantly more likely to initiate nicotine/tobacco use than their peers. Among past users, posting nicotine/tobacco content at baseline was associated with use resumption (AOR = 1.77 [1.12, 2.80], p = .014). Content exposure and engagement were not associated with nicotine/tobacco use continuation among current users (p-values > .05).

Conclusions: Seeing nicotine/tobacco posts from friends, influencers, or celebrities was associated with greater odds of tobacco use initiation, but not resumption or continuation, 6 months later. Young adults with past nicotine/tobacco use who post about nicotine/tobacco may be at elevated risk for resuming use.

Implications: Young adults with exposure to nicotine/tobacco social media content were more likely than their peers to initiate nicotine/tobacco use 6 months later. Past nicotine/tobacco users who reported posting about nicotine/tobacco on social media at baseline were more likely than their peers to resume nicotine/tobacco use. Among young adults with current nicotine/tobacco use at baseline, social media activity did not predict odds of nicotine/tobacco use continuation at follow-up. Nicotine/tobacco content on social media should be restricted to reduce young people's chances of nicotine/tobacco use initiation or resumption.

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Conflict of interest statement

The authors have no competing interest to disclose.

References

    1. National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. Preventing tobacco use among youth and young adults. 2012. https://www.ncbi.nlm.nih.gov/books/NBK99237/. Accessed April 19, 2023.
    1. Eckhart D, Tobacco Control Legal Consortium. The tobacco master settlement agreement: enforcement of marketing restrictions. 2004. https://publichealthlawcenter.org/sites/default/files/resources/tclc-syn.... Accessed April 19, 2023.
    1. Tobacco Control Legal Consortium. Tobacco product marketing restrictions. Federal regulation of tobacco: Impact on state and local authority. Vol. Fact Sheet 5. 2009. https://publichealthlawcenter.org/sites/default/files/fda-5.pdf. Accessed April 19, 2023.
    1. Gentzke AS, Wang TW, Cornelius M, et al. . Tobacco product use and associated factors among middle and high school students—national youth tobacco survey, United States, 2021. MMWR Surveill Summ. 2022;71(5):1–29. - PMC - PubMed
    1. Schulenberg JE, Patrick ME, Johnston LD, O’Malley PM, Bachman JG, Miech RA.. Monitoring the Future national survey results on drug use, 1975-2020: Volume II, college students and adults age 19-60. 2021. https://files.eric.ed.gov/fulltext/ED615085.pdf. Accessed April 19, 2023.