Associations between e-cigarette marketing exposure and vaping nicotine and cannabis among U.S. adults, 2021

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-06-13 DOI:10.1016/j.addbeh.2024.108090

Julia Chen-Sankey , Kathryn La Capria , Allison Glasser , Alisa A. Padon , Meghan B. Moran , Kimberly G. Wagoner , Kristina M. Jackson , Carla J. Berg

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Abstract

Introduction

Little is known about the influence of e-cigarette marketing on cannabis vaping behaviors. This study examined the associations between e-cigarette marketing exposure and nicotine and cannabis vaping among adults.

Methods

This cross-sectional study included a U.S. nationally representative sample of adults from the Wave 6 survey of the Population Assessment of Tobacco and Health Study. We used multinomial logistic regressions to examine the associations between past 30-day e-cigarette marketing exposure and past 30-day vaping behavior (sole- and dual-vaping of nicotine and cannabis) overall and stratified by age.

Results

Overall, 52.0 % of respondents reported e-cigarette marketing exposure, and 89.8 %, 5.6 %, 3.2 %, and 1.4 % reported no vaping, sole-nicotine vaping, sole-cannabis vaping, and dual-vaping, respectively. E-cigarette marketing exposure was associated with increased odds of reporting sole-cannabis vaping versus no vaping (adjusted risk ratio [aRR], 1.31; 95 % confidence interval [CI], 1.09–1.57) and dual-vaping versus no vaping (aRR, 1.26; 95 % CI, 1.01–1.57). This association was found among those aged 18–24 and 25–34 years. It was also associated with increased odds of reporting sole-cannabis vaping versus sole-nicotine vaping (aRR, 1.28; 95 % CI, 1.04–1.58). This association was found among those aged 18–24 years.

Discussion

E-cigarette marketing exposure was associated with sole-cannabis vaping and dual-vaping, not sole-nicotine vaping among U.S. adults. Such associations were mainly driven by young adults aged 18–24 and 25–34 years. Greater restrictions on tobacco marketing may have reduced the influence of e-cigarette marketing on nicotine vaping, while gaps in marketing restrictions for cannabis may contribute to e-cigarette marketing influence on cannabis vaping.

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2021 年美国成年人中电子烟营销接触与吸食尼古丁和大麻之间的关系

导言人们对电子烟营销对吸食大麻行为的影响知之甚少。这项研究考察了成年人中电子烟营销接触与尼古丁和吸食大麻之间的关联。方法这项横断面研究包括来自烟草与健康人口评估研究第 6 波调查的美国全国代表性成年人样本。我们使用多叉逻辑回归法研究了过去 30 天的电子烟营销接触与过去 30 天的吸食行为（吸食尼古丁和大麻的单一吸食和双重吸食）之间的总体关联，并按年龄进行了分层。结果总体而言，52.0% 的受访者报告了电子烟营销接触，89.8%、5.6%、3.2% 和 1.4% 的受访者分别报告了未吸食、吸食尼古丁、吸食大麻和双重吸食。相对于不吸食电子烟（调整风险比[aRR]，1.31；95%置信区间[CI]，1.09-1.57）和双重吸食电子烟（aRR，1.26；95%置信区间[CI]，1.01-1.57），电子烟营销接触与报告只吸食大麻的几率增加有关。在 18-24 岁和 25-34 岁的人群中发现了这种关联。报告只吸食大麻与只吸食尼古丁的几率增加也与此有关（aRR，1.28；95 % CI，1.04-1.58）。讨论在美国成年人中，卷烟营销接触与吸食单一大麻和吸食双重大麻有关，而与吸食单一尼古丁无关。这种关联主要是由 18-24 岁和 25-34 岁的年轻成年人引起的。加大对烟草营销的限制可能会减少电子烟营销对吸食尼古丁的影响，而大麻营销限制方面的差距可能会助长电子烟营销对吸食大麻的影响。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.