Associations between social media engagement and young adults’ subsequent onset of ENDS dependence symptoms one year later

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-06-18 DOI:10.1016/j.addbeh.2024.108096

Qinghua Yang , Stephanie L. Clendennen , C. Nathan Marti , Alexandra Loukas

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Abstract

Background

Young adults are more vulnerable than older adults to engagement with online tobacco marketing and to the use of electronic nicotine delivery systems (ENDS) products. Our study examined the longitudinal associations between engagement with pro- and anti-tobacco information on social media (SM) and young adults’ subsequent onset of symptoms of dependence on ENDS products one year later, which remain unclear.

Methods

Participants were college students in the Marketing and Promotions Across Colleges in Texas study. We analyzed data collected in spring 2018 (wave 8, baseline) and spring 2019 (wave 9), which involves 1,764 college students (Mean age = 24.48, 34.8% White) who reported having ever used any ENDS products but no ENDS dependence symptoms at baseline. Logistic regression analyses were conducted to examine the associations between pro- and anti-engagement with tobacco information at baseline and onset of ENDS dependence symptoms at one-year follow-up, controlling for baseline sociodemographic characteristics and tobacco smoking status. We also examined participant sex and depressive symptoms as moderators of the aforementioned associations.

Results

Engagement with both pro- (Odds Ratio = 1.73, p < 0.05) and anti- (Odds Ratio = 1.36, p < 0.05) tobacco information at baseline predicted the subsequent onset of symptoms of dependence on ENDS products one year later. The association between pro-engagement and subsequent onset of ENDS dependence symptoms was stronger among females than males ( $Exp (β)$ = 3.21, p < 0.05). Depressive symptomology did not moderate any of the associations.

Conclusions

Findings suggest that engaging with tobacco information on SM, regardless of its valence, serves as a risk factor for the development of subsequent dependence symptoms among young adult ever ENDS users. Considering the uncertainty of ENDS products’ health effects, regulation of SM is encouraged to reduce young adults’ (re)posting thoughts or comments about the advantages of ENDS products.

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社交媒体参与与年轻人一年后出现 ENDS 依赖症状之间的关系

背景年轻人比老年人更容易接触网络烟草营销和使用电子尼古丁输送系统（ENDS）产品。我们的研究考察了参与社交媒体（SM）上支持和反对烟草的信息与年轻人一年后开始出现ENDS产品依赖症状之间的纵向关联，而这一关联仍不明确。方法参与者是德克萨斯州各高校营销和促销研究中的大学生。我们分析了 2018 年春季（第 8 波，基线）和 2019 年春季（第 9 波）收集的数据，其中涉及 1764 名大学生（平均年龄 = 24.48 岁，34.8% 为白人），他们报告曾使用过任何 ENDS 产品，但在基线时没有 ENDS 依赖症状。在控制基线社会人口特征和吸烟状况的情况下，我们进行了逻辑回归分析，以研究基线时支持和反对接触烟草信息与一年随访时出现ENDS依赖症状之间的关联。我们还研究了作为上述关联调节因素的参与者性别和抑郁症状。结果基线时对烟草信息的支持参与（Odds Ratio = 1.73，p < 0.05）和反对参与（Odds Ratio = 1.36，p < 0.05）预测了一年后ENDS产品依赖症状的出现。与男性相比，女性更倾向于参与ENDS产品并随后出现依赖症状（Exp(β) = 3.21, p <0.05）。结论研究结果表明，接触SM上的烟草信息，无论其价值如何，都是年轻成人ENDS使用者随后出现依赖症状的风险因素。考虑到ENDS产品对健康影响的不确定性，鼓励对SM进行监管，以减少年轻成人（再次）发布有关ENDS产品优点的想法或评论。

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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.