Impact of Instagram and TikTok influencer marketing on perceptions of e-cigarettes and perceptions of influencers in young adults: a randomised survey-based experiment.

IF 4.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Tobacco Control Pub Date : 2025-02-13 DOI:10.1136/tc-2024-059021
Julia Vassey, Erin A Vogel, Jennifer B Unger, Junhan Cho, Dayoung Bae, Scott I Donaldson, Jon-Patrick Allem
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引用次数: 0

Abstract

Background: Pairing e-cigarettes with healthy lifestyle contexts in influencers' promotional social media posts may increase e-cigarette use risk among young adults. This study examined the effects of e-cigarette and healthy lifestyle content on young adults' perceptions of influencer credibility, harm perceptions of, and susceptibility to use, e-cigarettes.

Methods: In this survey-based online, repeated-measures experiment (2023), California young adults (N=1494, Mage=23 (SD=1.8); 63% female, 51% Hispanic) were randomly shown 10 (total) Instagram and TikTok videos, featuring influencers promoting e-cigarettes alongside healthy lifestyle activities (experimental group), or a healthy lifestyle activity alone (control). After watching each video, participants rated perceived influencer credibility (eg, honesty). After watching all videos, harm perceptions of e-cigarettes were assessed among all participants and susceptibility to e-cigarette use was assessed among e-cigarette never-users. Harm perceptions and susceptibility outcomes were compared between groups (experimental vs control) and between participants who perceived influencers as credible versus non-credible, using binomial generalised linear mixed effects models.

Results: Participants in the experimental group were more likely to report lower harm perceptions (adjusted OR (AOR) 1.12; 95% CI 1.03; 1.21) and higher susceptibility to e-cigarette use (AOR 1.22, 95% CI 1.11; 1.34), than participants in the control condition. Similar results were found when influencers were perceived as credible, but not when they were perceived as non-credible.

Conclusions: Social media influencers' posts promoting e-cigarette use along with healthy activities may contribute to young adult e-cigarette use. Decreasing perceived credibility of influencers could decrease the negative effects of their promotional posts.

Trial registration number: NCT06433466.

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Instagram和TikTok网红营销对年轻人对电子烟和网红的看法的影响:一项基于随机调查的实验。
背景:在网红的社交媒体宣传帖子中,将电子烟与健康的生活方式背景结合起来可能会增加年轻人使用电子烟的风险。本研究调查了电子烟和健康生活方式内容对年轻人对网红可信度、对电子烟的危害认知和使用电子烟的易感性的影响。方法:采用基于在线问卷调查的重复测量法实验(2023人),加州青年(N=1494, Mage=23 (SD=1.8);参与者(63%为女性,51%为西班牙裔)随机观看10个Instagram和TikTok视频,其中有网红在宣传健康生活方式活动的同时宣传电子烟(实验组),也有网红在宣传健康生活方式活动(对照组)。在观看完每个视频后,参与者对他们认为的影响者的可信度(例如,诚实度)进行评分。在观看完所有视频后,评估了所有参与者对电子烟的危害认知,并评估了从不使用电子烟的参与者对电子烟使用的易感性。使用二项广义线性混合效应模型,比较各组(实验组与对照组)之间以及认为影响者可信与不可信的参与者之间的伤害感知和易感性结果。结果:实验组的参与者更有可能报告较低的伤害感知(调整OR (AOR) 1.12;95% ci 1.03;1.21)和对电子烟使用的更高易感性(AOR 1.22, 95% CI 1.11;1.34),高于对照组。当有影响力的人被认为是可信的时,发现了类似的结果,但当他们被认为是不可信的时,发现了类似的结果。结论:社交媒体影响者的帖子促进电子烟的使用以及健康活动可能有助于年轻人使用电子烟。降低网红的可信度可以减少其宣传帖子的负面影响。试验注册号:NCT06433466。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tobacco Control
Tobacco Control 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
26.90%
发文量
223
审稿时长
6-12 weeks
期刊介绍: Tobacco Control is an international peer-reviewed journal covering the nature and consequences of tobacco use worldwide; tobacco''s effects on population health, the economy, the environment, and society; efforts to prevent and control the global tobacco epidemic through population-level education and policy changes; the ethical dimensions of tobacco control policies; and the activities of the tobacco industry and its allies.
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