Exposure to e-cigarette and heated tobacco product advertisements via digital, traditional media, and points-of-sale: An examination of associations with use intentions and perceived risk among adults in Armenia and Georgia.

Autor:	Sargsyan Z; Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia., Dekanosidze A; Georgia National Center for Disease Control and Public Health, Tbilisi, Georgia.; Tbilisi State Medical University, Tbilisi, Georgia., Hayrumyan V; Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia., Torosyan A; National Institute of Health named after academician S. Avdalbekyan, Ministry of Health of the Republic of Armenia, Yerevan, Armenia., Cui Y; Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, United States., Grigoryan L; National Institute of Health named after academician S. Avdalbekyan, Ministry of Health of the Republic of Armenia, Yerevan, Armenia., Alayan N; Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia., Petrosyan V; Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia., Bazarchyan A; National Institute of Health named after academician S. Avdalbekyan, Ministry of Health of the Republic of Armenia, Yerevan, Armenia., Sturua L; Georgia National Center for Disease Control and Public Health, Tbilisi, Georgia., Haardörfer R; Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, United States., Kegler MC; Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, United States., Berg CJ; Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, United States.; George Washington Cancer Center, The George Washington University, Washington, United States.
Jazyk:	angličtina
Zdroj:	Tobacco prevention & cessation [Tob Prev Cessat] 2024 Oct 25; Vol. 10. Date of Electronic Publication: 2024 Oct 25 (Print Publication: 2024).
DOI:	10.18332/tpc/191992
Abstrakt:	Introduction: E-cigarette and heated tobacco product (HTP) marketing often leverages digital media and points-of-sale (POS) and advertises risk reduction, including in Armenia and Georgia where male cigarette use rates are high. Methods: Using 2022 survey data from Armenian and Georgian adults (n=1468, mean age=42.92 years, 51.4% female; and past-month use of e-cigarettes 3.2%, HTPs 2.7%, and cigarettes 31.6%), multivariable linear regression examined 4 outcomes - e-cigarette and HTP use intentions and perceived risk (1=not at all, to 7=extremely) - in relation to past-month e-cigarette or HTP advertisement exposure via digital media, traditional media, and POS, controlling for covariates (country, age, gender, education level, relationship status, children, past-month cigarette and e-cigarette/HTP use). Results: E-cigarette and HTP use intentions were low (mean score=1.47, SD=1.39 each), while perceived risk was high (mean score=5.83, SD=1.6, and mean score=5.87, SD=1.56, respectively). Past-month exposure to e-cigarette and HTP advertisements, respectively, were 12.9% and 11.2% via digital media, 6.1% and 4.8% traditional media, and 22.5% and 21.1% POS. For e-cigarettes, ad exposure via digital media was associated with greater use intentions (β=0.24; 95% CI: 0.03-0.44), ad exposure via traditional media (β= -0.32; 95% CI: -0.55 - -0.09) and POS (β= -0.30; 95% CI: -0.60 - -0.004) was associated with lower risk perceptions. For HTPs, ad exposure via digital media (β=0.35; 95% CI: 0.14-0.56) and POS (β=0.21; 95% CI: 0.04-3.63) was associated with greater use intentions, and ad exposure at POS was associated with lower risk perceptions (β= -0.23; 95% CI: -0.42 - -0.03). Conclusions: Tobacco control efforts should monitor and regulate e-cigarette and HTP marketing, particularly via digital media which may effectively promote use, and via POS which may target and influence risk perceptions. Competing Interests: The authors have completed and submitted an ICMJE form for Disclosure of Potential Conflicts of Interest. The authors declare that they have no competing interests, financial or otherwise, related to the current work. All authors report that since the initial planning of the work this research was funded by the US Fogarty International Center/National Institutes of Health (NIH) (R01TW010664, MPIs: Berg, Kegler). C.J. Berg reports that in the past 36 months she received grants from other US NIH funding, including: National Cancer Institute (R01CA278229, MPIs: Berg, Kegler; R01CA275066, MPIs: Yang, Berg; R21CA261884, MPIs: Berg, Arem), National Institute of Environmental Health Sciences/Fogarty (D43ES030927, MPIs: Berg, Caudle, Sturua; D43TW012456, MPIs: Berg, Paichadze, Petrosyan), and National Institute on Drug Abuse (R01DA054751, MPIs: Berg, Cavazos-Rehg). (© 2024 Sargsyan Z. et al.)
Databáze:	MEDLINE
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