Does Tobacco Social Media Marketing Alter Adolescent Risk Perceptions and Use? Longitudinal Data-Adaptive Estimators and Causal Inference to Enhance Understanding

烟草社交媒体营销是否会改变青少年的风险认知和使用？

• 批准号: 10804979
• 负责人: Paul Truman Harrell
• 金额: $ 21.05万
• 依托单位: EASTERN VIRGINIA MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-25 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10804979
• 关键词: Adolescence; Adolescent; Algorithms; Attention; Attitude; Awareness; Behavior; Belief; Data; Data Analyses; Data Set; Development; Education; Electronic Nicotine Delivery Systems; Electronic cigarette; Feedback; Future; Health; Individual; Learning; Marketing; Measures; Mediating; Mediation; Mediator; Methodology; Methods; Modeling; Nicotine; Pattern; Perception; Persons; Policies; Policy Maker; Population; Population Assessment of Tobacco and Health; Public Health; Research; Research Support; Risk; Source; Surveys; Techniques; Time; Tobacco; Tobacco use; United States; Update; Youth; addiction; cigarette smoking; development policy; examination questions; health care delivery; health data; improved; innovation; nicotine use; response; risk perception; secondary analysis; semiparametric; social influence; social media; substance use; tobacco advertising; tobacco control; tobacco products

Project Summary Youth trajectories of tobacco use are of critical importance in the future of public health. Most tobacco use begins in adolescence and adolescents are particularly vulnerable to long-term tobacco use. While cigarette smoking significantly declined among adolescents over the past decade, overall tobacco/nicotine use actually increased by some measures, primarily due to increased rates of use of electronic nicotine delivery systems (ENDS). These changes in population levels of adolescent tobacco use are of critical importance in predicting tobacco control challenges and opportunities in the next decade. As the scientific debate unfolds regarding ENDS health effects, adolescents nationwide are learning about tobacco products and attempting to rectify conflicting information to create and refine their own beliefs regarding these products. At the same time, youth are increasingly living their lives filtered through social media account participation. Marketers are well aware of this fact and act to influence youth to purchase their products. Tobacco marketers are certainly no exception. Social media marketing is particularly important to examine as it is a prevalent source of adolescent exposure that is amenable to policy change. Social media marketing differs from other forms of marketing in that it exploits participatory facilitation, algorithmic coordination, context- specific promotions, real-world enmeshment, and seamless integration with purchasing opportunities. Although some research has examined this issue, there are important methodological concerns that may lead to flawed or incomplete understanding of the relationships involved and hinder the development of policies or other approaches to reduce the influence of social media marketing on youth ENDS use. We will address limitations in prior research by using both longitudinal data-adaptive, semiparametric estimators and a causal inference approach. We will focus on two risk perceptions: harmfulness and addictiveness. The degree to which risk beliefs act as mediators of the effects of social media marketing on use is unclear. Effective ENDS control strategies for adolescents require a more comprehensive understanding of how attitudes change over time and the potential impact of social media marketing on these changes The Population Assessment of Tobacco and Health (PATH) dataset provides a unique opportunity to examine youth beliefs about tobacco products, marketing exposure, and patterns of tobacco use among adolescents in the United States longitudinally. The current study will examine underutilized, recent Waves to examine the impact of online ENDS marketing on use with longitudinal data-adaptive, semiparametric estimators and to examine risk perceptions as potential mediators explaining the effects of adolescent marketing exposure on ENDS use with a causal inference approach.

项目摘要 在公共卫生的未来，烟草使用的青年轨迹至关重要。大多数烟草 使用始于青春期，青少年特别容易受到长期烟草使用的影响。尽管 在过去的十年中，青少年吸烟大幅下降，整体烟/尼古丁使用 实际上通过某些措施增加了，这主要是由于电子尼古丁传递的使用率增加 系统（末端）。青少年烟草使用水平的这些变化在 预测未来十年的烟草控制挑战和机遇。随着科学辩论的展开 关于健康的影响，全国青少年正在学习烟草产品，并试图尝试 纠正矛盾的信息，以创建和完善自己对这些产品的信念。 同时，青年越来越多地通过社交媒体帐户过滤自己的生活 参与。营销人员非常了解这一事实，并采取行动影响年轻人购买产品。 烟草营销人员当然也不例外。社交媒体营销特别重要 是普遍的青少年风险曝光来源，可以改变政策的变化。社交媒体营销有所不同 从其他形式的营销中，它利用参与式促进，算法协调，环境 - 特定的促销活动，现实世界中的融合以及与购买机会的无缝集成。虽然 一些研究检查了这个问题，存在重要的方法论问题，可能导致缺陷 或对所涉及的关系不完全理解并阻碍政策或其他政策的制定 减少社交媒体营销对青年目的的影响的方法。我们将解决限制 在先前的研究中，通过使用纵向数据自适应，半参数估计器和因果推断 方法。我们将专注于两种风险感知：有害和成瘾性。风险的程度 信念是社交媒体营销对使用的影响的调解人，尚不清楚。有效的目的控制 青少年的策略需要更全面地了解态度如何随着时间的流逝而改变 社交媒体营销对这些变化的潜在影响 烟草和健康（PATH）数据集的人口评估提供了独特的机会 研究青年对烟草产品，营销风险和烟草使用模式的信念 美国的青少年纵向。当前的研究将检查未利用的，最近的波 检查在线营销对使用的影响，并使用纵向数据自动，半参数 估计量并研究风险感知作为解释青少年影响的潜在介体 末端的营销暴露与因果推理方法一起使用。