Exposure to tobacco and e-cigarette advertisements by sexual identity status among high school students.

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Date: Feb. 2022
From: Addictive Behaviors(Vol. 125)
Publisher: Elsevier B.V.
Document Type: Report; Brief article
Length: 404 words

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Keywords Tobacco products; e-Cigarettes; Advertisements; Sexual minorities; High school students Highlights * The literature on tobacco advertising among sexual miniority is relatively scarce. * Different channels of tobacco ads exposure were examined by sexual identity. * Sexual miniority adolescents had high exposure to tobacco ads, especially among males. * Exposure via newspapers for all tobacco products was higher for gays or lesbians and not sure. * Gays were more likely to be exposed to tobacco ads through the majority of channels. Abstract Introduction The literature on tobacco advertising among sexual minorities is relatively scarce. This study examined the association between exposure to tobacco products and e-cigarettes advertisements and sexual identity. Methods Data were from the 2020 National Youth Tobacco Survey (n = 7223). The prevalence of exposure to tobacco marketing through various channels was estimated among high school students and by sexual identity subgroups. Multivariable logistic regressions were used to examine the association between sexual identity status and exposure to tobacco and e-cigarette advertisements. Results The proportion of sexual minority adolescents who reported exposure to tobacco and e-cigarette advertisements was higher than heterosexuals. In multivariable analysis, gay or lesbian youth (aOR 1.45, 95% CI, 1.04--2.02) had higher odds of any exposure to tobacco and e-cigarette advertisement than heterosexuals. Regarding the channel of advertisement exposure, sexual minorities were more likely to be exposed via newspapers/magazines for cigarettes or other tobacco products. Likewise, gay or lesbian youth and those not sure about their sexual identity had higher odds of exposure via newspapers/magazines for e-cigarettes. Analysis stratified by sex showed significant differences, with gay or lesbian males more likely to be exposed to any tobacco and e-cigarette advertisements via the internet, newspapers/magazines, and TV/streaming services. Males not sure about their sexual identity are more likely to be exposed to tobacco and e-cigarette advertisements via newspapers/magazines. Conclusions Overall, sexual minority adolescents had high exposure to tobacco products and e-cigarette advertisements, especially males. Prevention and intervention efforts targeting this population could help reduce the well-established tobacco use disparities. Author Affiliation: (a) Ross and Carol Nese College of Nursing, Penn State, University Park, Pennsylvania, United States (b) Division of Biostatistics, College of Public Health, The Ohio State University, United States * Corresponding author at: Ross and Carol Nese College of Nursing, Penn State, University Park, Pennsylvania, United States. Article History: Received 27 July 2021; Revised 25 October 2021; Accepted 26 October 2021 Byline: Sunday Azagba [spa5695@psu.edu] (a,*), Lingpeng Shan (b)

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Gale Document Number: GALE|A683638198