Cross-country comparison of cigarette and vaping product marketing exposure and use: findings from 2016 ITC Four Country Smoking and Vaping Survey.
Author
Cho, YJ; Thrasher, J; Cummings, M; Yong, HH; Hitchman, SC; McNeill, A; Fong, GT; Hammond, D; Hardin, J; Li, L; ...Date
2020-05Source Title
Tobacco ControlPublisher
BMJUniversity of Melbourne Author/s
Li, LinAffiliation
Melbourne School of Psychological SciencesMetadata
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Journal ArticleCitations
Cho, Y. J., Thrasher, J., Cummings, M., Yong, H. H., Hitchman, S. C., McNeill, A., Fong, G. T., Hammond, D., Hardin, J., Li, L. & Lindblom, E. N. (2020). Cross-country comparison of cigarette and vaping product marketing exposure and use: findings from 2016 ITC Four Country Smoking and Vaping Survey.. Tob Control, 29 (3), pp.295-304. https://doi.org/10.1136/tobaccocontrol-2018-054650.Access Status
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http://europepmc.org/articles/pmc7135957?pdf=renderOpen Access at PMC
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7135957Abstract
OBJECTIVE: To compare exposure to and use of certain cigarette and vaping product marketing among adult smokers and vapers in four countries with contrasting regulations-Australia (AU), Canada, England and the USA. DATA SOURCES: Adult smokers and vapers (n=12 294) from the 2016 International Tobacco Control (ITC) Four Country Smoking and Vaping Survey (4CV1). ANALYSIS: Self-reported exposure to cigarette and vaping product advertising through point-of-sale, websites/social media, emails/texts, as well as exposure to and use of price offers were assessed for country differences using logistic regression models adjusted for multiple covariates. RESULTS: Reported exposure to cigarette advertising exposure at point-of-sale was higher in the USA (52.1%) than in AU, Canada and England (10.5%-18.5%). Exposure to cigarette advertising on websites/social media and emails/texts was low overall (1.5%-10.4%). Reported exposure to vaping ads at point-of-sale was higher in England (49.3%) and USA (45.9%) than in Canada (32.5%), but vaping ad exposure on websites/social media in Canada (15.1%) was similar with England (18.4%) and the USA (12.1%). Exposure to vaping ads via emails/texts was low overall (3.1%-9.9%). Exposure to, and use of, cigarette price offers was highest in the USA (34.0 % and 17.8 %, respectively), but the use rate among those exposed was highest in AU (64.9%). Exposure to, and use of, price offers for vaping products was higher in the USA (42.3 % and 21.7 %) than in AU, Canada and England (25.9%-31.5 % and 7.4%-10.3 %). CONCLUSIONS: Patterns of cigarette and vaping product marketing exposure generally reflected country-specific policies, except for online vaping ads. Implications for research and policy are discussed.
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