IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i10p6215-d819892.html
   My bibliography  Save this article

The Mediating Effect of E-Cigarette Harm Perception in the Relationship between E-Cigarette Advertising Exposure and E-Cigarette Use

Author

Listed:
  • Nan Jiang

    (Department of Population Health, Grossman School of Medicine, New York University, New York, NY 10016, USA)

  • Shu Xu

    (School of Global Public Health, New York University, New York, NY 10003, USA)

  • Le Li

    (Department of Population Health, Grossman School of Medicine, New York University, New York, NY 10016, USA)

  • Omar El-Shahawy

    (Department of Population Health, Grossman School of Medicine, New York University, New York, NY 10016, USA
    School of Global Public Health, New York University, New York, NY 10003, USA)

  • Nicholas Freudenberg

    (School of Public Health, City University of New York, New York, NY 10027, USA)

  • Jenni A. Shearston

    (Mailman School of Public Health, Columbia University, New York, NY 10032, USA)

  • Scott E. Sherman

    (Department of Population Health, Grossman School of Medicine, New York University, New York, NY 10016, USA
    Department of Medicine, VA New York Harbor Healthcare System, New York, NY 10010, USA)

Abstract

Exposure to e-cigarette advertising is associated with e-cigarette use among young people. This study examined the mediating effect of e-cigarette harm perception on the above relationship. Cross-sectional survey data were collected from 2112 college students in New York City in 2017–2018. The analytic sample comprised 2078 participants (58.6% females) who provided completed data. Structural equal modeling was performed to examine if e-cigarette harm perception mediated the relationship between e-cigarette advertising exposure (via TV, radio, large signs, print media, and online) and ever e-cigarette use and susceptibility to e-cigarette use. About 17.1% of participants reported ever e-cigarette use. Of never users, 17.5% were susceptible to e-cigarette use. E-cigarette advertising exposure was mainly through online sources (31.5%). Most participants (59.4%) perceived e-cigarettes as equally or more harmful than cigarettes. Advertising exposure showed different effects on e-cigarette harm perception depending on the source of the advertising exposure, but perceiving e-cigarettes as less harmful than cigarettes was consistently associated with e-cigarette use and susceptibility. Low harm perception mediated the association between advertising exposure (via online, TV, and radio) and ever e-cigarette use and between online advertising exposure and e-cigarette use susceptibility. Regulatory actions are needed to address e-cigarette marketing, particularly on the Internet.

Suggested Citation

  • Nan Jiang & Shu Xu & Le Li & Omar El-Shahawy & Nicholas Freudenberg & Jenni A. Shearston & Scott E. Sherman, 2022. "The Mediating Effect of E-Cigarette Harm Perception in the Relationship between E-Cigarette Advertising Exposure and E-Cigarette Use," IJERPH, MDPI, vol. 19(10), pages 1-10, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6215-:d:819892
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/10/6215/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/10/6215/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Kimberly G. Wagoner & David M. Reboussin & Jessica L. King & Elizabeth Orlan & Jennifer Cornacchione Ross & Erin L. Sutfin, 2019. "Who Is Exposed to E-Cigarette Advertising and Where? Differences between Adolescents, Young Adults and Older Adults," IJERPH, MDPI, vol. 16(14), pages 1-11, July.
    2. Jessica K. Pepper & Kurt M. Ribisl & Sherry L. Emery & Noel T. Brewer, 2014. "Reasons for Starting and Stopping Electronic Cigarette Use," IJERPH, MDPI, vol. 11(10), pages 1-17, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Marissa G. Hall & Jessica K. Pepper & Jennifer C. Morgan & Noel T. Brewer, 2016. "Social Interactions as a Source of Information about E-Cigarettes: A Study of U.S. Adult Smokers," IJERPH, MDPI, vol. 13(8), pages 1-10, August.
    2. Elle Wadsworth & Joanne Neale & Ann McNeill & Sara C. Hitchman, 2016. "How and Why Do Smokers Start Using E-Cigarettes? Qualitative Study of Vapers in London, UK," IJERPH, MDPI, vol. 13(7), pages 1-13, June.
    3. Marine Gossin & Gerhard Gmel & Joseph Studer & Mathieu Saubade & Carole Clair, 2020. "The Association between Type and Intensity of Sport and Tobacco or Nicotine Use—A Cross-Sectional Study among Young Swiss Men," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
    4. Jung Ah Lee & Sungkyu Lee & Hong-Jun Cho, 2017. "The Relation between Frequency of E-Cigarette Use and Frequency and Intensity of Cigarette Smoking among South Korean Adolescents," IJERPH, MDPI, vol. 14(3), pages 1-9, March.
    5. Lukasz Balwicki & Danielle Smith & Malgorzata Balwicka-Szczyrba & Michal Gawron & Andrzej Sobczak & Maciej L. Goniewicz, 2018. "Youth Access to Electronic Cigarettes in an Unrestricted Market: A Cross-Sectional Study from Poland," IJERPH, MDPI, vol. 15(7), pages 1-7, July.
    6. Christine E. Kistler & Trisha M. Crutchfield & Erin L. Sutfin & Leah M. Ranney & Micah L. Berman & Gary A. Zarkin & Adam O. Goldstein, 2017. "Consumers’ Preferences for Electronic Nicotine Delivery System Product Features: A Structured Content Analysis," IJERPH, MDPI, vol. 14(6), pages 1-10, June.
    7. Monica Webb Hooper & Stephanie K. Kolar, 2016. "Racial/Ethnic Differences in Electronic Cigarette Use and Reasons for Use among Current and Former Smokers: Findings from a Community-Based Sample," IJERPH, MDPI, vol. 13(10), pages 1-11, October.
    8. Kim A. G. J. Romijnders & Liesbeth Van Osch & Hein De Vries & Reinskje Talhout, 2018. "Perceptions and Reasons Regarding E-Cigarette Use among Users and Non-Users: A Narrative Literature Review," IJERPH, MDPI, vol. 15(6), pages 1-19, June.
    9. Bukola Usidame & Jana L. Hirschtick & Delvon T. Mattingly & Akash Patel & Megan E. Patrick & Nancy L. Fleischer, 2022. "Sociodemographic Patterns of Exclusive and Dual Combustible Tobacco and E-Cigarette Use among US Adolescents—A Nationally Representative Study (2017–2020)," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    10. Abigail T. Evans & Katherine C. Henderson & Anna Geier & Scott R. Weaver & Claire Adams Spears & David L. Ashley & Meredith Fritz & Lisa John & Terry F. Pechacek, 2020. "What Motivates Smokers to Switch to ENDS? A Qualitative Study of Perceptions and Use," IJERPH, MDPI, vol. 17(23), pages 1-17, November.
    11. Vuong V. Do & Amy L. Nyman & Yoonsang Kim & Sherry L. Emery & Scott R. Weaver & Jidong Huang, 2022. "Association between E-Cigarette Advertising Exposure and Use of E-Cigarettes among a Cohort of U.S. Youth and Young Adults," IJERPH, MDPI, vol. 19(19), pages 1-13, October.
    12. Arturo Durazo & Marlena Hartman-Filson & Holly Elser & Natalie M. Alizaga & Maya Vijayaraghavan, 2021. "E-Cigarette Use among Current Smokers Experiencing Homelessness," IJERPH, MDPI, vol. 18(7), pages 1-11, April.
    13. Socrates Yong-da Wu & Man Ping Wang & William H. Li & Antonio C. Kwong & Vienna W. Lai & Tai Hing Lam, 2018. "Does Electronic Cigarette Use Predict Abstinence from Conventional Cigarettes among Smokers in Hong Kong?," IJERPH, MDPI, vol. 15(3), pages 1-10, February.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6215-:d:819892. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.