Pathways to Quitting E-cigarettes Among Youth and Young Adults: Evidence From the truth® Campaign.

IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
American Journal of Health Promotion Pub Date : 2024-09-01 Epub Date: 2023-11-29 DOI:10.1177/08901171231218492
Jennifer M Kreslake, Kathleen Aarvig, Michael Shiyang Liu, Donna M Vallone, Elizabeth C Hair
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引用次数: 0

Abstract

Purpose: This study examines the pathways through which e-cigarette users' awareness of the truth® campaign influences e-cigarette use frequency over time.

Design and setting: Data included four waves (2020-2023) of the Truth Longitudinal Cohort, a probability-based, nationally representative survey.

Participants: The analytic sample was 15-24-year-olds who reported current e-cigarette use at baseline (N = 718). Wave-by-wave retention rates were 64% to 69%.

Measures: Respondents' cumulative awareness of truth® ads was calculated (Waves 1-2). Strength of agreement with campaign-targeted attitudes was measured on five-point scales (Wave 2). The outcome was change in the 4-level frequency of e-cigarette use (Waves 2-4).

Analysis: Latent growth structural equation modeling examined the pathway from cumulative ad awareness to the frequency of e-cigarette use via campaign-targeted attitudes.

Results: Model fit estimates identified a three-step pathway by which awareness of the campaign reduced e-cigarette use. Ad awareness was significantly associated with stronger campaign-targeted attitudes: perceived risk (β = .20, P < .0001); anti-vape industry (β = .13, P = .003); independence from addiction (β = .13, P = .004); and affinity with groups that reject vaping (β = .18, P < .0001). Each attitude was significantly associated with stronger perceived norms against e-cigarette use (respectively: β = .25, P < .0001; β = .15, P < .0001; β = .12, P = .018; β = .27, P < .0001). Perceived norms against e-cigarette use had a significant negative relationship with growth in e-cigarette use frequency over time (β = -.23, P < .0001).

Conclusion: Greater truth® anti-vaping ad awareness strengthens campaign-targeted attitudes among current users, increasing perceived norms against e-cigarette use and reducing use over time.

青少年和年轻人戒烟的途径:来自真相®运动的证据。
目的:本研究考察了随着时间的推移,电子烟用户对truth®运动的认识影响电子烟使用频率的途径。设计和设置:数据包括Truth纵向队列的四波(2020-2023),这是一项基于概率的全国代表性调查。参与者:分析样本为15-24岁的年轻人,他们在基线时报告了目前的电子烟使用情况(N = 718)。一波接一波的保留率为64%至69%。测量方法:计算受访者对truth®广告的累积意识(Waves 1-2)。以五分制(波2)衡量与运动目标态度的一致程度。结果是电子烟使用4级频率的变化(波2-4)。分析:潜在增长结构方程模型研究了从累积广告意识到通过活动目标态度使用电子烟的频率的途径。结果:模型拟合估计确定了一个三步走的途径,通过这个途径,人们对该运动的认识减少了电子烟的使用。广告意识与更强的竞选目标态度显著相关:感知风险(β = 0.20, P < 0.0001);反烟行业(β = .13, P = .003);成瘾独立性(β = 0.13, P = 0.004);与拒绝吸电子烟的群体的亲和力(β = 0.18, P < 0.0001)。每种态度都与更强的对电子烟使用的感知规范显著相关(分别:β = 0.25, P < 0.0001;β = 0.15, p < 0.0001;β = 0.12, p = 0.018;β = 0.27, p < 0.0001)。随着时间的推移,对电子烟使用的感知规范与电子烟使用频率的增长呈显著负相关(β = -)。23, p < 0.0001)。结论:更真实®反电子烟广告意识增强了当前用户对活动的针对性态度,增加了对电子烟使用的认知规范,并随着时间的推移减少了使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Health Promotion
American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
3.70%
发文量
184
期刊介绍: The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.
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