Study finds, Smoking Susceptibility and Tobacco Media Engage
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In the past 20 years, the susceptibility of kids to future smoking has never changed even though experimental cigarettes have declined. Researchers have investigated how marketing-related smoking and tobacco sensitivity influenced the starting of smoking.

Four waves were analyzed among youth aged 12 to 17 years at wave 1 who completed wave 4. Susceptibility was assessed by 4 items (openness to curiosity, try soon, try in the next year, and if your best friend offered) and categorized into 4 levels (0 = definitely no to all; 1 = yes to 1; 2 = yes to 2; and 3 + 4 = yes to 3 or 4 susceptibility items).

Multivariable logistic regression evaluated how susceptibility levels, electronic cigarette use, and tobacco-related media activity predicted future experimental (more than 1 puff), current (past 30 days), or established (more than 100 cigarettes) smoking.

--Among 8899 never smokers at wave 1, 16.4% became experimental smokers, 7.6% current smokers, and 1.8% established smokers at wave 4. Black and Latino/a youth were less likely to experiment.

--Youth who endorsed 3 or 4 susceptibility items at wave 1 were more likely to be experimental (adjusted odds ratio [aOR] = 6.0), current (aOR = 4.2 ), or established (aOR = 4.4; CI = 2.4–7.9) smokers at wave 4.

--Exposure to tobacco marketing, using tobacco-related apps, seeing social media content posted about tobacco, and ever use of electronic cigarettes also predicted experimental smoking.

Finally, cigarette-related marketing was predictive of the smoking susceptibility and exposure to tobacco. Clinicians should explore smoking sensitivity and media exposure assessment for teenagers.