Study finds, Smoking Susceptibility and Tobacco Media Engage
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.