Examining Indirect Effects of Advertising Exposure on Young Adults' Cannabis and Nicotine Vaping

Overview

Journal Psychol Addict Behav

Publisher American Psychological Association

Specialties Psychiatry
Psychology

Date 2023 Apr 10

PMID 37036697

Authors

Graham T DiGuiseppi

Michael S Dunbar

Joan S Tucker

Anthony Rodriguez

Claude Messan Setodji

Jordan P Davis

Elizabeth J DAmico

Affiliations

Soon will be listed here.

Abstract

Objective: To examine longitudinal associations between exposure to two types of advertisements (medical/recreational cannabis and e-cigarette retailers [vape shops]) and young adults' cannabis and nicotine vaping behavior. Positive and negative expectancies for cannabis and vaping nicotine were examined as mediators of these associations.

Method: Secondary analysis of observational data from a longitudinal cohort of young adults recruited from Southern California (Wave 13: = 2,411, 56% female, = 23.6). Participants completed web-based surveys annually, reporting on advertising exposure in 2018, expectancies in 2019, and cannabis and nicotine vaping in 2020. Two path models were specified: (a) of past-month cannabis vaping only, nicotine vaping only, and co-use (vs. no vaping) and (b) of single product vaping (vs. co-use). Path analyses modeled direct and indirect associations between variables.

Results: Controlling for past-month cannabis and nicotine use and other covariates, there were no significant direct associations of advertising exposure with cannabis and/or nicotine vaping. However, the association between cannabis advertising exposure and vaping (cannabis only) was significantly mediated by positive cannabis expectancies (β = 0.02, = 0.01, = .03). Among those who vaped cannabis and/or nicotine in the past month at Wave 13, expectancies did not significantly mediate associations between advertising exposure and single product use (vs. co-use).

Conclusions: Although exposure to cannabis advertisements may not be directly associated with young adults' cannabis vaping 2 years later, the effects of advertising exposure may be exerted indirectly by increasing positive beliefs about cannabis. Implications for public health policy are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

References

DAmico E, Rodriguez A, Tucker J, Pedersen E, Shih R . Planting the seed for marijuana use: Changes in exposure to medical marijuana advertising and subsequent adolescent marijuana use, cognitions, and consequences over seven years. Drug Alcohol Depend. 2018; 188:385-391. PMC: 6744951. DOI: 10.1016/j.drugalcdep.2018.03.031. View

Amin S, Dunn A, Laranjo L . Social Influence in the Uptake and Use of Electronic Cigarettes: A Systematic Review. Am J Prev Med. 2019; 58(1):129-141. DOI: 10.1016/j.amepre.2019.08.023. View

Pepper J, Lee Y, Eggers M, Allen J, Thompson J, Nonnemaker J . Perceptions of U.S. and Canadian Cannabis Package Warnings Among U.S. Adults. Drug Alcohol Depend. 2020; 217:108275. PMC: 7736497. DOI: 10.1016/j.drugalcdep.2020.108275. View

Choi K, Forster J . Beliefs and experimentation with electronic cigarettes: a prospective analysis among young adults. Am J Prev Med. 2014; 46(2):175-8. PMC: 3930913. DOI: 10.1016/j.amepre.2013.10.007. View

Schauer G, Peters E . Correlates and trends in youth co-use of marijuana and tobacco in the United States, 2005-2014. Drug Alcohol Depend. 2018; 185:238-244. DOI: 10.1016/j.drugalcdep.2017.12.007. View

Zimmerman R, Cupp P, Abadi M, Donohew R, Gray C, Gordon L . The effects of framing and fear on ratings and impact of antimarijuana PSAs. Subst Use Misuse. 2014; 49(7):824-35. DOI: 10.3109/10826084.2014.880721. View

Young-Wolff K, Pacula R, Silver L . California Cannabis Markets-Why Industry-Friendly Regulation Is Not Good Public Health. JAMA Health Forum. 2022; 3(7):e222018. DOI: 10.1001/jamahealthforum.2022.2018. View

Chen-Sankey J, Unger J, Bansal-Travers M, Niederdeppe J, Bernat E, Choi K . E-cigarette Marketing Exposure and Subsequent Experimentation Among Youth and Young Adults. Pediatrics. 2019; 144(5). PMC: 6836725. DOI: 10.1542/peds.2019-1119. View

Fataar F, Hammond D . The Prevalence of Vaping and Smoking as Modes of Delivery for Nicotine and Cannabis among Youth in Canada, England and the United States. Int J Environ Res Public Health. 2019; 16(21). PMC: 6862259. DOI: 10.3390/ijerph16214111. View

10.

Stevens E, Leshner G, Cohn A, Kim S, Wagener T . How marijuana use status affects responses to anti-marijuana messages. Cannabis. 2022; 4(2):1-16. PMC: 9268214. DOI: 10.26828/cannabis/2021.02.001. View

11.

Ramo D, Liu H, Prochaska J . Tobacco and marijuana use among adolescents and young adults: a systematic review of their co-use. Clin Psychol Rev. 2012; 32(2):105-21. PMC: 3267894. DOI: 10.1016/j.cpr.2011.12.002. View

12.

Cho Y, Thrasher J, Driezen P, Hitchman S, Reid J, Hammond D . Trends in exposure to and perceptions of e-cigarette marketing among youth in England, Canada and the United States between 2017 and 2019. Health Educ Res. 2021; 36(6):657-668. PMC: 8800160. DOI: 10.1093/her/cyab039. View

13.

Ramo D, Delucchi K, Hall S, Liu H, Prochaska J . Marijuana and tobacco co-use in young adults: patterns and thoughts about use. J Stud Alcohol Drugs. 2013; 74(2):301-10. PMC: 3568169. DOI: 10.15288/jsad.2013.74.301. View

14.

Shih R, Rodriguez A, Parast L, Pedersen E, Tucker J, Troxel W . Associations between young adult marijuana outcomes and availability of medical marijuana dispensaries and storefront signage. Addiction. 2019; 114(12):2162-2170. DOI: 10.1111/add.14711. View

15.

Travis N, Knoll M, Cadham C, Cook S, Warner K, Fleischer N . Health Effects of Electronic Cigarettes: An Umbrella Review and Methodological Considerations. Int J Environ Res Public Health. 2022; 19(15). PMC: 9330875. DOI: 10.3390/ijerph19159054. View

16.

Spindle T, Cone E, Schlienz N, Mitchell J, Bigelow G, Flegel R . Acute Effects of Smoked and Vaporized Cannabis in Healthy Adults Who Infrequently Use Cannabis: A Crossover Trial. JAMA Netw Open. 2019; 1(7):e184841. PMC: 6324384. DOI: 10.1001/jamanetworkopen.2018.4841. View

17.

Agrawal A, Budney A, Lynskey M . The co-occurring use and misuse of cannabis and tobacco: a review. Addiction. 2012; 107(7):1221-33. PMC: 3397803. DOI: 10.1111/j.1360-0443.2012.03837.x. View

18.

DAmico E, Edelen M . Pilot test of Project CHOICE: a voluntary afterschool intervention for middle school youth. Psychol Addict Behav. 2007; 21(4):592-8. DOI: 10.1037/0893-164X.21.4.592. View

19.

DAmico E, Tucker J, Miles J, Ewing B, Shih R, Pedersen E . Alcohol and marijuana use trajectories in a diverse longitudinal sample of adolescents: examining use patterns from age 11 to 17 years. Addiction. 2016; 111(10):1825-35. PMC: 5016216. DOI: 10.1111/add.13442. View

20.

Villanti A, LePine S, West J, Cruz T, Stevens E, Tetreault H . Identifying message content to reduce vaping: Results from online message testing trials in young adult tobacco users. Addict Behav. 2020; 115:106778. PMC: 8085990. DOI: 10.1016/j.addbeh.2020.106778. View