Evaluating strategies to reduce the effects of pro-e-cigarette social media posts in young adults.

Objective. Examine how sponsorship disclosures and nicotine warning labels (NWLs) affect responses to proe-cigarette Instagram posts among Mexican young adults. Materials and methods. In a 2 x 2 online experiment, Mexicans aged 18-24 (N= 699; 53% users and 47% nonusers of cigarettes or e-cigarettes...

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Publicado en:Salud Pública de México Vol. 68; no. 3; pp. 235 - 245
Autores principales: Cruz-Jiménez, Lizeth, Kim, Minji, Vidaña-Pérez, Dèsirée, Khemkar, Aishwarya, Sun, Yanwen, Leal, Diego F., Barrientos-Gutiérrez, Inti, Thrasher, James F.
Formato: Artículo
Publicado: Instituto Nacional de Salud Publica may/jun2026
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: may/jun2026
      vid: 68
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      pub: Instituto Nacional de Salud Publica
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        atl: Evaluating strategies to reduce the effects of pro-e-cigarette social media posts in young adults.
      aug:
        au:
          Cruz-Jiménez, Lizeth
          Kim, Minji
          Vidaña-Pérez, Dèsirée
          Khemkar, Aishwarya
          Sun, Yanwen
          Leal, Diego F.
          Barrientos-Gutiérrez, Inti
          Thrasher, James F.
        affil:
          Department of Health Promotion, Education & Behavior, University of South Carolina, Arnold School of Public Health. Columbia, United States.
          School of Sociology, University of Arizona. Tucson, Arizona, United States.
          Center for Evaluation and Survey Research, National Institute of Public Health. Cuernavaca, Morelos, Mexico.
      su:
        Electronic cigarettes
        Social media
        Logistic regression analysis
        Instagram (Web resource)
        Nicotine
      sug:
        subj:
          Electronic cigarettes
          Social media
          Logistic regression analysis
          Instagram (Web resource)
          Nicotine
      keyword:
        cigarros electrónicos
        electronic cigarettes
        etiquetas de advertencia sanitaria
        marketing
        mercado- tecnía
        nicotina
        nicotine
        redes sociales
        social media
        warning labels
        cigarros electrónicos
        etiquetas de advertencia sanitaria
        mercado- tecnía
        nicotina
        redes sociales
      ab:
        Objective. Examine how sponsorship disclosures and nicotine warning labels (NWLs) affect responses to proe-cigarette Instagram posts among Mexican young adults. Materials and methods. In a 2 x 2 online experiment, Mexicans aged 18-24 (N= 699; 53% users and 47% nonusers of cigarettes or e-cigarettes who were susceptible to future use) were randomly assigned to view one of four Instagram posts: 1) control, 2) disclosure-only, 3) NWL-only, or 4) combination. Participants reported susceptibility to e-cigarettes, positive expectancies, and risk perceptions. Outcomes were analyzed via logistic regression (ref=control). Results. Compared to the control, participants exposed to the NWL alone or combined were less likely to be curious to try the e-cigarette (OR= 0.54, 95%CI 0.35,0.83; OR= 0.54, 95%CI 0.34,0.84), try it if offered by a friend (OR= 0.59, 95%CI 0.39,0.90; OR= 0.55, 95%CI 0.36,0.85), or expect to enjoy use (OR= 0.64, 95%CI 0.42,0.97; OR= 0.65, 95%CI 0.43,1.00). Risk perceptions did not differ; disclosures had no effect. The disclosure-only condition (vs control) increased willingness to try e-cigarettes among people who currently smoked or were susceptible to smoking (β= 0.84, p <0.05). Conclusion. NWLs, but not sponsorship disclosures, reduce Mexican youth susceptibility and positive expectancies toward e-cigarettes.
        Objetivo. Examinar cómo las declaraciones de patrocinio y las etiquetas de advertencia sobre nicotina (NWL, por sus siglas en inglés) afectan las respuestas a publicaciones a favor de los cigarros electrónicos en Instagram entre adultos jóvenes mexicanos. Material y métodos. En un experimento de 2 x 2, conducido en internet, se asignó al azar a jóvenes mexicanos de entre 18 y 24 años (N= 699; 53% usuarios y 47% no usuarios de cigarros o de cigarros electrónicos susceptibles de consumir en el futuro) a ver una de cuatro publicaciones en Instagram: 1) control, 2) sólo declaración de patrocinio, 3) sólo NWL o 4) combinada. Los participantes reportaron su susceptibilidad a los cigarros electrónicos, expectativas positivas y percepciones de riesgo. Los resultados se analizaron mediante regresión logística (referencia: control). Resultados. En comparación con el grupo control, los participantes expuestos únicamente a la NWL o a la NWL combinada fueron menos propensos a sentir curiosidad por probar los cigarrillos electrónicos (RM= 0.54, IC95% 0.35,0.83; RM= 0.54, IC95% 0.34,0.84), a probarlos si un amigo se lo ofrecía (RM= 0.59, IC95% 0.39,0.90; RM= 0.55, IC95% 0.36,0.85), o a esperar disfrutar su uso (RM= 0.64, IC95% 0.42,0.97; RM= 0.65, IC95% 0.43,1.00). Las percepciones de riesgo no mostraron diferencias; las declaraciones de patrocinio no tuvieron efecto. Las declaraciones de patrocinio (vs control) aumentaron la disposición a probar los cigarrillos electrónicos entre las personas que actualmente fumaban o eran susceptibles a fumar (β= 0.84, p <0.05). Conclusión. Las etiquetas de advertencia sobre nicotina, pero no las declaraciones de patrocinio, reducen la susceptibilidad y las expectativas positivas hacia los cigarros electrónicos entre los jóvenes mexicanos.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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          year: 2026
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