Abstract
E-cigarette use has increased rapidly over the past decade. There is growing concern about e-cigarette use and advertising given limited regulation of these products. This cross-sectional study reports on data collected at baseline from hospitalized cigarette smokers (N = 944) recruited in monthly cohorts between December 2012 and September 2013. Participants were queried regarding e-cigarette awareness and use, and number and sources of e-cigarette advertisement exposures in the previous 6 months. Most Whites (99 %) reported ever hearing of an e-cigarette compared to 96 % of Blacks (p < 0.001). Over two thirds (64 %) of Whites reported ever using an e-cigarette compared to 30 % of Blacks (p < 0.001). There were significant trends in increasing e-cigarette use for both racial groups with an average increase of 13 % each month (p < 0.005) and in increasing e-cigarette advertisement exposure reported for the previous 6 months, with a 14 % increase each month (p < 0.0001). Whites reported 56 % greater advertisement exposure than Blacks (mean = 25 vs. 8 in month 1 to 79 vs. 45 in month 9, respectively; p < 0.0001). For Blacks, advertisement exposure was significantly associated with e-cigarette use (p < 0.001). Whites reported more advertisement exposure from stores and the Internet, and Blacks reported more advertisement exposure from radio or television. Results suggest that e-cigarette marketing is beginning to breach the Black population who are, as a consequence, “catching up” with Whites with regard to e-cigarette use. Given the significant disparities for smoking-related morbidity and mortality between Blacks and Whites, these findings identify new areas for future research and policy.
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Acknowledgments
This project was funded through the National Institute of Drug Abuse (NIDA) grant U01DA031515 awarded to the last author. NIDA was not involved in the writing or decision to publish this paper or in the data collection, analysis, or interpretation.
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Baumann, A.W., Kohler, C., Kim, Yi. et al. Differences in Electronic Cigarette Awareness, Use History, and Advertisement Exposure Between Black and White Hospitalized Cigarette Smokers. J Canc Educ 30, 648–654 (2015). https://doi.org/10.1007/s13187-014-0767-y
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DOI: https://doi.org/10.1007/s13187-014-0767-y