{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T09:33:31Z","timestamp":1774604011940,"version":"3.50.1"},"reference-count":48,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T00:00:00Z","timestamp":1649894400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01CA234082-01A1"],"award-info":[{"award-number":["R01CA234082-01A1"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Objective: To understand the relationship between exposure to online tobacco advertising and current smokeless tobacco use in the context of tobacco control policies. Methods: Three waves of a national probability-based sample of (n = 15,985) youth and young adults were used. Analysis consisted of GEE logistic models controlling for social media use, demographics, tobacco use, average price of smokeless tobacco inclusive of taxes, smoke-free indoor air laws (SFIA) and state tobacco control expenditures. Results: Frequent exposure to tobacco advertising on social media is associated with greater odds of current smokeless use (aOR: 2.05, 95% CI: 1.62, 2.60). Higher prices and SFIA coverage were associated with reduced current smokeless use when examined separately from other tobacco policy variables (aOR: 0.79, CI: 0.73, 0.85; aOR: 0.44, CI: 0.28, 0.70). Conclusions: Greater exposure to tobacco advertising online is associated with greater odds of smokeless use among surveyed youth and young adults. This effect of social media marketing exposure on smokeless use outweighs the mitigating impact of existing tobacco control policies. The findings underscore the need for strong advertising regulation of evolving tobacco products, including smokeless products, on social media and surveillance of digital marketing tactics to young people.<\/jats:p>","DOI":"10.3390\/ijerph19084786","type":"journal-article","created":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T21:44:06Z","timestamp":1649972646000},"page":"4786","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Online Tobacco Advertising and Current Chew, Dip, Snuff and Snus Use among Youth and Young Adults, 2018\u20132019"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6915-2529","authenticated-orcid":false,"given":"Megan C.","family":"Diaz","sequence":"first","affiliation":[{"name":"Schroeder Institute, Truth Initiative, Washington, DC 20001, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-0451","authenticated-orcid":false,"given":"Elexis C.","family":"Kierstead","sequence":"additional","affiliation":[{"name":"Schroeder Institute, Truth Initiative, Washington, DC 20001, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domonique","family":"Edwards","sequence":"additional","affiliation":[{"name":"Schroeder Institute, Truth Initiative, Washington, DC 20001, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1685-1753","authenticated-orcid":false,"given":"Yoonsang","family":"Kim","sequence":"additional","affiliation":[{"name":"NORC at the University of Chicago, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shyanika W.","family":"Rose","sequence":"additional","affiliation":[{"name":"College of Medicine, Department of Behavioral Science, Center for Health Equity Transformation, University of Kentucky, Lexington, KY 40506, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9278-9990","authenticated-orcid":false,"given":"Sherry","family":"Emery","sequence":"additional","affiliation":[{"name":"NORC at the University of Chicago, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bushraa","family":"Khatib","sequence":"additional","affiliation":[{"name":"Schroeder Institute, Truth Initiative, Washington, DC 20001, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Liu","sequence":"additional","affiliation":[{"name":"Schroeder Institute, Truth Initiative, Washington, DC 20001, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ganna","family":"Kostygina","sequence":"additional","affiliation":[{"name":"NORC at the University of Chicago, Chicago, IL 60637, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,14]]},"reference":[{"key":"ref_1","unstructured":"University of Michigan (2020). 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