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Effect of Social Media on E-cigarette use among Youth during the COVID-19 Pandemic in 2021

Zhu, Yufeng (2023) Effect of Social Media on E-cigarette use among Youth during the COVID-19 Pandemic in 2021. Master's Thesis, University of Pittsburgh. (Unpublished)

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E-cigarette use in teens has emerged as a public health crisis in the United States. Since teens are more susceptible to e-cigarette advertising than adults, content and promotions on social media became an effective strategy for the e-cigarettes industries to maintain long-term profits by attracting teens.
The goal of this research is to explore the effect of social media on e-cigarette use among youth during the COVID-19 pandemic with demographic characteristics of age, gender, race/ethnicity. Using the data from 2021 National Youth Tobacco Survey (NYTS), weighted logistic regression models to account for the complex NYTS survey design, were performed using R.
Results showed that social media use, e-cigarette exposure through social media, and the number of social media sites with e-cigarette content were significantly associated with increased odds of ever using e-cigarettes. However, social media were not associated with the increased odds of current using e-cigarettes since addiction plays a more important role in long-term e-cigarette use.
The public health significance of this work is preventing the use of e-cigarettes and other tobacco products among youth to improve their well-beings. By studying their social media use patterns and exposure to e-cigarette-related content, we found that reducing exposure to e-cigarette promotions and related posts on social media by implementing more strict control policies, and conducting educational campaigns could be an area of regulatory intervention to limit e-cigarette initiation among teens.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Zhu, YufengYUZ132@pitt.eduYUZ132
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee MemberCarlson, Jenna C.jnc35@pitt.edujnc35
Committee MemberYouk, Adaayouk@pitt.eduayouk
Committee MemberBuchanich, Jeanine M.jeanine@pitt.edujeanine
Thesis AdvisorCarlson, Jenna C.jnc35@pitt.edujnc35
Date: 3 January 2023
Date Type: Publication
Defense Date: 12 December 2022
Approval Date: 3 January 2023
Submission Date: 16 December 2022
Access Restriction: 1 year -- Restrict access to University of Pittsburgh for a period of 1 year.
Number of Pages: 74
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Biostatistics
Degree: MS - Master of Science
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: e-cigarette, social media, National Youth Tobacco Survey, Weighted Logistic Regression
Date Deposited: 03 Jan 2023 14:17
Last Modified: 03 Jan 2023 14:17


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