Analysis of the relationship between tobacco marketing density and positive attitudes toward tobacco and tobacco use in youthful students of 13 cities in China
Objective To understand the relationship between tobacco marketing density and positive attitudes toward tobacco and tobacco use in youthful students in China,and provide the reference for improving the correct perceptions of tobacco and controlling tobacco use in youthful students.Methods From September 2022 to March 2023,the multi-stage stratified cluster sampling method was used to select 2 292 high school or college youthful students from 13 cities in 4 regions(North China,Yangtze River Delta,Pearl River Delta and Southwest)as the subjects to investigate the tobacco use and attitude toward tobacco.Multiple linear regression and multivariate non-conditional logistic regression were used to analyze the data.The used software was Stata 17.0.Results The scores of positive attitudes towards e-cigarettes and cigarettes in youthful students were 8.12±3.60 and 8.01±3.79,respectively;and the density of e-cigarette experience stores and traditional tobacco retailers around their current residences were(0.15±0.11)and(1.08±0.52)piece/km2,respectively.The multivariate non-conditional logistic regression analysis showed that the density of e-cigarette experience stores waspositively correlated with youthful student positive attitude towards e-cigarettes(β=0.069)and e-cigarette use(OR=4.629),respectively(P＜0.05);but the traditional tobacco retailers density was not significantly associated with youthful student cigarette use and positive attitude toward cigarettes;library density was negatively correlated to youthful student cigarette use(0R=0.258),and theater density was negatively correlated to youthful student positive attitudes to e-cigarettes(β=-0.071)and cigarettes(β=-0.073),P＜0.05.Conclusion E-cigarette marketing density may increase favorable impression and using probability of e-cigarette among youthful students.The government and society should encourage youthful students to participate in healthy cultural and physical activities,and to limit the number and visibility of e-cigarette experience stores in public places.
Electronic cigaretteYouthful studentInterest pointPositive perceptionTobacco use
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