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Original Articles

Vaping and Instagram: A Content Analysis of e-Cigarette Posts Using the Content Appealing to Youth (CAY) Index

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References

  • Allem, J.-P., Majmundar, A., Dharmapuri, L., Cruz, T. B., & Unger, J. B. (2019). E-liquid-related posts to Twitter in 2018: Thematic analysis. Addictive Behaviors Reports, 10, 100196. https://doi.org/10.1016/j.abrep.2019.100196
  • Alpert, J. M., Chen, H., & Adams, K.-A. (2020). E-cigarettes and social media: Attitudes and perceptions of young adults to social media messages. Addiction Research & Theory, 28(5), 387–310. https://doi.org/10.1080/16066359.2019.1663835
  • Alpert, J. M., Jaisle, A., & Chen, H. (2019). A content analysis of the promotional strategies employed by e-cigarette brands on Twitter. Health Marketing Quarterly, 36(4), 307–321. https://doi.org/10.1080/07359683.2019.1680121
  • Anderson, M., Jiang, J. (2018). Teens, social media & technology 2018. Retrieved from http://www.pewinternet.org/2018/05/31/teens-social-media-technology-2018/
  • Baek, T. H., & Mayer, M. (2010). Sexual Imagery in Cigarette Advertising Before and After the Master Settlement Agreement. Health Commun, 25(8), 747–757. https://doi.org/10.1080/10410236.2010.521917
  • Bakhshi, S., Shamma, D. A., & Gilbert, E. (2014). Photos with faces attract more likes and comments on instagram [Paper presentation]. Paper Presented at the SIGCHI Conference on Human Factors in Computing Systems, Toronto, CA.
  • Bandura, A., & Walters, R. H. (1977). Social learning theory (Vol. 1). Prentice-Hall.
  • Barry, A. E., Padon, A. A., Whiteman, S. D., Hicks, K. K., Carreon, A. K., Crowell, J. R., Willingham, K. L., & Merianos, A. L. (2018). Alcohol advertising on social media: examining the content of popular alcohol brands on Instagram. Substance Use & Misuse, 53(14), 2413–2420. https://doi.org/10.1080/10826084.2018.1482345
  • Baxter, L. A., & Babbie, E. R. (2003). The basics of communication research. Cengage Learning.
  • Centers for Disease Control and Prevention (2018). Cigarette smoking among U.S. adults lowest ever recorded: 14% in 2017 [Press release]. https://www.cdc.gov/media/releases/2018/p1108-cigarette-smoking-adults.html
  • Centers for Disease Control and Prevention (2020). E-Cigarette, or vaping, products visual dictionary. https://www.cdc.gov/tobacco/basic_information/e-cigarettes/pdfs/ecigarette-or-vaping-products-visual-dictionary-508.pdf
  • Chen, H. (2018). College-aged young consumers’ perceptions of social media marketing: The story of Instagram. Journal of Current Issues & Research in Advertising, 39(1), 22–36. https://doi.org/10.1080/10641734.2017.1372321
  • Chen, M. J., Grube, J. W., Bersamin, M., Waiters, E., & Keefe, D. B. (2005). Alcohol advertising: what makes it attractive to youth?Journal of Health Communication, 10(6), 553–565. https://doi.org/10.1080/10810730500228904
  • Chun, L. F., Moazed, F., Calfee, C. S., Matthay, M. A., & Gotts, J. E. (2017). Pulmonary toxicity of e-cigarettes. American Journal of Physiology. Lung Cellular and Molecular Physiology, 313(2), L193–L206. https://doi.org/10.1152/ajplung.00071.2017
  • Clement, J. (2020). Distribution of Instagram users worldwide as of April 2020, by age group. https://datareportal.com/?utm_source=Statista&utm_medium=Data_Citation_Hyperlink&utm_campaign=Data_Partners&utm_content=Statista_Data_Citation
  • Cobb, N. K., & Abrams, D. B. (2011). E-cigarette or drug-delivery device? Regulating novel nicotine products. The New England Journal of Medicine, 365(3), 193–195. https://doi.org/10.1056/NEJMp1105249
  • Cohen, R., Fardouly, J., Newton-John, T., & Slater, A. (2019). #BoPo on Instagram: An experimental investigation of the effects of viewing body positive content on young women’s mood and body image. New Media & Society, 21(7), 1546–1564. https://doi.org/10.1177/1461444819826530
  • Colditz, J. B., Welling, J., Smith, N. A., James, A. E., & Primack, B. A. (2019). World vaping day: contextualizing vaping culture in online social media using a mixed methods approach. Journal of Mixed Methods Research, 13(2), 196–215. https://doi.org/10.1177/1558689817702753
  • Dai, H., & Hao, J. (2016). Exposure to Advertisements and Susceptibility to Electronic Cigarette Use Among Youth. Journal of Adolescent Health, 59(6), 620–626. https://doi.org/10.1016/j.jadohealth.2016.06.013
  • Dai, H., & Leventhal, A. M. (2019). Prevalence of e-Cigarette use among adults in the United States, 2014-2018. JAMA, 322(18), 1824–1827. https://doi.org/10.1001/jama.2019.15331
  • Ding, Z., Qiu, X., Zhang, Q., & Huang, X. (2013). Learning topical translation model for microblog hashtag suggestion [Paper presentation]. Paper Presented at the Twenty-Third International Joint Conference on Artificial Intelligence,.
  • Donohew, L., Lorch, E. P., & Palmgreen, P. (1998). Applications of a theoretic model of information exposure to health interventions. Human Communication Research, 24(3), 454–468. https://doi.org/10.1111/j.1468-2958.1998.tb00425.x
  • Eaton, D. L., Kwan, L. Y., & Stratton, K. (Eds.). (2018). Public health consequences of E-cigarettes. National Academies Press.
  • eMarketer. (2019). Instagram users. https://www.emarketer.com/content/podcast-the-digital-world-in-2020?ecid=NL1001
  • Etter, J.-F. (2010). Electronic cigarettes: A survey of users. BMC Public Health, 10(1), 231. https://doi.org/10.1186/1471-2458-10-231
  • Gotts, J. E., Jordt, S.-E., McConnell, R., & Tarran, R. (2019). What are the respiratory effects of e-cigarettes?BMJ (Clinical Research ed.), 366, l5275. https://doi.org/10.1136/bmj.l5275
  • Hovell, M., Wahlgren, D., & Adams, M. (2009). The logical and empirical basis for the behavioral ecological model. In R. J. DiClemente, R. A. Crosby, & M. C. Kegler (Eds.), Emerging theories in health promotion practice and research. (Vol. 2, pp. 347–385). Jossey-Bass.
  • Hu, S. S., Neff, L., Agaku, I. T., Cox, S., Day, H. R., Holder-Hayes, E., & King, B. A. (2016). Tobacco product use among adults—United States, 2013–2014. MMWR. Morbidity and Mortality Weekly Report, 65(27), 685–691. https://doi.org/10.15585/mmwr.mm6527a1
  • Huang, J., Duan, Z., Kwok, J., Binns, S., Vera, L. E., Kim, Y., Szczypka, G., & Emery, S. L. (2019). Vaping versus JUULing: How the extraordinary growth and marketing of JUUL transformed the US retail e-cigarette market. Tob Control, 28(2), 146–151. https://doi.org/10.1136/tobaccocontrol-2018-054382
  • Kaplan, S., Hoffman, J. (2018). F.D.A. targets vaping, alarmed by teenage use. https://www.nytimes.com/2018/09/12/health/juul-fda-vaping-ecigarettes.html?action=click&module=Top%20Stories&pgtype=Homepage
  • Ketonen, V., & Malik, A. (2020). Characterizing vaping posts on Instagram by using unsupervised machine learning. International Journal of Medical Informatics, 141, 104223. https://doi.org/10.1016/j.ijmedinf.2020.104223
  • Kim, Y., & Kim, J. H. (2020). Using photos for public health communication: A computational analysis of the Centers for Disease Control and Prevention Instagram photos and public responses. Health Informatics J, 26(3), 2159–2180. https://doi.org/10.1177/1460458219896673
  • Kirkpatrick, M. G., Cruz, T. B., Unger, J. B., Herrera, J., Schiff, S., & Allem, J.-P. (2019). Cartoon-based e-cigarette marketing: Associations with susceptibility to use and perceived expectations of use. Drug and Alcohol Dependence, 201, 109–114. https://doi.org/10.1016/j.drugalcdep.2019.04.018
  • Kong, G., LaVallee, H., Rams, A., Ramamurthi, D., & Krishnan-Sarin, S. (2019). Promotion of Vape Tricks on YouTube: Content Analysis. Journal of Medical Internet Research, 21(6), e12709. https://doi.org/10.2196/12709
  • Kong, G., Morean, M. E., Cavallo, D. A., Camenga, D. R., & Krishnan-Sarin, S. (2015). Reasons for Electronic cigarette experimentation and discontinuation among adolescents and young adults. Nicotine Tob Res, 17(7), 847–854. https://doi.org/10.1093/ntr/ntu257
  • Krippendorff, K. (1980). Content analysis: An introduction to its methodology. Sage.
  • Labrecque, L. I., Patrick, V. M., & Milne, G. R. (2013). The Marketers’ prismatic palette: A review of color research and future directions. Psychology & Marketing, 30(2), 187–202. https://doi.org/10.1002/mar.20597
  • Laestadius, L. I., Wahl, M. M., Pokhrel, P., & Cho, Y. I. (2019). From Apple to Werewolf: A content analysis of marketing for e-liquids on Instagram. Addictive Behaviors, 91, 119–127. https://doi.org/10.1016/j.addbeh.2018.09.008
  • Layden, J. E., Ghinai, I., Pray, I., Kimball, A., Layer, M., Tenforde, M. W., Navon, L., Hoots, B., Salvatore, P. P., Elderbrook, M., Haupt, T., Kanne, J., Patel, M. T., Saathoff-Huber, L., King, B. A., Schier, J. G., Mikosz, C. A., & Meiman, J. (2020). Pulmonary illness related to e-cigarette use in Illinois and Wisconsin - Final Report. The New England Journal of Medicine, 382(10), 903–916. https://doi.org/10.1056/NEJMoa1911614
  • Lazard, A. J. (2021). Social media message designs to educate adolescents about E-cigarettes. Journal of Adolescent Health, 68(1), 130–137. https://doi.org/10.1016/j.jadohealth.2020.05.030
  • Lempert, L. K., & Glantz, S. (2017). Packaging colour research by tobacco companies: The pack as a product characteristic. Tobacco Control, 26(3), 307–315. https://doi.org/10.1136/toba­ccocontrol-­2015-052656
  • Marcon, A. R., Bieber, M., & Azad, M. B. (2019). Protecting, promoting, and supporting breastfeeding on Instagram. Maternal & Child Nutrition, 15(1), e12658. https://doi.org/10.1111/mcn.12658
  • Marynak, K., Gentzke, A., Wang, T. W., Neff, L., & King, B. A. (2018). Exposure to electronic cigarette advertising among middle and high school students - United States, 2014–2016. MMWR Morb Mortal Wkly Rep, 67(10), 294–299. https://doi.org/10.15585/mmwr.mm6710a3
  • McCausland, K., Maycock, B., Leaver, T., & Jancey, J. (2019). The messages presented in electronic cigarette-related social media promotions and discussion: scoping review. Journal of Medical Internet Research, 21(2), e11953. https://doi.org/10.2196/11953
  • Mohebbi, B. (2014). The art of packaging: An investigation into the role of color in packaging, marketing, and branding. International Journal of Organizational Leadership, 3(2), 92–102. https://doi.org/10.33844/ijol.2014.60248
  • Moreno, M. A., & Whitehill, J. M. (2014). Influence of social media on alcohol use in adolescents and young adults. Alcohol Research: current Reviews, 36(1), 91–100.
  • Nash, A. S., Pine, K. J., & Messer, D. J. (2009). Television alcohol advertising: Do children really mean what they say?Br J Dev Psychol, 27(Pt 1), 85–104. https://doi.org/10.1348/026151008x349470
  • Niederdeppe, J., Davis, K. C., Farrelly, M. C., & Yarsevich, J. (2007). Stylistic features, need for sensation, and confirmed recall of national smoking prevention advertisements. Journal of Communication, 57(2), 272–292. https://doi.org/10.1111/j.1460-2466.2007.00343.x
  • Noel, J. K., Rees, V. W., & Connolly, G. N. (2011). Electronic cigarettes: A new ‘tobacco’ industry? Tobacco Control, 20(1), 81–81. https://doi.org/10.1136/tc.2010.038562
  • Obisesan, O. H., Osei, A. D., Uddin, S. M. I., Dzaye, O., Mirbolouk, M., Stokes, A., & Blaha, M. J. (2020). Trends in e-cigarette use in adults in the United States, 2016–2018. JAMA Internal Medicine, 180(10), 1394–1398. https://doi.org/10.1001/jamainternmed.2020.2817
  • Padon, A., Lochbuehler, K., Maloney, E., & Cappella, J. (2018). A randomized trial of the effect of youth appealing e-cigarette advertising on susceptibility to use e-cigarettes among youth. Nicotine & Tobacco Research : official Journal of the Society for Research on Nicotine and Tobacco, 20(8), 954–961. https://doi.org/10.1093/ntr/ntx155
  • Padon, A., Maloney, E., & Cappella, J. (2017). Youth-targeted e-cigarette marketing in the US. Tobacco Regulatory Science, 3(1), 95–101. https://doi.org/10.18001/TRS.3.1.9
  • Padon, A., Rimal, R., DeJong, W., Siegel, M., & Jernigan, D. (2018). Assessing youth-appealing content in alcohol advertisements: Application of a Content Appealing to Youth (CAY) Index. Health Communication, 33(2), 164–173. https://doi.org/10.1080/10410236.2016.1250331
  • Padon, A. (2014). An examination of the role of advertising content in the relationship between alcohol advertising exposure and underage drinking. Johns Hopkins University,
  • Parmelee, J. H., & Roman, N. (2020). Insta-echoes: Selective exposure and selective avoidance on Instagram. Telematics and Informatics, 52, 101432. https://doi.org/10.1016/j.tele.2020.101432
  • Perrin, A., Anderson, M. (2019). Share of U.S. adults using social media, including Facebook, is mostly unchanged since 2018. https://www.pewresearch.org/fact-tank/2019/04/10/share-of-u-s-adults-using-social-media-including-facebook-is-mostly-unchanged-since-2018/
  • Petraitis, J., Flay, B. R., & Miller, T. Q. (1995). Reviewing theories of adolescent substance use: Organizing pieces in the puzzle. Psychological Bulletin, 117(1), 67–86. https://doi.org/10.1037/0033-2909.117.1.67
  • Pew Research Center Internet and Technology. (2019, June 12, 2019). Social media fact sheet. Retrieved from https://www.pewresearch.org/internet/fact-sheet/social-media/
  • Phua, J., Jin, S. V., & Hahm, J. M. (2018). Celebrity-endorsed e-cigarette brand Instagram advertisements: Effects on young adults’ attitudes towards e-cigarettes and smoking intentions. Journal of Health Psychology, 23(4), 550–560. https://doi.org/10.1177/1359105317693912
  • Pokhrel, P., Fagan, P., Herzog, T. A., Laestadius, L., Buente, W., Kawamoto, C. T., Lee, H.-R., & Unger, J. B. (2018). Social media e-cigarette exposure and e-cigarette expectancies and use among young adults. Addictive Behaviors, 78, 51–58. https://doi.org/10.1016/j.addbeh.2017.10.017
  • Robinson, J., Bailey, E., Hetrick, S., Paix, S., O’Donnell, M., Cox, G., Ftanou, M., & Skehan, J. (2017). Developing social media-based suicide prevention messages in partnership with young people: Exploratory study. JMIR Mental Health, 4(4), e40. https://doi.org/10.2196/mental.7847
  • Ryan Force, W. (2020). Tattooing in the age of Instagram. Deviant Behavior, 1–17. https://doi.org/10.1080/01639625.2020.1801176
  • Santarossa, S., Coyne, P., Lisinski, C., & Woodruff, S. J. (2019). #fitspo on Instagram: A mixed-methods approach using Netlytic and photo analysis, uncovering the online discussion and author/image characteristics. J Health Psychol, 24(3), 376–385. https://doi.org/10.1177/1359105316676334
  • Sawdey, M. D., Hancock, L., Messner, M., & Prom-Wormley, E. C. (2017). Assessing the Association between e-cigarette use and exposure to social media in college students: A cross-sectional study. Substance Use & Misuse, 52(14), 1910–1917. https://doi.org/10.1080/10826084.2017.1319390
  • Seltzer, E. K., Jean, N. S., Kramer-Golinkoff, E., Asch, D. A., & Merchant, R. M. (2015). The content of social media’s shared images about Ebola: A retrospective study. Public Health, 129(9), 1273–1277. https://doi.org/10.1016/j.puhe.2015.07.025
  • Sidani, J. E., Shensa, A., Hoffman, B., Hanmer, J., & Primack, B. A. (2016). The association between social media use and eating concerns among US young adults. Journal of the Academy of Nutrition and Dietetics, 116(9), 1465–1472. https://doi.org/10.1016/j.jand.2016.03.021
  • Smith, A., Anderson, M. (2018). Social media use in 2018. Retrieved from Pew Research Center: http://assets.pewresearch.org/wp-content/uploads/sites/14/2018/03/01105133/PI_2018.03.01_Social-­Media_FINAL.pdf
  • Stephenson, M. T. (2002). Sensation seeking as a moderator of the processing of anti‐heroin PSAs. Communication Studies, 53(4), 358–380. https://doi.org/10.1080/10510970209388598
  • Sussan, T. E., Gajghate, S., Thimmulappa, R. K., Ma, J., Kim, J.-H., Sudini, K., Consolini, N., Cormier, S. A., Lomnicki, S., Hasan, F., Pekosz, A., & Biswal, S. (2015). Exposure to electronic cigarettes impairs pulmonary anti-bacterial and anti-viral defenses in a mouse model. PLoS One, 10(2), e0116861. https://doi.org/10.1371/journal.pone.0116861
  • Tobore, T. O. (2019). On the potential harmful effects of E-Cigarettes (EC) on the developing brain: The relationship between vaping-induced oxidative stress and adolescent/young adults social maladjustment. J Adolesc, 76, 202–209. https://doi.org/10.1016/j.adolescence.2019.09.004
  • Toll, B. A., & Ling, P. M. (2005). The Virginia Slims identity crisis: An inside look at tobacco industry marketing to women. Tobacco Control, 14(3), 172–180. https://doi.org/10.1136/tc.2004.008953
  • Vannucci, A., Simpson, E. G., Gagnon, S., & Ohannessian, C. M. (2020). Social media use and risky behaviors in adolescents: A meta-analysis. Journal of Adolescence, 79, 258–274. https://doi.org/10.1016/j.adolescence.2020.01.014
  • Vassey, J., Metayer, C., Kennedy, C. J., & Whitehead, T. P. (2020). #Vape: Measuring e-cigarette influence on Instagram with deep learning and text analysis. Frontiers in Communication, 4(75). https://doi.org/10.3389/fcomm.2019.00075
  • Wagoner, K. G., Reboussin, D. M., King, J. L., Orlan, E., Cornacchione Ross, J., & Sutfin, E. L. (2019). Who is exposed to e-cigarette advertising and where? Differences between adolescents, young adults and older adults. International Journal of Environmental Research and Public Health, 16(14), 2533. https://doi.org/10.3390/ijerph16142533
  • Wang, L., Zhan, Y., Li, Q., Zeng, D. D., Leischow, S. J., & Okamoto, J. (2015). An examination of electronic cigarette content on social media: Analysis of e-cigarette flavor content on Reddit. International Journal of Environmental Research and Public Health, 12(11), 14916–14935. https://doi.org/10.3390/ijerph121114916
  • Zappavigna, M. (2015). Searchable talk: The linguistic functions of hashtags. Social Semiotics, 25(3), 274–291. https://doi.org/10.1080/10350330.2014.996948

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