Exposure to Pro-smoking Media in College Students: Does Type of Media Channel Differentially Contribute to Smoking Risk?

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Exposure to Pro-smoking Media in College Students: Does Type of Media Channel Differentially Contribute to Smoking Risk? William G. Shadel, PhD & Steven C. Martino, PhD & Claude Setodji, PhD & Deborah Scharf, PhD

Published online: 28 March 2013 # The Society of Behavioral Medicine 2013

Abstract Background There are almost no data on whether the different channels through which pro-smoking media appear (i.e., point-of-sale advertising, movie smoking) differently influence smoking. Purpose This study used ecological momentary assessment to examine whether differences in smoking risk were observed for exposures to different pro-smoking media channels. Methods College students (n=134) carried smartphones for 21 days, recording their exposures to pro-smoking media and the media channels for that exposure and responding to three randomly issued control prompts per day. Participants answered questions about their future smoking risk after each pro-smoking media exposure and random prompt. Results Participants had elevated future smoking risk following exposure to pro-smoking media at point of sale (p