Electroniccigarette(?e-cigarette?)usehasbeensteadilyincreasingintheU.S.overthepastdecade, particularlyamongadolescentsandyoungadults.Withthegrowingpopularityofrefillablee-cigarettes,the liquidusedtorefilldevices(?e-liquid?)haspresenteditselfadistincthealthconcern.E-liquidsmostoften containnicotine,aresoldinarangeofappealingflavorsandcolors,andarepurchasedonaregularbasisby usersofrefillablee-cigarettes.Astherehasbeennofederalregulationofe-cigarettesore-liquidsuntilrecently, misleadingandunauthorizedmarketinghasproliferatedonline.Thereisevidencethatexposuretomarketing promotese-cigaretteuseandthebeliefinunsubstantiatedclaims.Atpresent,thereislittleunderstandingof howe-liquidsaremarketedonsocialmediaortheelementsofsocialmediamarketingthataremostappealing andpersuasivetoyoungadults.ThegoalofthisproposedR03researchstudyistoshedlightonthemarketing ofe-liquidonthesocialmediaplatformInstagram,whichisparticularlyappealingtomarketerssinceeachpost mustcontainanimageorshortvideo.E-liquidmarketingonInstagramhasnotpreviouslybeenstudieddespite exploratoryresearchsuggestingtheplatformishometoalargevolumeofe-liquidpostsandthefactthat InstagramisusedbyoverhalfofallU.S.adolescentsandyoungadultswhousetheinternet.Tounderstand thiscontent,thestudyteamwill:1)documentthewaysinwhichmanufacturersandretailersofe-liquidmarket theirproductsonInstagram,and2)discernhowyoungadultsinterpretandrespondtosocialmediamarketing fore-liquidonInstagram.Morespecifically,acontentanalysisof2,000Instagrampostswiththehashtags #eliquidand/or#ejuicewillbeperformedtoidentifymarketingthemesandclaims,promotionalstrategies,and productspromoted.Health,harmreduction,andcessationclaims,aswellasproductsandmarketing strategiesknowntoappealtoyouthwillbeafocusofanalysis.Postswillbedrawnfromfourtimeperiodsin 2017and2018inordertocaptureanychangesincontentovertime.Additionally,thetotalnumberofposts witheachhashtagwillbetrackedtodeterminetrendsinthevolumeofe-liquidactivityonInstagram.In conjunctionwiththis,focusgroupswillbeheldwith18to24yearoldswhouseInstagraminthecityof Milwaukee,WI.Eachfocusgroupwillbecenteredondiscerningparticipantinterpretationsandresponsesto actualInstagrammarketingposts.Thisresearchwillcontributetounderstandingofsourcesofpublic perceptionsofe-liquids,particularlyamongyoungadults,andhelptodevelopthescientificbasisfordecision makingonregulatoryneedsandprioritiesinthesocialmediaenvironment.

Public Health Relevance

Ourstudyidentifyingandexploringyoungadultresponsestocommone-liquidmarketingpracticeson InstagramisexpectedtohelptodevelopthescientificbasisforFDAdecisionmakingonregulatoryneedsand prioritiesrelatedtobotheg liquidsandsocialmedia.Thisinturnwillhelptopromotethepublic'shealthby reducingexposuretomisleadingandunauthorizedclaimsaboute-liquidforrefillablee-cigarettes.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Small Research Grants (R03)
Project #
1R03CA216528-01
Application #
9316123
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Kaufman, Annette R
Project Start
2017-05-01
Project End
2019-04-30
Budget Start
2017-05-01
Budget End
2018-04-30
Support Year
1
Fiscal Year
2017
Total Cost
Indirect Cost
Name
University of Wisconsin Milwaukee
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
627906399
City
Milwaukee
State
WI
Country
United States
Zip Code
53201
Laestadius, Linnea I; Wahl, Megan M; Pokhrel, Pallav et al. (2018) From Apple to Werewolf: A content analysis of marketing for e-liquids on Instagram. Addict Behav :