TY - JOUR
PY - 2019//
TI - Internet alcohol marketing recall and drinking in underage adolescents
JO - Academic pediatrics
A1 - McClure, Auden C.
A1 - Gabrielli, Joy
A1 - Cukier, Samantha
A1 - Jackson, Kristina M.
A1 - Brennan, Zoe L. B.
A1 - Tanski, Susanne E.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: Evidence suggests that adolescents are exposed to alcohol marketing in digital media. We aimed to assess recall of Internet alcohol marketing and its association with underage drinking.
METHODS: New England adolescents age 12-17 years (N=202) were recruited from a pediatric clinic. Subjects completed an online survey assessing: 1) general simple recall of Internet alcohol marketing and 2) image-prompted recall of specific Internet alcohol marketing channels (display ads, commercials, brand websites, brand social media pages). Cross-sectional associations between recall (simple and image-prompted) and ever-drinking were each assessed in regression analysis adjusting for age, gender, race, parent education, ever-smoking, media use, sensation-seeking, peer/parent drinking, parent monitoring/responsiveness, and parent Internet monitoring.
RESULTS: In this sample (Mage=14.5 years; 55% female; 89% white; high parent education), 20% reported ever-drinking and 87% recalled Internet alcohol marketing. Of the latter, 67% recalled display ads, 67% Internet commercials, 5% websites, 5% social media pages. In logistic regression, higher Internet alcohol advertising recall was independently associated with higher odds of ever-drinking for simple (AOR: 2.66 [1.04,6.83]) but not for image-prompted recall.
CONCLUSIONS: Despite controlling for potential confounders, simple recall of Internet alcohol marketing was significantly associated with underage drinking whereas image-prompted recall was significant only in bivariate analysis, likely due to small sample and a more limited range of specific channels assessed than those accessed by adolescents. Further longitudinal studies using image-prompted recall and capturing a broader range of internet platforms could be used to better understand adolescent engagement with alcohol marketing and guide policy and prevention efforts.
Copyright © 2019. Published by Elsevier Inc.
Language: en
LA - en SN - 1876-2859 UR - http://dx.doi.org/10.1016/j.acap.2019.08.003 ID - ref1 ER -