Tobacco Advertising Research Articles

Adolescent smoking behavior and its related factors in coastal area of Kendari, Indonesia

Background: Smoking is a behavior that does not occur spontaneously but rather evolves through a series of processes influenced by various internal and external factors. Smoking leads to a decline in health, impacting the quality of life for children in the new generation. Objective: This study aimed to analyze the relationship between the social environment, media/advertising exposure, the role of parents, and the role of teachers in adolescent smoking behavior in the coastal area of Kendari, Indonesia Methods: The study utilized a cross-sectional study approach. The population comprised all adolescents in the coastal area of Kendari, with a sample size of 526 students, including both male and female students. The study was conducted in April 2023. Data were collected through a questionnaire, and were analyzed using Chi-square test. Results: The study found that a percentage of students engaged in smoking behavior. Additionally, 100% (221 individuals) of students reported being influenced by cigarette advertising, leading to smoking. Furthermore, 92.4% of students with parents in a deficient role exhibited smoking behavior, and 83.2% of students with teachers in a lacking role ended up smoking. The chi-square test yielded a ρ-value of 0.000, indicating a significant relationship between the social environment, media/advertising exposure, the role of parents, the role of teachers, and smoking behavior. Conclusion: The study results demonstrate a significant influence of the social environment, media/advertising exposure, the role of parents, and the role of teachers on the smoking behavior of senior high school students.

Support for the Regulation of Point-of-Sale Tobacco Advertising and Displays by Smoking Status

Support for the Regulation of Point-of-Sale Tobacco Advertising and Displays by Smoking Status

Association Between Secondhand Smoke Exposure Among Women and the Implementation of Tobacco Control Measures on Campus: A Cross-Sectional Study in 50 Universities Across China.

Exposure to secondhand smoke (SHS) among women is prevalent in China which increases their risk of developing a wide range of diseases and can affect their susceptibility to adverse reproductive health effects. This study aims to examine the association between SHS exposure among women and the adoption and implementation of tobacco control measures on campus in China. 7469 female college students who have never smoked were recruited from 50 universities across China using a multistage sampling technique. All participants reported their exposure to SHS and the tobacco advertising and promotion on campus. Participants from colleges with smoke-free policies reported the implementation of smoke-free policies on campus measured by: (1) no evidence of smoking and (2) the display of smoke-free signs in public places. Multivariate logistic regression models were applied using weighted survey data. SHS exposure among participants was 50.5% (95% CI = 44.2% to 56.9%). The adoption of a smoke-free policy was not associated with SHS exposure (OR: 1.01, 95% CI = .71, 1.42), however, the implementation of the policy was significantly negatively associated with SHS exposure (OR: 0.56, 95% CI = .47 to 0.67). In addition, tobacco advertising and promotion on campus were significantly positively associated with SHS exposure (OR: 2.33, 95% CI = 1.42, 3.82; OR: 1.52; 95% CI = 1.15, 2.02, respectively). Exposure to SHS is prevalent among female college students in China. Successful implementation of a smoke-free policy and banning tobacco advertising and promotion on campus could be effective measures to protect young women from the harms of SHS in China. Approximately half of female college students are exposed to SHS on campus in China. Failure to implement smoke-free policies and exposure to tobacco marketing on campus are associated with higher SHS exposure. To protect millions of young Chinese women from the health harms of SHS, universities need to enact and enforce smoke-free policies within campus boundaries and adopt comprehensive bans on tobacco advertising and promotion on campus.

Tobacco-related content on social networking sites: evidence from a youth-led campaign in India

Background Social networking sites (SNS) have become the contemporary platform of choice for advertising, promoting, sponsoring, boosting and expanding tobacco marketing. A youth-led campaign was conducted to (i) identify and collate violations of tobacco advertisement, promotion, and sponsorship on SNS; and (ii) undertake content analysis of the collated violations. Methods After a series of capacity-building webinars aimed at empowering youths, they were tasked with collating posts (photos and videos) that showcased the promotion and sale of tobacco products online. Additionally, the youth identified relevant hashtags used to promote tobacco. Results The youth identified 748 posts (photos and videos) on SNS where tobacco was being promoted. Most of these posts (84.7%) promoted the ‘smoking form’ of tobacco. Renowned celebrities and influencers with massive followership actively endorsed tobacco products. The youth identified 148 pages that were involved in selling tobacco online. Instagram (62.7%) accounted for the majority, followed by Facebook (23.7%). The most commonly available forms of tobacco in these online stores were ‘smoked forms’ (73.5%). In their efforts, the youth collated 1412 hashtags related to tobacco promotion. The most commonly reported hashtags were #smoking and #hookah. The maximum numbers of tobacco posts were for #vape (296 million) and #smoke (218 million). Conclusions There is an urgent need to revise Section 5 of “The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply, and Distribution) Act, 2003” to broaden the coverage of tobacco advertising, promotion, and sponsorship (TAPS) prohibition on all internet-based platforms including SNS to protect Indian youth.

Tobacco advertising, promotion, sponsorship and youth smoking behavior: The Indonesian 2019 Global Youth Tobacco Survey (GYTS)

Tobacco advertising, promotion, sponsorship and youth smoking behavior: The Indonesian 2019 Global Youth Tobacco Survey (GYTS)

Kompetisi dan Posisi Tubuh Perempuan dalam Iklan Rokok: Analisis Wacana Kritis Pada Novel “Gadis Kretek” Karya Ratih Kumala

Using women's bodies in product marketing advertisements is nothing new. The female body is deliberately presented as a marketing strategy. In practice, it is not uncommon for women to be categorized into three trinities, namely, girl, wife, and entertainer. What's worse, this is justified and reproduced by various media. The Gadis Kretek novel is a literary work that juxtaposes the female body with cigarette advertisements. This research was conducted to uncover how women's bodies are selected, used, and displayed for marketing activities of cigarette products that are attached to men by society and become a symbol of masculinity. The method that will be used as a data analysis tool is Norman Fairclough's critical discourse analysis, which focuses on aspects of linguistic practice, discursive practice, and social practice. The results of this study indicate that in product promotion, the female body is used as a desire production machine that will attract potential buyers. Women in ad frames are also categorized based on the Girl-Wife-Entertainer trinity, where the three of them have their own identities but are still presented as complements to men. From this research, it can be seen that literary works also commodify discourses on beauty and the female body. The female body seems to be an affirmation of the construction of masculinity.

Kompetisi dan Posisi Tubuh Perempuan dalam Iklan Rokok: Analisis Wacana Kritis Pada Novel “Gadis Kretek” Karya Ratih Kumala

Using women's bodies in product marketing advertisements is nothing new. The female body is deliberately presented as a marketing strategy. In practice, it is not uncommon for women to be categorized into three trinities, namely, girl, wife, and entertainer. What's worse, this is justified and reproduced by various media. The Gadis Kretek novel is a literary work that juxtaposes the female body with cigarette advertisements. This research was conducted to uncover how women's bodies are selected, used, and displayed for marketing activities of cigarette products that are attached to men by society and become a symbol of masculinity. The method that will be used as a data analysis tool is Norman Fairclough's critical discourse analysis, which focuses on aspects of linguistic practice, discursive practice, and social practice. The results of this study indicate that in product promotion, the female body is used as a desire production machine that will attract potential buyers. Women in ad frames are also categorized based on the Girl-Wife-Entertainer trinity, where the three of them have their own identities but are still presented as complements to men. From this research, it can be seen that literary works also commodify discourses on beauty and the female body. The female body seems to be an affirmation of the construction of masculinity.

Race by Education Intersectional Differences in Exposure to Tobacco Advertisement in Baltimore City.

This study aimed to examine the intersectional effects of race and educational attainment on tobacco advertising exposure among adults in Baltimore, given the growing evidence on differential influence of education for Black and White populations. A survey was conducted in Baltimore, collecting data on educational attainment, demographics, and tobacco advertising exposure among adults (n = 3028, 22.7% 18 - 29, 17.9% 30 - 39, 23.4% 40 - 49, 20.9% 50-59, and 11.1% 60+ years old). The sample included both Black and White adult individuals. Logistic regression analyses were employed to assess the association between educational attainment and tobacco advertising exposure, without and with interaction with race, adjusting for relevant covariates such as age, gender, and employment. Sensitivity analysis also controlled for smoking status. The study results indicated that while high educational attainment is associated with less exposure to tobacco ads, highly educated Black adults report significantly higher tobacco advertising exposure compared to highly educated White adults. Same results were observed after controlling for smoking status. Educational attainment may not exhibit a large protective effect against environmental risks such as tobacco ad exposure for Black populations, possibly because of segregation and racism that hinder highly educated Black people ability to move to low-risk neighborhoods.

Impact of the Spanish smoke-free laws on cigarette sales by brands, 2000-2021: Evidence from a club convergence approach.

In January 2006, the Spanish government enacted a tobacco control law that banned the advertising, promotion and sponsorship of tobacco. In January 2011, further legislation on this matter was adopted to provide a more restrictive specification of the ban. In this study, we analyze the effect produced on cigarette sales by these two prohibitions. We address this problem using a cluster time-series analysis to test whether the sales of cigarettes by brands have been homogenized with the prohibition of advertising, promotion, and sponsorship. The data source used was the official data on legal sales of cigarettes by brands in Spain, from January 2005 to December 2021 (excluding the Canary Islands and the Autonomous Communities of the cities of Ceuta and Melilla). To achieve our objective, we used log(t) test statistics to check if there is global convergence in the three selected periods according to the regulatory changes that have occurred in Spain (2005-2021, 2005-2010 and 2011-2021). Second, once absolute convergence is rejected, we applied a clustering algorithm to test for the existence of subgroup convergence. The cigarette brands that have been marketed during the period 2005-2021 (n=40), can only be grouped into three groups according to the behavior of their sales. When we focus on the period 2005-2010 (n=74), cigarette brands are grouped into five groups according to their sales behavior. Finally, the cigarette brands marketed during the period 2011-2021 (n=67) are grouped into three groups according to the temporal evolution of their sales. These results suggest a greater homogenization of cigarette sales after the application of the law of January 2011. Act 42/2010 (total ban on tobacco advertising, promotion, and sponsorship actions) was associated with greater homogenization of cigarette sales than the application of Act 28/2005 (partial ban). This finding supports what is established in the previous literature that indicates that Act 42/2010 provided a more restrictive specification of the ban than Act 28/2005.

Implementation of the Article 13 WHO FCTC measures and changes in cigarette smoking among youth in 42 countries

IntroductionDespite a decline in global smoking prevalence among adolescents, around 21 million youth report current cigarette smoking. Exposure to tobacco advertising, promotion and sponsorship (TAPS) is a risk factor for...

POTENTIAL RISK FACTORS TO PREVENT THE RISE IN ELECTRIC CIGARETTE CONSUMPTION AMONG INDONESIAN ADOLESCENTS AGED 13 TO 15 YEARS OLD

Data showing a significant increase trend in sales of electronic cigarettes in Indonesia and users aged ≥ 15 years have increased tenfold to 6.6 million in 2021, and there has been no e-cigarette regulation. The purpose of the study is to provide evidence to support policies intended for increasing the number of electric smokers. Using data from the 2019 Global Youth Tobacco Survey with national representation. Simple and multiple logistic regression analyses (p < 0.05) were performed. The analysis states: 15% of youth 13-15 years old use e-cigarettes and most users are boys 13 years old, with a weekly disposable income below IDR 50,000. Multivariate analysis shows; friends or shop workers who provide e-cigarettes or attend events promoting tobacco products have a 15-fold greater influence on adolescents than the reference group. When compared to not seeing the advertisements, e-cigarette advertisements on the streets/stores/TV/ internet have the potential to increase adolescent motivation by 8 times. Nonsmokers who have tried tobacco products are potentially three times more likely to be interested in e-cigarettes than those who have never tried them. Adolescent smokers are twice as likely as nonsmokers to use e-cigarettes, and close friends who smoke are twice as likely as nonsmokers to influence e-cigarette use. Information shows that the previous Tobacco Advertising Promotion and Sponsorship Policy was ineffective, it needed to be strengthened with a total ban. It is critical to strengthen smoking cessation efforts, as well as raise parental and community awareness of the dangers of consuming tobacco products.

BLOKIR IKLAN DAN PEMBATASAN PEMBELIAN ROKOK SEBAGAI SOLUSI PENURUNAN PREVALENSI MEROKOK DI INDONESIA

Results of the Global Adult Tobacco Survey (GATS) in 2021 shows that Indonesia has the highest number of male smokers in the world and the third largest number of smokers in the world after India and China. During 2012-2022 Indonesian government will increase the Tobacco Products Duty almost every year to reduce the growth rate of smokers as well as provide income to the state treasury. However, the suppress still not optimal enough as a result of estimated state spending, especially for health care due to smoking, which exceeds state income from cigarettes and tobacco. This paper examines ad blocking and restrictions on purchasing cigarettes as a solution to reducing smoking prevalence in Indonesia. This paper applies descriptive qualitative methods and netnography methods that the researchers carried out by means of observations on YouTube social media as well as field observations in the city of Semarang, as well as online interviews using the WhatsApp application media with cigarette sellers in the city of Semarang as informants. This paper shows that cigarette advertising is very influential in increasing the number of smokers, especially among child smokers. The implementation of the smoking ban which has been regulated in Government Regulation Number 109/2012 concerning Safeguarding Substances Containing Addictive Tobacco Products for Health is also considered less than optimal. The implications of this finding both demand and encourage the government to be able to immediately issue regulations in order to block advertisements and at the same time control and limit the sale of cigarettes to children and/or youth in a systematic way, for example by utilizing the PeduliLindungi application which is considered quite successful in controlling the COVID-19 pandemic. in the past 2020-2021

Assessment of prevalence, predictors, reasons and regulations of substance smoking among children in Ghana

BackgroundIn Ghana, it is against the law for children to smoke. Nevertheless, a portion of children in the country do smoke. However, there is a paucity of research on young smokers in Ghana and other sub-Saharan African nations. This study, therefore, investigated the prevalence of smoking, the kinds of substances children smoke, predictors of smoking, reasons for and factors that lead children to smoke, and regulation of smoking among children in Ghana.MethodsIn total, 5024 children aged 8–17 were studied using a cross-sectional convergent parallel mixed method. Descriptive statistics, Person’s Chi-square test, Fisher Exact test, and binary logistic regression were used to analyse the quantitative data. In contrast, thematic analysis was used to analyse the qualitative data.ResultsThe results showed that 3.2% of children had ever smoked. Male children smoked more often than female children. The prevalence of cigarette, marijuana, and shisha smoking was 78.3%, 18%, and 3.7%, respectively. While more male children than female children smoked cigarettes and marijuana, more female children than male children used shisha. Children mainly smoked for fun and due to group culture. In addition, children were influenced by friends; parents, family members, and neighbours who smoke; curiosity; and advertisements and videos to initiate smoking. Despite the availability of regulations and laws regulating tobacco products in public places, tobacco advertisement, promotion, and sale to persons under 18, children are still smoking.ConclusionsChildren who have ever engaged in smoking reported using cigarettes, marijuana, and shisha. Policymakers urgently need to strategise and strengthen their policies, programmes, and interventions to address smoking among children.

Factors Associated with The Compliance of Tobacco Advertisement, Promotion and Sponsorship (TAPS) Ban in Bali, Indonesia

Introduction: Indonesia is one of the countries with the highest number of tobacco advertisements, promotion, and sponsorship (TAPS) across the globe, which play a significant role in increasing smoking prevalence. Since 2019, Klungkung District has adopted a TAPS ban at point of sale (PoS). Accordingly, this study aims to evaluate compliance with the total TAPS ban at PoS in Klungkung and the factors associated. Methods: This cross-sectional study was conducted in the Klungkung district from August to October 2021. The survey involved 200 samples of PoS and also the managers, which selected using stratified simple random sampling for registered PoS and a walking protocol for unregistered PoS. Data was collected through observation using a checklist and interview using a structured questionnaire by eight well-trained enumerators. Data were analyzed using SPSS. Results: The study successfully observed 200 PoS and also interviewed 200 PoS managers. The result showed the compliance was 72.5%. Of 9 factors analyzed using regression analysis, it was found that factors associated with the compliance were knowledge and attitude PoS manager toward TAPS ban (OR=11.3; CI:1.233-103.414; p=0.008), perceived of socio-economic impact factor (OR=8.1; CI:3.584-18.400; p<0.01), and tobacco industry interference (OR=2.8; CI:1.441-5.594; p=0,003). Conclusions: Compliance with the TAPS ban at PoS remain sufficient, even though it has not reached the target. Factors mainly associated with the compliance were the attitude of PoS manager, and tobacco industry interference. Hence, socialization and enforcement should be improved and sustained.

Tobacco Vendors' Perceptions and Compliance with Tobacco Control Laws in Nigeria.

Tobacco vendors are critical stakeholders in the tobacco supply chain. This study examined their perception, compliance, and potential economic impact of Nigeria's tobacco control laws related to the retail setting. This was a qualitative study involving in-depth interviews of 24 purposively selected tobacco vendors. The face-to-face interviews were aided by a semi-structured interview guide, audio-recorded, transcribed verbatim, and analyzed using thematic analysis with NVivo version 12. Five themes emerged, encompassing reasons for selling tobacco, awareness, perception, compliance with tobacco sales laws, the potential economic impact of the laws, and law enforcement activities. Vendors commenced tobacco sales due to consumers' demand, profit motives, and advice from close family relatives. They were unaware and non-compliant with most of the retail-related laws. Most participants had positive perceptions about the ban on sales to and by minors, were indifferent about the ban on Tobacco Advertising Promotion and Sponsorships (TAPS) and product display, and had negative perceptions about the ban on sales of single sticks. Most vendors stated quitting tobacco sales would not have a serious economic impact on their business. In conclusion, the vendors demonstrated limited awareness and non-compliance with various retail-oriented tobacco control laws in Nigeria. Addressing these gaps requires targeted educational campaigns and effective law enforcement strategies to enhance vendors' compliance.

The Development and Testing of a Point-of-Sale E-Cigarette Health Communication Campaign

ABSTRACT Adolescents and young adults continue to use e-cigarettes, and communication campaigns are needed to decrease use among these populations. We developed and tested a point-of-sale communication campaign focused on e-cigarette chemical exposure. We developed messages based on formative research and tested them (versus text-only messages) in a nationally-representative online survey among adolescents and young adults (16–25) (Phase 1). Based on survey findings, we selected a message focused on nicotine and brain development for the point-of-sale trial (Phase 2). We then conducted a cluster-randomized trial at six gas stations with convenience stores, randomly assigned to the intervention (messages displayed) or no message control condition. We conducted intercept surveys with repeated cross-sectional samples of 50 participants (ages 16–25) per store, at baseline and a four-week follow-up. Phase 1 included 1,636 participants in the online study. Intervention messages were rated as more attention grabbing than plain text messages (p < .05), though were rated similarly on other outcomes. Exposure to intervention messages resulted in larger changes from pre- to posttest for beliefs about addiction and relative harms versus cigarettes (p < .05). Phase 2 included 586 participants in the point-of-sale study. Real-world campaign exposure was low (31.8%), and no differences were found between conditions. E-cigarette prevention messages focused on nicotine’s impact on brain development show promise. However, garnering attention for communication campaigns in saturated point-of-sale environments, often dominated by tobacco advertising, is challenging. Future efforts should utilize additional communication channels to directly target adolescents and young adults.

Analysis of Tobacco Consumption Behavior in Adolescents at Kediri Regency

Background: The prevalence of adolescent smokers in Indonesia is very worrying, with an estimated number of 70 million children in Indonesia and making Indonesia the third country with the highest number of smokers in Asia. The tendency of adolescents who want to try smoking causes health problems. Purpose: The purpose of this research is to know the description of smoking habits among adolescents in Kediri Regency. Method: This research is a survey research with a population of all adolescent groups in Kediri Regency. Samples were taken purposively by 300 respondents. The data collection method in this study used a questionnaire. This study uses a quantitative descriptive technique by describing several variables including pocket money, the role of health workers, information on the dangers of smoking, cigarette advertisements, knowledge, attitudes, smoking status. Results: The majority of adolescent smokers in Kediri Regency are male with an age range between 14-16 years with junior high school education. The average number of cigarettes consumed is between 1 to 4 cigarettes, spending an average of Rp. 300,000 per month for the type of cigarette consumed, the majority of which are white cigarettes. The first time they got to know cigarettes at the age of 14 to 15 years was 123 people (79%). They know cigarettes through exposure to internet media. Conclusion: The Adolescents have various reasons behind their smoking behavior. They tend to have great curiosity. The habit of smoking for students begins because they are consumed by advertisements and persuaded by friends.

Situation Analysis of Smoking Behavior and Tobacco Control in Blitar City

Background: The problem of smoking is still a national problem that is continuously being addressed, because it involves various aspects of problems in life, namely economic, social, political aspects, especially health aspects. The death rate from smoking is still very high. Tobacco abuse is a preventable cause of death but there are still many people who are difficult to escape from the bondage of the dangers of smoking. Purpose: The City of Blitar has committed to implementing a tobacco control program through the Regional Regulation (perda) of the City of Blitar Number 1 of 2019 concerning Smoking Free Areas. The implementation of these local regulations requires data as a basis for developing strategies to achieve goals. Methods: This study uses a mix method approach (quantitative and qualitative). The approach is used to facilitate a variety of specific research objectives. Research on smoking behavior and attitudes of tobacco workers towards tobacco control uses a quantitative approach. While research on regional income from the cigarette industry and the condition of cigarette advertisements in public places uses a quantitative approach. Results: Teenage respondents 300 respondents were dominated by male gender, smoking status there were 221 respondents who stated that they were smokers. Most of the respondents' ages were in the range of 17-20 years and at the junior and senior high school levels. With the results of this study it can be concluded that the incidence of smoking in adolescents is still high with a percentage (70.3%) of smoking status which is dominated by men. Adult respondents note that all male respondents have a tendency to smoke. Most of the respondents were in the range of 19-23 years with the most education at the high school level. Conclusion: The type of cigarettes consumed by adolescents is white cigarettes, consuming at least less than 5 cigarettes and at most more than 15 cigarettes per day. Most of the costs spent by teenagers to shop for cigarettes range from IDR 50,000 to IDR 100,000 and above. Among the 189 smokers respondents, only 83 of them had the desire to quit smoking. It is known that most of the adult respondents at the age of 15 years were the age when they first smoked.

Shifting the gaze on implementation: examining the association between the implementation of tobacco control laws and prevalence of tobacco using data from a nationally representative survey

BackgroundTobacco use and the associated health burden is a cause of concern in India and globally. Despite several tobacco control policies in place, their sub-optimal and variable implementation across Indian states has remained a concern. Studies evaluating the real-world implementation of policies such as Cigarettes and Other Tobacco Products (COTPA) or National Tobacco Control Program (NTCP) in India and its association with reductions in tobacco use are limited. In this paper, we analyse data from a nationally representative survey to examine how policy implementation is associated with the tobacco use prevalence in India.MethodsWe analysed data from the Global Adult Tobacco Survey (GATS 2016–17) India using multivariable logistic regression. The dependent variables were the use of smoked tobacco, smokeless tobacco, and tobacco in any form. The independent variables were proxies of implementation of the COTPA and the NTCP. We followed a step-wise backward elimination technique to reach the best fit models.ResultsPeople exposed to no-smoking signages had lower odds of using tobacco (OR = 0.70, p < 0.001). People exposed to second-hand smoke (OR = 1.51, p < 0.001) and tobacco product advertisements (OR = 1.23, p < 0.001) had greater odds of using tobacco. Exposure to tobacco advertisements was associated with higher odds of using smokeless tobacco (OR = 1.23, p < 0.001), and smoked (OR = 1.33, p < 0.001) forms of tobacco.ConclusionWe find significant association between the implementation of tobacco control laws/programs and tobacco use in India. Our findings highlight the potential that policy implementation holds in reducing population-level tobacco use thus drawing attention towards the implementation phase of policies. The findings have implications on prioritising enforcement of specific tobacco control measures such as smokefree laws, modifying COTPA signages to encompass all tobacco products including against smokeless tobacco use and strengthening indirect advertising restrictions. Future research could focus on developing and validating predictors specific to policy implementation to support policy evaluation efforts.

Exposure to and Appeal of Tobacco Ads and Displays in China: A Qualitative Exploration of Chinese Youth Perceptions.

Adolescents are uniquely vulnerable to nicotine addiction, and smoking is common among male adolescents in China. Although China implemented a ban on cigarette and e-cigarette advertising in public places, Chinese youth remain exposed to this marketing, which may contribute to future use. From December 2021 to January 2022, we conducted 20 online focus group discussions with 119 adolescents in 10 Chinese cities to explore sources of tobacco marketing exposure, defined as exposure to cigarette and e-cigarette ads and product displays, and what features made marketing attractive. All groups discussed exposure to tobacco ads/displays in public places, including locations near their home or school. Nearly all groups discussed that exposure to online tobacco ads was common, particularly exposure to e-cigarette commercial ads and posts made by classmates or friends selling e-cigarettes. Most groups identified how eye-catching colors, imagery, product packaging, and price promotions featured in e-cigarette ads/displays attracted their attention. Results suggest Chinese adolescents are exposed to cigarette and e-cigarette ads and displays, many of which are placed in youth-friendly locations and contain youth-appealing features. Only a handful of studies have examined the influence of cigarette and e-cigarette advertising on youth in the context of China. Prior research has established the relationship between youth exposure to tobacco marketing and increased susceptibility to future use. Our findings emphasize the importance of effectively enforcing and expanding restrictions on cigarette and e-cigarette marketing in order to protect youth from exposure and future smoking/vaping initiation.