Abstract
This research study examines the prevalence of cartoon images promoting e-cigarette–associated products on Instagram and their association with likes from users.
The use of e-cigarettes is a growing public health concern. In 2019, 27.5% of US high school students reported current e-cigarette use.1 Marketing practices by e-cigarette companies may specifically appeal to adolescents2 and contribute to tobacco use–associated behaviors. Studies have indicated that cartoons are an effective strategy in increasing product recognition and susceptibility to use e-cigarettes.3 Recently, the US Food and Drug Administration announced it is prioritizing enforcement against e-cigarette companies that use marketing likely to promote youth use.4 This study aimed to determine if companies were using cartoon-based strategies to market and promote e-cigarette–associated products in 2019 on Instagram, an image-based social media platform popular among adolescents.
Methods
Prior research suggests the hashtag #ejuice is commonly used in e-cigarette–associated promotional posts on Instagram.2 As such, posts that contained this hashtag were scraped from Instagram between August 22 and September 12, 2019. All posts that remained publicly available at the time of analysis were included. Each Instagram post (image and corresponding caption) was reviewed and coded as to whether it contained (1) a cartoon, (2) promotional content, (3) a cartoon as the company’s logo, (4) the name of the company that used cartoons, and (5) Instagram user engagement data (ie, the number of likes the post received). Rules for coding were based on the Master Settlement Agreement definition of a cartoon (Box) and similar to prior research.2
Box. The Master Settlement Agreement Definition of a Cartoon5.
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A cartoon is defined as any drawing or other depiction of an object, person, animal, creature, or any similar caricature that satisfies any of the following criteria:
The use of comically exaggerated features;
The attribution of human characteristics to animals, plants, or other objects or the similar use of anthropomorphic technique; or
The attribution of unnatural or extrahuman abilities, such as imperviousness to pain or injury, x-ray vision, tunneling at very high speeds, or transformation.
Two coders were trained using a subsample of 1000 posts to establish interrater reliability. Agreement ranged from 70% to 90% for the coded categories. Any disagreements were resolved by a third coder (J.P.A.). Descriptive statistics were calculated, including the companies who most frequently used cartoons, and an independent t test was used to determine if Instagram user engagement (mean number of likes) differed between posts with vs without cartoon-associated content.
All posts and analyses relied on publicly available and accessible data from Instagram’s website. Data collection adhered to the terms and conditions, terms of use, and privacy policy of Instagram and was approved by the University of Southern California institution review board. Data analysis was completed with SPSS version 25 (IBM), with the significance threshold set at P < .05.
Results
A total of 2100 posts were scraped, of which 1936 remained public at the time of analysis. One hundred forty-two of 1936 posts (7.3%) had 1 or more cartoons somewhere in the image, 1608 of 1936 posts (83.1%) were identified as promotions, and 44 of 1936 images (2.3%) were coded as a cartoon solely because of the logo. We identified 100 different companies that used cartoons in promotions (Figure), including Bang Juice (n = 9), Jam Monster (n = 6), Kenji Juice (n = 4), Dr Frost (n = 3), Vapetasia (n = 3), Nasty Juice (n = 3), Momo E-liquid (n = 3), and Mr Nik’s (n = 3), among others. Posts with cartoons received more likes (mean [SD], 133.94 [24.34] likes) compared with posts without cartoons (mean [SD], 72.41 [4.12] likes; P < .001).
Discussion
Companies selling e-cigarettes used cartoons in their marketing and promotional practices on Instagram in 2019. Findings demonstrated that user engagement was higher among posts with cartoons, indicating cartoons’ appeal among users of Instagram. Logos and product packaging are known to have an association with consumers’ attitudes and behaviors,6 and adolescents are left vulnerable to these industry tactics. While the Master Settlement Agreement restricted the use of cartoons and youth-specific marketing tactics for combustible tobacco cigarette and chew companies,5 e-cigarette companies are not included in the agreement. The US Food and Drug Administration may take action against these companies, including through warning letters to injunction, seizure, and/or civil money penalty actions where warranted.4 While the current study could not determine the outcome of these promotional practices on e-cigarette appeal among adolescents, prior research3 has shown that recognition of cartoon-based imagery increased appeal of e-cigarette–associated products among young adults. Future research should determine how exposure to these marketing strategies affects perceived risks and benefits of e-cigarette use, intentions to use, and use among adolescents.
References
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