Publications by authors named "Elise Stevens"

Article Synopsis
  • The study aimed to understand the specific behaviors and reasons behind young adults' co-use of tobacco and cannabis on the same day, going beyond previous research.
  • Conducted with 303 participants aged 18-30, the survey revealed that 94% of those who co-used in the past month did so on the same day, citing cravings and stress as primary motivations.
  • The findings indicated that young adults have different reasons for using cannabis (like effects and variety) compared to tobacco (like convenience and emotional comfort), highlighting the complexity of their substance use habits.
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  • Young adults who vape may experience worsening mental health symptoms, specifically in relation to stress, anxiety, and depression.
  • Those with higher levels of these mental health issues are more likely to vape for reasons like tension reduction and relaxation, especially among individuals who also smoke traditional cigarettes.
  • The study highlights a need for further research to understand the connection between mental health and vaping, aiming to develop effective interventions for vaping cessation.
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Introduction: Mood-tailored communications may help increase the effectiveness of smoking cessation messaging interventions. We used both self-report and psychophysiological measures to test the impact of mood on responses to cessation messages in adults who smoke.

Methods: In a two-part (crowdsourcing and psychophysiological studies) study, the impact of 30 smoking cessation messages comprised of five themes (i.

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Objective: Digital interventions have been widely implemented to promote tobacco cessation. However, implementations of these interventions have not yet considered how participants' e-cigarette use may influence their quitting outcomes. We explored the association of e-cigarette use and quitting smoking within the context of a study testing a digital tobacco cessation intervention among individuals in the United States who were 18 years and older, smoked combustible cigarettes, and enrolled in the intervention between August 2017 and March 2019.

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  • * In a study with 346 participants, those with higher stress levels tended to rate health messages about vaping negatively and showed lower intentions to stop vaping.
  • * Results indicate that stress not only affects how these messages are perceived, but also decreases the likelihood of young adults intending to abstain from vaping, suggesting public health strategies should consider stress factors in their messaging.
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Even though multiple states have approved legal recreational use of cannabis, the expansion of recreational cannabis legalization has led to public health concerns in the United States. Young adults (18-25 years old) have the highest percentage of cannabis use disorder compared to all other age groups. The purpose of this study is to compare cognitive and emotional responses of young adults who use cannabis and non-users to two anti-cannabis media campaigns that employed different message strategies.

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Introduction: Many US young adults are susceptible to waterpipe (i.e., hookah) tobacco smoking (WTS) initiation, but research on factors associated with WTS susceptibility is limited.

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Purpose: Young adults' e-cigarette use is a leading public health concern. Using messages from credible sources can help improve message acceptance, yet little research has examined the role of source credibility on young adults' responses to e-cigarette education messages.

Methods: We examined the impact of source on young adults' perceptions of e-cigarette education messages and e-cigarettes.

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  • The study investigated how financial disclosures and warning labels in pro-e-cigarette Instagram posts affect attitudes toward the ad and product among youth and young adults.
  • Conducted with 1,687 participants, the experiment revealed that posts with only a financial disclosure garnered more positive attitudes compared to those with both disclosures.
  • The findings suggest that while e-cigarette marketing is impactful, warning labels might be more effective in countering positive perceptions than financial disclosures alone.
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Background: Computer-tailored health communication (CTHC), a widely used strategy to increase the effectiveness of smoking cessation interventions, is focused on selecting the best messages for an individual. More recently, CTHC interventions have been tested using contextual information such as participants' current stress or location to adapt message selection. However, mood has not yet been used in CTCH interventions and may increase their effectiveness.

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Introduction: E-cigarette use is disparately high among sexual minoritized populations. As e-cigarette advertising may influence product appeal, this study tested sexual orientation- and gender-based differences in response to e-cigarette advertisement exposure on advertisement perceptions and product appeal.

Methods: We recruited 497 adults (mean age=31.

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Objectives: To describe adherence to the American Academy of Pediatrics' (AAP) 2017 clinical practice guidelines for follow-up after high blood pressure (BP) screening by pediatric and family medicine providers in a Massachusetts health care system and to assess differences in receipt of follow-up according to child- and clinic-level factors.

Methods: Electronic health record data were analyzed for children aged 3 to 17years who had an outpatient primary care visit during 2018 with a high BP screening (according to AAP guidelines). We classified AAP guideline adherent follow-up as BP follow-up within 6months after an elevated finding (+2-week buffer) and within 2weeks after a hypertensive finding (+2-week buffer).

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Purpose: Young adult lesbian and bisexual women report considerable e-cigarette disparities, which may be attributed to low harm perceptions. No studies have assessed differences in e-cigarette harm perceptions in this group, nor which factors might be intervention targets to influence harm perceptions.

Materials And Methods: We investigated differences in and modifiable correlates of e-cigarette harm perceptions among young adult lesbian and bisexual women and non-binary people assigned female at birth.

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Objective: To describe the prevalence of blood pressure (BP) screening according to the 2017 American Academy of Pediatrics (AAP) guidelines and differences according to social vulnerability indicators.

Study Design: We extracted electronic health record data from January 1, 2018, through December 31, 2018, from the largest healthcare system in Central Massachusetts. Outpatient visits for children aged 3-17 years without a prior hypertension diagnosis were included.

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The purpose of this study was to identify behavioral and sociodemographic factors associated with intentions to engage with anti-vaping Instagram posts among a young adult population. This study proposes the following research questions: (1) Does e-cigarette use status influence intentions to engage with anti-vaping Instagram posts?, and (2) How are e-cigarette use and social media use associated? We recruited a convenience sample of young adults (N = 459; aged 18-30 years) in July of 2022 into an online experimental study from Prolific. Participants saw five image-based Instagram posts about the health harms of using e-cigarettes.

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Article Synopsis
  • Manufacturers of Puff Bar and Fre nicotine pouches use modified FDA warning labels that emphasize "tobacco free" nicotine to potentially influence consumer perceptions.
  • A study with 239 young adult men showed that exposure to these labels made participants view Puff Bars as more similar to cigarettes and smokeless tobacco, and Fre products as less harmful than smokeless tobacco.
  • These findings highlight the urgent need for regulatory clarity from the FDA regarding "tobacco free" language in warning labels, as it significantly impacts how young adults perceive the safety and substitutability of these products.
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Young adult sexual minoritized women (SMW) are at disproportionate risk for e-cigarette use, which may in part be due to excess minority stress imposed by discrimination exposure. While discrimination exposure is associated with risk for combustible tobacco/nicotine use among SMW, similar associations have yet to be tested with e-cigarettes. Moreover, it is unknown if discrimination-related risk may be mitigated by protective factors such as social support.

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Purpose: We examined how perceived stress and social support were associated with changes in health behaviors during the COVID-19 pandemic among sexual minoritized women (SMW).

Methods: In an online convenience sample of SMW ( = 501,  = 23.6), we used multinomial logistic regression models to estimate associations of perceived stress and social support (emotional, material, virtual, in-person) with self-reported changes (increased or decreased vs.

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The prevalence of e-cigarette use among young people remains high. Young people are susceptible to e-cigarette advertising, although potential heterogeneity in perceptions of e-cigarette ads with respect to age and e-cigarette use history remains unexplored. We aimed to assess differences in perceptions of e-cigarette ads and product use intention, by age and e-cigarette use status.

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Introduction: More than 10% of U.S. young adults have smoked waterpipe tobacco in the past month and >25% of those who have never smoked are susceptible.

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Youth have been the focus of electronic vapor product (EVP) prevention efforts though young adults had similar increases in current EVP use from 2015-2019. This study tested messages to reduce EVP use in young adults. Eight messages on vaping related harms and addictiveness combined with themes on social use and flavors were selected for inclusion in an online randomized controlled trial.

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This study examined the effect of message source credibility on e-cigarette harm perceptions among U.S. young adults.

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Background: The current study examined how cannabis use status impacts cognitive and emotional reactions to public health campaigns about cannabis, and the degree to which these reactions influence message likeability and attitudes about cannabis-related harms.

Methods: In a between-subjects design, 252 subjects recruited via Amazon Mechanical Turk viewed six real-world cannabis education messages: three message themes (cognitive ability, driving, and health harms) from each of two real-world public campaigns. Subjects answered questions measuring their cognitive and emotional reactions to each message as well as message likeability and harm perceptions of cannabis.

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