The two-year investigation into Juul revealed that the company grew quickly in popularity in part by marketing to underage users by organizing launch parties. Juul also hired young and trendy-looking models to appear in advertisements and relied on social media posts to raise brand awareness.

Juul’s use of social media to appeal to young people was a concern that my colleagues and I raised in 2018. We examined whether adolescents – defined in our study as people under age 18 – were following Juul’s official Twitter account and the extent to which adolescents shared Juul’s posts to their own followers – other adolescents.

To accomplish this, we collected all tweets from Juul’s official Twitter account from February 2017 to January 2018. We then identified Juul’s tweets that were retweeted, meaning shared by others on Twitter. We found that there were 721 unique users who shared Juul’s tweets during that time. We then determined whether those unique users were adolescents or adults based on a systematic classification procedure.

Our study showed that 25% of users following Juul were adolescents. We also found that an adolescent could be exposed to Juul’s posts without directly following Juul’s official account, as a result of retweeting.

Our findings have clear implications for public health. For example, a meta-analysis – or study that synthesizes the pertinent and available data on a topic from prior research – found that exposure to online e-cigarette marketing increases an adolescent’s risk of trying e-cigarettes.

While Juul has not admitted any wrongdoing, as part of the settlement it has agreed to refrain from marketing aimed at youth and from depicting persons under age 35 in any marketing. Juul also agreed to forgo the use of paid influencers – public figures with sizable followings on social media platforms who promote products on behalf of brands for monetary compensation or other benefits. And as part of the settlement, the company agreed to refrain from product placement, use of cartoons and other marketing practices that appeal to adolescents.

I’m cautiously optimistic that the settlement reached between Juul and the states will help curb e-cigarette use among adolescents. However, Juul’s share of the e-cigarette market has decreased in recent years, replaced by disposable, one-time-use e-cigarettes like the newly popular PuffBar. PuffBar offers its products in a variety of flavors, which is important because flavored e-cigarettes are trendy among U.S. middle school and high school students.

Juul is just one e-cigarette company that has employed marketing practices that appeal to adolescents. For example, our team’s research found that e-cigarette companies were using cartoons as company logos and in other promotional material. We’ve documented 106 companies that have used cartoons to help establish their brand identities.

In 2021, we examined the associations between recognition of e-cigarette packaging with cartoons and e-cigarette use. We also studied adolescents’ susceptibility to e-cigarette use and their expectations of benefits and risks from use. To assess the degree to which adolescents recognize cartoon images on product labels, we presented adolescents in our study with 40 images of e-cigarette packages – 20 with cartoons and 20 without. We then asked each adolescent whether they recognized the products.

We found a positive association between recognition of cartoon images and e-cigarette use, susceptibility to use and a perceived social benefit of use. In other words, we determined that adolescents recognized e-cigarette-related cartoon marketing, and that these adolescents were using e-cigarettes.

The settlement comes at a time when the public outcry against teen vaping has reached a fever pitch. Although the settlement is an important step forward, research from the tobacco control community shows that marketing practices from tobacco companies can and will influence young people to consider trying tobacco products, including e-cigarettes.

As Juul’s popularity wanes and new e-cigarette companies begin to capture more of the market share, strict measures to curb additional marketing practices will be critical in the efforts to keep more young people from becoming addicted to nicotine.

This article is republished from The Conversation, a nonprofit news site dedicated to sharing ideas from academic experts. .

Read more:
The US government’s call for deep nicotine reduction in cigarettes could save millions of lives – an expert who studies tobacco addiction explains

Cigarette advertising aggressively targets kids in low- and middle-income countries, a new study finds

Jon-Patrick Allem receives funding from Tobacco-Related Disease Research Program (TRDRP), California Tobacco Control Program, and the National Institutes of Health (NIH).