title: Internet Alcohol Marketing and Underage Alcohol Use.
abstract: OBJECTIVE
  Internet alcohol marketing is not well studied despite its prevalence and potential accessibility and attractiveness to youth. The objective was to examine longitudinal associations between self-reported engagement with Internet alcohol marketing and alcohol use transitions in youth.
  
  
  METHODS
  A US sample of 2012 youths aged 15 to 20 was surveyed in 2011. An Internet alcohol marketing receptivity score was developed, based on number of positive responses to seeing alcohol advertising on the Internet, visiting alcohol brand Web sites, being an online alcohol brand fan, and cued recall of alcohol brand home page images. We assessed the association between baseline marketing receptivity and both ever drinking and binge drinking (≥6 drinks per occasion) at 1-year follow-up with multiple logistic regression, controlling for baseline drinking status, Internet use, sociodemographics, personality characteristics, and peer or parent drinking.
  
  
  RESULTS
  At baseline, ever-drinking and binge-drinking prevalence was 55% and 27%, respectively. Many (59%) reported seeing Internet alcohol advertising, but few reported going to an alcohol Web site (6%) or being an online fan (3%). Higher Internet use, sensation seeking, having family or peers who drank, and past alcohol use were associated with Internet alcohol marketing receptivity, and a score of 1 or 2 was independently associated with greater adjusted odds of initiating binge drinking (odds ratio 1.77; 95% confidence interval, 1.13-2.78 and odds ratio 2.15; 95% confidence interval, 1.06-4.37 respectively) but not with initiation of ever drinking.
  
  
  CONCLUSIONS
  Although high levels of engagement with Internet alcohol marketing were uncommon, most underage youths reported seeing it, and we found a prospective association between receptivity to this type of alcohol marketing and future problem drinking, making additional research and ongoing surveillance important.
authors.affiliation: Departments of Pediatrics, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire Cancer Control Research Program, Norris Cotton Cancer Center, Lebanon, New Hampshire auden.c.mcclure@hitchcock.org.
authors.forename: Auden C
authors.initials: AC
authors.lastname: McClure
authors.affiliation: Departments of Pediatrics, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire Cancer Control Research Program, Norris Cotton Cancer Center, Lebanon, New Hampshire.
authors.forename: Susanne E
authors.initials: SE
authors.lastname: Tanski
authors.affiliation: Cancer Epidemiology, Norris Cotton Cancer Center, Lebanon, New Hampshire.
authors.forename: Zhigang
authors.initials: Z
authors.lastname: Li
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island; and.
authors.forename: Kristina
authors.initials: K
authors.lastname: Jackson
authors.affiliation: Institute for Therapy and Health Research, Kiel, Germany.
authors.forename: Matthis
authors.initials: M
authors.lastname: Morgenstern
authors.affiliation: Biostatistics Shared Resources, Norris Cotton Cancer Center, Lebanon, New Hampshire;
authors.forename: Zhongze
authors.initials: Z
authors.lastname: Li
authors.affiliation: Departments of Pediatrics, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire Cancer Control Research Program, Norris Cotton Cancer Center, Lebanon, New Hampshire.
authors.forename: James D
authors.initials: JD
authors.lastname: Sargent
mesh_terms: D000293:Adolescent; D000434:Alcoholic Beverages / Q000191:economics*; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D020407:Internet; D016015:Logistic Models; D008297:Male; D040541:Marketing / Q000379:methods*; D011446:Prospective Studies; D057566:Self Report; D000066608:Underage Drinking / Q000191:economics / Q000523:psychology / Q000706:statistics & numerical data*; D014481:United States; D055815:Young Adult