TY - JOUR AU - MacMonegle, Anna J. AU - Smith, Alexandria A. AU - Duke, Jennifer AU - Bennett, Morgane AU - Siegel-Reamer, Leah R. AU - Pitzer, Lindsay AU - Speer, Jessica L. AU - Zhao, Xiaoquan PY - 2022 TI - Effects of a National Campaign on Youth Beliefs and Perceptions About Electronic Cigarettes and Smoking T2 - Preventing Chronic Disease JO - Prev Chronic Dis SP - E16 VL - 19 CY - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. N2 - INTRODUCTION Our study assesses the relationship between the exposure of youth to the US Food and Drug Administration's national tobacco public education campaign, The Real Cost, and changes in campaign-focused risk perceptions and beliefs. METHODS A nationally representative cohort study of youth was conducted from June 2018 to July 2019, consisting of a baseline and one follow-up survey. We performed logistic regressions to examine the association between campaign exposure and beliefs. Exposure was measured by self-report as the frequency of exposure to individual campaign advertisements about the health consequences of e-cigarette use and of smoking cigarettes. RESULTS We found that increased levels of exposure to campaign advertising was associated with a significant increase in the odds of reporting agreement with campaign-specific beliefs. Positive patterns of findings were found across multiple items selected by specific advertisements, whereas unrelated beliefs were not associated with advertisement exposure. CONCLUSION A sustained national tobacco public education campaign can change beliefs about the harms of e-cigarette use and cigarette smoking among youth. Combined with other findings from The Real Cost evaluation, results indicate that prevention mass media campaigns continue to be an effective and cost-efficient approach to reduce the health and financial cost of tobacco use in the US. SN - 1545-1151 UR - https://doi.org/10.5888/pcd19.210332 DO - 10.5888/pcd19.210332 ER -