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February 2, 2026American Journal of Preventive Medicine0 citationsOpen Access

Attentional, Affective, and Cognitive Responses to the Food and Drug Administration’s “The Real Cost” Youth Cigarette and E-Cigarette Prevention Campaigns Among Young Adults

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CWCaitlin WeigerDTDana TfayliMIMaryam Ibrahim

Key Points

  • This research aims to explore how young adults respond to the FDA's prevention campaigns for cigarettes and e-cigarettes, focusing on attentional, affective, and cognitive responses.
  • Analyzed young adults' heart rate and cognitive responses to campaign ads
  • Measured activity in the medial prefrontal cortex during ad exposure
  • Compared responses between cigarette and e-cigarette ads
  • Ads led to a decrease in heart rate during processing
  • Increased cognitive activity was observed specifically for e-cigarette ads
  • Some e-cigarette ads triggered defensive processing, unlike cigarette ads

Abstract

Attentional, affective, and cognitive responses indicated a favorable response to campaign ads. Decreases in heart rate and increases in cognitive activity in the medial prefrontal cortex are associated with message processing and message-consistent behavior change. Some of the E-cigarette ads but none of the cigarette ads elicited cognitive activity associated with defensive processing, potentially owing to young adult's perceptions of E-cigarettes as less harmful than cigarettes. More work will advance the understanding of the rationale for increases in activity associated with defensive processing in response to the E-cigarette ads.

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Cite This Study

Weiger et al. (2026) studied this question.

synapsesocial.com/papers/6980ff08c1c9540dea811a44https://doi.org/10.1016/j.amepre.2025.108204
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