Sherry L Emery

Sherry L Emery
NORC at the University of Chicago · Health Media Collaboratory

MBA, PhD

About

163
Publications
25,375
Reads
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6,206
Citations
Citations since 2016
56 Research Items
4014 Citations
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20162017201820192020202120220100200300400500600

Publications

Publications (163)
Article
Health behavior theory establishes that exposure to media messages about a topic influences related knowledge, attitudes, and behavior. Marijuana-related messages proliferating on digital media likely affect attitudes and behavior about marijuana. Most research studying marijuana-related media effects on behavior relies on self-reported survey meas...
Article
Full-text available
Objective: To examine conversations among JUUL users on Reddit related to restrictions on flavored ENDS and the shifting policy landscape. Methods: Posts and comments (n = 166,169) between May 2019 and May 2020 on the subreddit r/JUUL were scraped using pushshift.io API. Keyword filters were used to identify texts discussing flavored ENDS produc...
Preprint
BACKGROUND Misinformation about a potential protective role of nicotine against COVID-19 spread on Twitter despite significant evidence to the contrary. We suggest that the pro-vaping ideological slant of Twitter’s opinion leaders on this subject or “gatewatchers” helped drive the dissemination of such misinformation. OBJECTIVE This research exami...
Article
Background: Misinformation about a potential protective role of nicotine against COVID-19 spread on Twitter despite significant evidence to the contrary. We examine the role of vape advocates in the dissemination of such information through the lens of the gatewatching framework, which posits that top users can amplify and exert disproportionate i...
Article
Full-text available
Objective: To understand the relationship between exposure to online tobacco advertising and current smokeless tobacco use in the context of tobacco control policies. Methods: Three waves of a national probability-based sample of (n = 15,985) youth and young adults were used. Analysis consisted of GEE logistic models controlling for social media...
Article
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In today’s complex media environment, does media coverage influence youth and young adults’ (YYA) tobacco use and intentions? We conceptualize the “public communication environment” and effect mediators, then ask whether over time variation in exogenously measured tobacco media coverage from mass and social media sources predicts daily YYA cigarett...
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Introduction Cigar smoking has increased in recent decades as the cigar product landscape has diversified. This study assessed trends in U.S. cigar sales during 2016–2020. Methods Unit sales and average unit price for cigars were assessed during January 3, 2016–June 13, 2020, overall and by product and flavor type, for the 48 contiguous U.S. state...
Article
Objectives Few e-cigarette social media posts are authentic posts to friends; most come from commercially sponsored influencers. Potential disclosure strategies need to be tested to confirm whether users recognize such posts as commercially sponsored. Methods: Between July - August 2019, young adult (ages 16-24; n = 200) participants were recruited...
Article
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This study used semantic network analysis to investigate the themes of JUUL electronic cigarette-related messages on Instagram posted by three account types (commercial, vape community, and organic users) and explore the function of hashtags in the JUUL-related discourse across these groups. Posts were collected from 1 March 2018 to 15 May 2018. We...
Article
In 2016, a tobacco product commonly referred to as nicotine pouches entered the US market. These prefilled, microfiber pouches contain nicotine powder that dissolves in the mouth without requiring spitting. Nicotine pouches contain nicotine salts that deliver high levels of nicotine with less irritation than the free-base nicotine in most smokeless...
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Youth and young adults are the largest consumers of social media content. Individuals with large followers are paid to share social media content using specific products for compensation. This type of activity is considered commercial sponsorship and requires a disclosure in order to comply with Federal Trade Commission regulations. Between July an...
Article
Reducing tobacco use is an important public health objective. It is the largest preventable cause of death and disease, yet inequalities remain. This study examines combined educational and racial/ethnic disparities in the United States related to cigarette smoking for the three largest racial/ethnic groups (African Americans, Hispanics/Latinos, an...
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Introduction Digital e-cigarette marketing is largely unregulated and remains easily accessible to young people. The growing public concern around youth JUUL use and its viral presence on social media led the company to engage in several voluntary actions to remove and reduce JUUL-related content on Instagram in May 2018. The current study examined...
Article
Introduction: As media exposure can influence people's opinions and perceptions about vaping and smoking, analyzing the valence of media content about tobacco products (i.e., overall attitude toward tobacco, cigars, electronic cigarettes, etc.) is an important issue. This study advances the field by analyzing a large amount of media content about...
Article
Full-text available
Public health organizations are increasingly turning to social media as a channel for health campaign dissemination, as these platforms can provide access to “hidden” or at-risk audiences such as populations of color and youth. However, few studies systematically assess the effects of such campaigns in a competitive communication environment charac...
Article
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Background Electronic nicotine delivery systems (ENDS) are the most-used tobacco product by adolescents, and Juul has rapidly become the most popular ENDS brand. Evidence indicates that Juul has been marketed heavily on social media. In light of recent lawsuits against the FDA spurred by claims that the agency responded inadequately to this marketi...
Article
Background Tobacco product advertising has been shown to reach youth and promote initiation. This study assessed trends in e-cigarette advertising expenditures in the USA during 2014–2018, overall and by manufacturer and media type. Methods Data came from Kantar Media, which provides information on US advertising expenditures, including for e-ciga...
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Public health and social science increasingly use Twitter for behavioral and marketing surveillance. However, few studies provide sufficient detail about Twitter data collection to allow either direct comparisons between studies or to support replication. The three primary application programming interfaces (API) of Twitter data sources are Streami...
Article
Media content can shape people’s descriptive norm perceptions by presenting either population-level prevalence information or descriptions of individuals’ behaviors. Supervised machine learning and crowdsourcing can be combined to answer new, theoretical questions about the ways in which normative perceptions form and evolve through repeated, incid...
Article
Exposure to media content can shape public opinions about tobacco. Accurately describing content is a first step to showing such effects. Historically, content analyses have hand-coded tobacco-focused texts from a few media sources which ignored passing mention coverage and social media sources, and could not reliably capture over-time variation. B...
Article
Objectives: Industry, policymakers, researchers, and others have interest in social media, assuming that they influence – or reflect – individual behavior, despite limited supporting research. Electronic nicotine delivery systems (ENDS) emerged in the United States in the past decade alongside strong social media presence, making ENDS relevant for...
Article
Background JUUL, a high-tech, popular vaping device, was the first major electronic cigarette (e-cigarette) brand to incorporate social media into its marketing strategy. There is growing concern around the increasing use of JUUL and other electronic nicotine delivery devices among youth, and their potential to addict a new generation to nicotine....
Article
Objective As a remedy to committing fraud and violating civil racketeering laws, in November 2017, four major tobacco companies were court-ordered to develop and disseminate corrective statements regarding smoking health risks using mass media channels. We aimed to describe the nature, timing, reach of and exposure to the court-mandated tobacco ind...
Article
E-cigarettes(vape) are now the most commonly used tobacco product among youth in the United States. Ads are claiming e-cigarettes help smokers quit, but most of them contain nicotine, which can cause addiction and harm the developing adolescent brain. Therefore national, state and local health organizations have proposed anti-vaping campaigns to wa...
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Our research provides social scientists with areas of inquiry in tobacco-related health disparities in young adult women and opportunities for intervention, as Instagram may be a powerful tool for the public health surveillance of smoking behavior and social norms among young women. Social media has fundamentally changed how to engage with health-r...
Article
There is growing interest in conducting public health research using data from social media. In particular, Twitter “infoveillance” has demonstrated utility across health contexts. However, rigorous and reproducible methodologies for using Twitter data in public health are not yet well articulated, particularly those related to content analysis, wh...
Article
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Background While national surveys showed declines in e-cigarette use in the USA between 2015 and 2016, recent reports indicate that JUUL, a sleekly designed e-cigarette that looks like a USB drive, is increasingly being used by youth and young adults. However, the extent of JUUL’s growth and its marketing strategy have not been systematically exami...
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The purpose of the study is to investigate how vaping marijuana, a novel but emerging risky health behavior, is portrayed on YouTube, and how the content and features of these YouTube videos influence their popularity and retransmission. A content analysis of vaping marijuana YouTube videos published between July 2014 to June 2015 (n = 214) was con...
Article
Background: LGBT populations use tobacco at disparately higher rates nationwide, compared to national averages. The tobacco industry has a history targeting LGBT with marketing efforts, likely contributing to this disparity. This study explores whether exposure to tobacco content on traditional and social media is associated with tobacco use among...
Article
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Objective To examine the impact of flavour, device type and health warning messages on youth preference for electronic nicotine delivery systems (ENDS), and to provide evidence and data to inform the Food and Drug Administration’s potential regulatory actions on ENDS. Design An online discrete choice experiment was conducted in September 2015. Eac...
Article
Context: Testosterone replacement therapy (TRT) is currently approved by the Food and Drug Administration only for classic hypogonadism, although off-label indications have resulted in a dramatic expansion in prescriptions in the USA. Marketing may significantly affect prescriber behavior. Objective: To systematically review all available eviden...
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The 60% decline in the prevalence of cigarette smoking among U.S. adults over the past 50 years represents a significant public health achievement. This decline was steered in part by national, state, and local tobacco control programs and policies, such as public education campaigns; widespread smoke-free air laws; higher cigarette prices that hav...
Article
Importance: The value of direct-to-consumer advertising (DTCA) of prescription drugs is widely debated, as is the effect of DTCA on prescription sales and health care utilization. Objective: We examined the association between DTCA intensity for statin medications and prescription sales and cholesterol-related health care utilization. Design, s...
Article
Anti-tobacco mass media campaigns are designed to influence tobacco users. It has been proved that campaigns will produce users’ changes in awareness, knowledge, and attitudes, and also produce meaningful behavior change of audience. Antismoking television advertising is the most important part in the campaign. Meanwhile nowadays successful online...
Article
This study examines the relationships between exposure to food and beverage product television advertisements and consumption and obesity outcomes among youth. Individual-level data on fast food and soft drink consumption and body mass index (BMI) for young adolescents from the Early Childhood Longitudinal Study, kindergarten cohort, (1998–1999) an...
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Background : Smoking rates among lesbian, gay, and bisexual (LGB) people significantly exceed that of heterosexuals. Media interventions are an important part of tobacco control efforts, but limited information is available on LGB people's media use.Methods: A nationally representative sample of 12,900 U.S. adults completed an online questionnaire...
Article
Importance Testosterone initiation increased substantially in the United States from 2000 to 2013, especially among men without clear indications. Direct-to-consumer advertising (DTCA) also increased during this time. Objective To investigate associations between televised DTCA and testosterone testing and initiation in the United States. Design,...
Article
Background Menthol cigarettes are used disproportionately by African American, female, and adolescent smokers. Twitter is also used disproportionately by minority and younger populations, providing a unique window into conversations reflecting social norms, behavioral intentions, and sentiment toward menthol cigarettes. Objective Our purpose was t...
Article
Introduction: Tobacco use among transgender adults continues to be an area of research with few reported findings. The limited literature indicates higher cigarette use among transgender adults, compared with the general population. This national study is the first to report on cigarettes, cigars, and e-cigarettes by examining differences in trans...
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This study seeks to analyze fear control responses to the 2012 Tips from Former Smokers campaign using the Extended Parallel Process Model (EPPM). The goal is to examine the occurrence of ancillary fear control responses, like humor. In order to explore individuals’ responses in an organic setting, we use Twitter data—tweets—collected via the Fireh...
Article
As states increasingly liberalize marijuana laws, high-quality research is needed that will inform the public and policymakers about the health and societal impact of these laws. However, there are many challenges to studying marijuana policy, including the heterogeneity of the drug and its use, the variability in the laws and their implementation...
Article
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Objective Despite recent increases in little cigar and cigarillo (LCC) use—particularly among urban youth, African-Americans and Latinos—research on targeted strategies for marketing these products is sparse. Little is known about the amount or content of LCC messages users see or share on social media, a popular communication medium among youth an...
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Background The rapid diffusion of social media in the past decade has allowed community members to sway the discourse on elections. We use analyses of social media to provide insight into why the strong public support 1 year prior to the election did not result in an increased tobacco tax from the 2012 California Proposition 29 vote. Methods Using...
Conference Paper
One of the overarching tasks of document analysis is to find what topics people talk about. One of the main techniques for this purpose is topic modeling. So far many models have been proposed. However, the existing models typically perform full analysis on the whole data to find all topics. This is certainly useful, but in practice we found that t...
Article
Objectives: The objective of this study was to examine changes in the annual number of cigarette advertisements in magazines with a predominantly African-American audience following the broadcast ban on tobacco, and whether fluctuations in cigarette print advertising targeting African Americans during the late-1970s until the mid-1980s were associ...
Article
Trendsettah, Inc. is a cigar and cigarillo-producing company whose brands include Splitarillos cigarillos, Hood Wraps cigars, Blow vaporisers, Vsmoke e-liquids, as well as other brands.1 Trendsettah connects with its consumers through live entertainment, social media and experiential promotion, and is highly active on such social media sites as Twi...
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Background: The video-sharing website, YouTube, has become an important avenue for product marketing, including tobacco products. It may also serve as an important medium for promoting electronic cigarettes, which have rapidly increased in popularity and are heavily marketed online. While a few studies have examined a limited subset of tobacco-rel...
Article
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Background: Social media have transformed the communications landscape. People increasingly obtain news and health information online and via social media. Social media platforms also serve as novel sources of rich observational data for health research (including infodemiology, infoveillance, and digital disease detection detection). While the nu...
Article
Introduction: The electronic cigarette (e-cigarette) market has evolved rapidly in recent years, with exploding growth in brands and product types; however, e-cigarette use among priority (sexual minority and low-income) populations and its relationship with smoking-cessation and tobacco control policies have yet to be fully characterized. Method...
Article
Introduction: Little is known about dissolvable tobacco products (DTPs) compared to other alternative tobacco products (ATPs) like e-cigarettes and snus. We sought to understand U.S. adults' awareness and use of DTPs. Methods: A nationally representative sample of U.S. adults (age ≥18 years, N =17,522) completed an online survey in March 2013 as...
Article
Introduction: Televised direct-to-consumer advertising (DTCA) for prescription drugs is controversial, especially for tobacco cessation products such as varenicline, given mixed evidence of varenicline's effectiveness as well as safety concerns that arose only after its market approval. We aim to quantify the extent to which DTCA influenced vareni...
Article
Introduction: Emerging evidence suggests bisexual populations are at increased risk for a variety of negative health outcomes, including tobacco use. Lesbian, gay and bisexual (LGB) populations are at increased risk for cigarette smoking, but research on LGB subpopulations' use of tobacco products beyond cigarettes and tobacco use differences acro...
Article
Full-text available
Background: The objectives of this study were to document retailer opinions about tobacco control policy at the point of sale (POS) and link these opinions with store level compliance with sales and marketing provisions of the Tobacco Control Act. Methods: This study conducted interviews of 252 tobacco retailers in three counties in North Caroli...
Conference Paper
This short paper introduces the rationale for a workshop on computational health science, and provides a brief overview of the workshop's content. We point out some of the recent research on mining social media data for health, define what we mean by computational health science, and argue the value of meaningful multi-disciplinary collaboration.
Conference Paper
The influence of new social media on health behaviors has been well established. In this paper, we focus on social network activities related to tobacco control advertisement campaigns. We aim to find out how advertising is related to the social media conversation, and to what extent the social conversation stimulates further engagement with the ca...
Article
We assessed public and smoker support for enacted and potential point-of-sale (POS) tobacco-control policies under the Family Smoking Prevention and Tobacco Control Act. We surveyed a US nationally representative sample of 17 507 respondents (6595 smokers) in January through February 2013, and used linear regression to calculate weighted point esti...
Article
Full-text available
Objectives This cross-sectional study examined price-related promotions for tobacco products on Twitter. Methods Through the Twitter Firehose, we obtained access to all public tweets posted between 6 December 2012 and 20 June 2013 that contained a keyword suggesting a tobacco-related product or behaviour (eg, cigarette, vaping) in addition to a ke...
Article
“Tips from Former Smokers” (Tips) was the first federally funded anti-smoking campaign. Multimedia advertisements showcased former smokers describing their tobacco-related illnesses and encouraging quitting.1 Costing $106 million for 2012 and 2013, Tips is the nation’s most costly tobacco control initiative. However, little is known about its effec...
Article
TV accounts for more than half of pharmaceutical direct-to-consumer advertising (DTCA) spending in the U.S. The purpose of this study is to quantify average household exposure to branded and non-branded (help-seeking) televised prescription drug advertisements and describe variation over time and according to medication indication and geography. In...
Article
The United States is one of only two countries that permit direct-to-consumer advertising (DTCA) of prescription drugs, and many questions remain regarding its effects. To quantify the association between asthma-related DTCA, pharmacy sales and health care utilization. Ecological study from 2005 through 2009 using linked data from Nielsen (DTCA tel...
Article
Potential harms associated with hookah smoking are largely unrecognized and it is emerging as a trendy behavior. To help inform policy and preventive interventions, we used responses from a population survey of US adults to examine risk factors associated with hookah involvement. An online survey of 17,522 US adults was conducted in 2013. The natio...