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			 Based on surveys about a year apart, researchers also found that 
			teens who were more receptive to the marketing were more likely than 
			others to later develop problem drinking. 
			 
			The study team led by Dr. Auden McClure of the Dartmouth-Hitchcock 
			Medical Center in Lebanon, New Hampshire, used data from a 2011 
			survey of about 2,000 youth, ages 15 to 20 years. The participants 
			answered questions about their recollections of having seen alcohol 
			ads online, visiting alcohol websites, recognizing images from brand 
			home pages and being an online fan of brands like Bacardi or Jack 
			Daniels. 
			 
			Almost 60 percent said they had seen alcohol advertising online and 
			13 percent recognized at least one of five brand websites. Six 
			percent said they had been to a brand website and 3 percent were 
			online fans of an alcohol brand. 
			
			  
			The following year, almost 1,600 of the youth completed a follow-up 
			online survey in which they answered questions about ever drinking 
			and binge drinking. At this point, 55 percent of participants said 
			they had ever engaged in any kind of drinking and 27 percent said 
			they had ever been binge drinking, which was defined as having six 
			or more drinks on one occasion. 
			 
			Kids who reported some engagement with the alcohol advertising 
			online in the first survey were about 80 percent more likely than 
			others to have started binge-drinking by the second survey, 
			according to the results in Pediatrics. 
			 
			In turn, greater Internet use, sensation seeking, having family or 
			peers who drank and past alcohol use were all linked to a greater 
			likelihood of being receptive to Internet alcohol marketing. 
			 
			The study authors did not respond to a request for comments. 
			 
			Another recent study in the journal Alcohol and Alcoholism found 
			that Twitter and Instagram accounts created for underage users, and 
			age-gated in principle, could still view and engage with alcohol 
			brand ads on a daily basis (see Reuters Health story of December 18, 
			2015, here: http://reut.rs/1JuhjTN). 
			 
			A Centers for Disease Control and Prevention study released this 
			week found that online e-cigarette ads reach about seven in 10 
			middle and high-school students in the U.S. (see Reuters story of 
			January 5, 2016, here: http://reut.rs/1Pe6z8E). 
			
			  
			Decades of previous research has determined that exposure to alcohol 
			advertising in other forms of media like magazines and television is 
			related to alcohol consumption for teens, said Dana Litt of the 
			Center for the Study of Health and Risk Behaviors at the University 
			of Washington in Seattle, who was not part of the new study. 
			
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			“The interactive nature of internet activity and the sheer amount of 
			alcohol-related content online have led researchers to suggest that 
			these forms of media can be particularly influential sources of 
			alcohol messaging,” Litt told Reuters Health by email. 
			“One of the fundamental concepts of interactive online marketing is 
			engagement, where the goal is not simply to expose consumers to a 
			particular product, but to create an environment in which they are 
			actually interacting with the brand, 'befriending' the product, and 
			integrating it into their personal and social relationships,” she 
			said. 
			 
			It’s still not clear how formal messaging, like alcohol ads on 
			websites, and informal messaging, like seeing an alcohol-related 
			post on a friend’s Facebook page, influences teen alcohol use, Litt 
			noted. 
			 
			Though most alcohol advertisers have pledged to voluntarily 
			self-regulate the ads online and limit targeting of teens, the 
			nature of the Internet makes it very hard, if not impossible, to 
			monitor and enforce these regulations, she said. 
			
			  
			“One thing parents can do is work with their teens on media literacy 
			techniques to help them view ads critically,” Litt said. “For 
			example, discussing who created or paid for the ad, what the ad is 
			targeted to do, and whether the ad shows the full range of 
			alcohol-related consequences (i.e. does it show anything bad about 
			alcohol) may be useful topics to start a conversation and help your 
			teen better understand that alcohol ads communicate the advertiser’s 
			point of view and learn how to challenge what an ad is saying.” 
			 
			SOURCE: http://bit.ly/1S4oB39 Pediatrics, online January 6, 2016. 
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