随着流媒体平台的普及，人们对烟草广告和促销的担忧也随之出现。虽然通过传统电视 (TV) 媒体渠道进行的烟草营销和促销已得到广泛研究，但人们对通过电视或流媒体平台接触烟草及其相关因素知之甚少。 ，或在美国成年人中在电视或流媒体平台上进行宣传。这项横断面研究使用了美国国家癌症研究所健康信息国家趋势调查 (HINTS 6) 的数据，该调查于 2022 年 3 月 7 日至 11 月 8 日进行。这项全国代表性调查包括非机构化美国平民成年人。主要结果是自我报告在过去 3 个月内接触过电视或流媒体平台上的烟草广告、营销或促销活动。使用多变量调查逻辑回归探索与暴露相关的因素。该研究包括 5775 名参与者（3415 名女性[加权百分比，50.5%]、970 名西班牙裔个体[加权百分比，16.9%]、872 名非西班牙裔黑人或非裔美国人[11.1] %]、3144 名非白人 [61.5%] 和 632 名目前吸烟的人 [12.0%]）。电视或流媒体平台上烟草广告、营销或促销的估计曝光率为 12.4%（95% CI，10.8%-14.2%）。多变量逻辑回归分析显示，高中或以下教育水平的人（调整后的比值比 [aOR]，1.60；95% CI，1.08-2.37）、目前吸烟的人（aOR，1.85）的暴露几率较高。 ; 95% CI, 1.06-3.25)、非西班牙裔黑人或非裔美国人受访者 (aOR, 2.20; 95% CI, 1.40-3.45) 和西班牙裔受访者 (aOR, 1.58; 95% CI, 1.04-2.42)。对美国成年人在电视或流媒体平台上接触烟草广告的流行程度进行研究，发现了不同种族或族裔、教育水平和吸烟状况的接触差异。这些发现强调需要采取有针对性的公共卫生干预措施和监管，以解决这些差异并减少烟草广告对弱势群体的影响。

With the rise in popularity of streaming platforms concerns about exposure to tobacco advertising and promotion have emerged. While tobacco marketing and promotion through traditional television (TV) media channels has been extensively studied, less is known about exposure to tobacco through TV or streaming platforms and its associated factors.To examine the prevalence and factors associated with exposure to tobacco products advertised, marketed, or promoted on TV or streaming platforms among US adults.This cross-sectional study used data from the National Cancer Institute's Health Information National Trends Survey (HINTS 6), conducted from March 7 to November 8, 2022. The nationally representative survey included noninstitutionalized civilian US adults.The primary outcome was self-reported exposure to tobacco advertisements, marketing, or promotion on TV or streaming platforms in the past 3 months. Factors associated with exposure were explored using multivariable survey logistic regression.The study included 5775 participants (3415 females [weighted percentage, 50.5%], 970 Hispanic individuals [weighted percentage, 16.9%], 872 non-Hispanic Black or African American individuals [11.1%], 3144 non-White individuals [61.5%], and 632 individuals who currently smoke [12.0%]). The estimated exposure to tobacco advertisements, marketing, or promotion on television or streaming platforms was 12.4% (95% CI, 10.8%-14.2%). Multivariable logistic regression analysis revealed that exposure odds were higher among those who had a level of education of high school or less (adjusted odds ratio [aOR], 1.60; 95% CI, 1.08-2.37), individuals who currently smoke (aOR, 1.85; 95% CI, 1.06-3.25), non-Hispanic Black or African American respondents (aOR, 2.20; 95% CI, 1.40-3.45) and Hispanic respondents (aOR, 1.58; 95% CI, 1.04-2.42).In this study of the prevalence of exposure to tobacco advertisements on TV or streaming platforms among US adults, disparities in exposure by race or ethnicity, education level, and smoking status were identified. These findings underscore the need for targeted public health interventions and regulation to address these disparities and reduce the impact of tobacco advertisements on vulnerable populations.