Article Text

Download PDFPDF
Exposure to tobacco in video games and smoking among gamers in Argentina
  1. Adriana Pérez1,
  2. James Thrasher2,
  3. Noelia Cabrera3,
  4. Susan Forsyth4,5,
  5. Lorena Peña3,
  6. James D Sargent6,
  7. Raúl Mejía3,7
  1. 1 Grupo de Bioestadística Aplicada, Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Buenos Aires, Argentina
  2. 2 Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA
  3. 3 Centro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina
  4. 4 Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco, California, USA
  5. 5 School of Nursing, Samuel Merritt University, Oakland, California, USA
  6. 6 Department of Pediatrics, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA
  7. 7 Hospital de Clínicas, Universidad de Buenos Aires, Buenos Aires, Argentina
  1. Correspondence to Dr Raúl Mejía, Centro de Estudios de Estado y Sociedad (CEDES), Buenos Aires C1173AAA, Argentina; raulmejia{at}


Background Our objective was to assess whether exposure to tobacco in video games is associated with smoking among adolescent gamers from Argentina.

Methods Cross-sectional data were analysed from students in public and private middle schools in Argentina. Tobacco content in video games was estimated using previously validated methods and adolescents’ tobacco exposure was assessed by multiplying tobacco content in the top three video games they play by the hours played per day. The primary outcome was current smoking. Multilevel logistic regression models adjusted for clustering within schools, regressing current smoking on tobacco exposure in video games (ie, none, low, high) after controlling for age, sex, parental education, parenting style, parental rules about the use of video games, rebelliousness, sensation seeking and ‘technophilia’.

Results Of the 3114 students who participated, 92% of boys (1685/1802) and 56% of girls (737/1312) played video games and were included in the analytical sample. The prevalence of smoking was 13.8% among boys and 22.0% among girls; 74.5% of boys played video games more than 1 hour per day compared with 47.7% of girls. High exposure to tobacco content in video games compared with no exposure was independently associated with current smoking among girls (OR 1.78; 95% CI 1.02 to 3.09) but not among boys (OR 0.98; 95% CI 0.64 to 1.51).

Conclusions Greater exposure to tobacco content in video games was associated with higher likelihood of smoking among Argentine girls who play video games, suggesting the need for policies that limit these exposures.

  • low/middle income country
  • media
  • advertising and promotion

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors RM, JT and AP conceived and designed the study. LP and NC collected data and helped with the implementation. AP conducted the statistical analysis. RM, AP and JT drafted the manuscript. JDS and SF critically reviewed the article. All authors approved the final manuscript.

  • Funding This work was supported by US Department of Health and Human Services, National Institutes of Health and Fogarty International Center (R01 TW009274 and R01 TW010652).

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval Centro de Educacion Médica e Investigación Clínica (CEMIC).

  • Provenance and peer review Not commissioned; externally peer reviewed.