Abstract: Background: In 2021, approximately 76% of middle and high school students were exposed to tobacco advertising through traditional media such as TV programs, and other tobacco exposure channels exist. Tobacco companies utilize strategies that diminish risk perception of tobacco products thereby increasing receptivity to tobacco advertising and imagery. We hypothesize that there are disparities in exposure to tobacco advertising and imagery among youths in the U.S. This study examines the prevalence and sociodemographic disparities in exposure to cigarettes or other tobacco product advertising and imagery among American youths.