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American Journal of Public Health, Vol 90, Issue 3 407-411, Copyright © 2000 by American Public Health Association

JOURNAL ARTICLE

Tobacco marketing and adolescent smoking: more support for a causal inference

L Biener and M Siegel
Center for Survey Research, University of Massachusetts at Boston 02125, USA. lois.biener@umb.edu

OBJECTIVES: This prospective study examined the effect of tobacco marketing on progression to established smoking. METHODS: Massachusetts adolescents (n = 529) who at baseline had smoked no more than 1 cigarette were reinterviewed by telephone in 1997. Analyses examined the effect of receptivity to tobacco marketing at baseline on progression to established smoking, controlling for significant covariates. RESULTS: Adolescents who, at baseline, owned a tobacco promotional item and named a brand whose advertisements attracted their attention were more than twice as likely to become established smokers (odds ratio = 2.70) than adolescents who did neither. CONCLUSIONS: Participation in tobacco marketing often precedes, and is likely to facilitate, progression to established smoking. Hence, restrictions on tobacco marketing and promotion could reduce addiction to tobacco.


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