Undoing an Epidemiological Paradox: The Tobacco Industrys Targeting of US Immigrants
Dolores Acevedo-Garcia, PhD, MPA-URP,
Elizabeth Barbeau, ScD, MPH,
Jennifer Anne Bishop, MPH,
Jocelyn Pan, PhD, MPH and
Karen M. Emmons, PhD
Dolores Acevedo-Garcia, Elizabeth Barbeau, Jennifer Anne Bishop, and Karen M. Emmons are with the Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Mass. Elizabeth Barbeau and Karen M. Emmons are also with the Center for Community-Based Research, Dana-Farber Cancer Institute, Boston. Jocelyn Pan is with the Community Health Program, Tufts University, Medford, Mass.
Correspondence: Requests for reprints should be sent to Dolores Acevedo-Garcia, PhD, MPA-URP, Department of Society, Human Development and Health, Harvard School of Public Health, 677 Huntington Ave, 7th Floor, Boston, MA 02115 (e-mail: dacevedo{at}hsph._arvard.edu).
Objectives. We sought to ascertain whether the tobacco industryhas conceptualized the US immigrant population as a separatemarket.
Methods. We conducted a content analysis of major tobacco industrydocuments.
Results. The tobacco industry has engaged in 3 distinct marketingstrategies aimed at US immigrants: geographically based marketingdirected toward immigrant communities, segmentation based onimmigrants assimilation status, and coordinated marketingfocusing on US immigrant groups and their countries of origin.
Conclusions. Public health researchers should investigate furtherthe tobacco industrys characterization of the assimilatedand non-assimilated immigrant markets, and its specific strategiesfor targeting these groups, in order to develop informed nationaland international tobacco control countermarketing strategiesdesigned to protect immigrant populations and their countriesof origin.
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