Evidence of a DoseResponse Relationship Between "truth" Antismoking Ads and Youth Smoking Prevalence
Matthew C. Farrelly, PhD,
Kevin C. Davis, MA,
M. Lyndon Haviland, DrPH,
Peter Messeri, PhD and
Cheryl G. Healton, DrPH
Matthew C. Farrelly and Kevin C. Davis are with RTI International, Research Triangle Park, NC. At the time of the study, M. Lyndon Haviland was with, and Cheryl G. Healton is with, the American Legacy Foundation, Washington, DC. Cheryl G. Healton is also with the Mailman School of Public Health, Columbia University, New York, NY. Peter Messeri is with the Mailman School of Public Health, Columbia University.
Correspondence: Requests for reprints should be sent to Matthew C. Farrelly, PhD, RTI International, 3040 Cornwallis Rd, Research Triangle Park, NC 27709 (e-mail: mcf{at}rti.org).
Objectives. In early 2000, the American Legacy Foundation launchedthe national "truth" campaign, the first national antismokingcampaign to discourage tobacco use among youths. We studiedthe impact of the campaign on national smoking rates among USyouths (students in grades 8, 10, and 12).
Methods. We used data from the Monitoring the Future surveyin a pre/post quasi-experimental design to relate trends inyouth smoking prevalence to varied doses of the "truth" campaignin a national sample of approximately 50000 students in grades8, 10, and 12, surveyed each spring from 1997 through 2002.
Results. Findings indicate that the campaign accounted for asignificant portion of the recent decline in youth smoking prevalence.We found that smoking prevalence among all students declinedfrom 25.3% to 18.0% between 1999 and 2002 and that the campaignaccounted for approximately 22% of this decline.
Conclusions. This study showed that the campaign was associatedwith substantial declines in youth smoking and has acceleratedrecent declines in youth smoking prevalence.
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