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AJPH First Look, published online ahead of print Oct 15, 2009
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December 2009, Vol 99, No. 12 | American Journal of Public Health 2217-2223
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2009.161638


RESEARCH AND PRACTICE

Effects of Different Types of Antismoking Ads on Reducing Disparities in Smoking Cessation Among Socioeconomic Subgroups

Sarah J. Durkin, PhD, Lois Biener, PhD and Melanie A. Wakefield, PhD

Sarah J. Durkin and Melanie A. Wakefield are with the Centre for Behavioural Research in Cancer, The Cancer Council Victoria, Melbourne, Australia. Lois Biener is with the Center for Survey Research at the University of Massachusetts, Boston.

Correspondence: Correspondence should be sent to Sarah Durkin, PhD, Centre for Behavioural Research in Cancer, The Cancer Council Victoria, 1 Rathdowne St, Carlton, Victoria, Australia, 3053 (e-mail: sarah.durkin{at}cancervic.org.au). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link.

Objectives. We assessed which types of mass media messages might reduce disparities in smoking prevalence among disadvantaged population subgroups.

Methods. We followed 1491 adult smokers over 24 months and related quitting status at follow-up to exposure to antismoking ads in the 2 years prior to the baseline assessment.

Results. On average, smokers were exposed to more than 200 antismoking ads during the 2-year period, as estimated by televised gross ratings points (GRPs). The odds of having quit at follow-up increased by 11% with each 10 additional potential ad exposures (per 1000 points, odds ratio [OR] = 1.11; 95% confidence interval [CI] = 1.00, 1.23; P < .05). Greater exposure to ads that contained highly emotional elements or personal stories drove this effect (OR = 1.14; 95% CI 1.02, 1.29; P < .05), which was greater among respondents with low and mid-socioeconomic status than among high–socioeconomic status groups.

Conclusions. Emotionally evocative ads and ads that contain personalized stories about the effects of smoking and quitting hold promise for efforts to promote smoking cessation and reduce socioeconomic disparities in smoking.




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K. L. Daniel, J. M. Bernhardt, and D. Eroglu
Social Marketing and Health Communication: From People to Places
Am J Public Health, December 1, 2009; 99(12): 2120 - 2122.
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