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AJPH First Look, published online ahead of print Oct 31, 2006
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American Journal of Public Health, 10.2105/AJPH.2005.083352


Research and Practice

Effect of Televised, Tobacco Company-Funded Smoking Prevention Advertising on Youth Smoking-Related Beliefs, Intentions, and Behavior

Melanie Wakefield 1*, Yvonne Terry-McElrath 2, Sherry Emery 3, Henry Saffer 4, Frank J. Chaloupka 3, Glen Szczypka 3, Brian Flay 3, Patrick M. O'Malley 5, Lloyd D. Johnston 2

1 The Cancer Council Victoria
2 University of Michigan
3 University of Illinois at Chicago
4 Kean University
5 Universityof Michigan

* To whom correspondence should be addressed. E-mail: melanie.wakefield{at}cancervic.org.au.


   Abstract

Objective. To relate exposure to televised youth smoking prevention advertising to youths’ smoking beliefs, intentions, and behaviors.

Methods. We obtained commercial television ratings data from 75 US media markets, and to determine the average youth exposure to tobacco company youth-targeted and parent-targeted smoking prevention advertising. We merged these data with nationally representative school-based survey data (n=103172) gathered from 1999 to 2002. Multivariate regression models controlled for individual, geographic, and tobacco policy factors, and other televised antitobacco advertising.

Results. There was little relation between exposure to tobacco company-sponsored, youth-targeted advertising and youth smoking outcomes. Among youths in grades 10 and 12, during the 4 months leading up to survey administration, each additional viewing of a tobacco company parent-targeted advertisement was, on average, associated with lower perceived harm of smoking (odds ratio [OR]=0.93; confidence interval [CI]=0.88, 0.98), stronger approval of smoking (OR=1.11; CI=1.03,1.20), stronger intentions to smoke in the future (OR=1.12; CI=1.04,1.21), and greater likelihood of having smoked in the past 30 days (OR=1.12; CI=1.04,1.19).

Conclusions. Exposure to tobacco company youth-targeted smoking prevention advertising generally had no beneficial outcomes for youths. Exposure to tobacco company parent-targeted advertising may have harmful effects on youth, especially among youths in grades 10 and 12.

Key Words: Adolescent Health, Health Promotion, Surveys, Tobacco Control




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