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 preventionadvertising to youths smoking beliefs, intentions, andbehaviors.
Methods. We obtained commercial television ratingsdata from 75 US media markets, and to determine the averageyouth exposure to tobacco company youth-targeted and parent-targetedsmoking prevention advertising. We merged these data with nationallyrepresentative school-based survey data (n=103172) gatheredfrom 1999 to 2002. Multivariate regression models controlledfor individual, geographic, and tobacco policy factors, andother televised antitobacco advertising.
Results. There waslittle relation between exposure to tobacco company-sponsored,youth-targeted advertising and youth smoking outcomes. Amongyouths in grades 10 and 12, during the 4 months leading up tosurvey administration, each additional viewing of a tobaccocompany parent-targeted advertisement was, on average, associatedwith 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 thefuture (OR=1.12; CI=1.04,1.21), and greater likelihood of havingsmoked in the past 30 days (OR=1.12; CI=1.04,1.19).
Conclusions.Exposure to tobacco company youth-targeted smoking preventionadvertising generally had no beneficial outcomes for youths.Exposure to tobacco company parent-targeted advertising mayhave harmful effects on youth, especially among youths in grades10 and 12.
Key Words:
Adolescent Health, Health Promotion, Surveys, Tobacco Control
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