© 2002 American Public Health Association
The authors are with the Institute for Health Policy Studies and the Center for AIDS Prevention Studies, University of California, San Francisco. Correspondence: Requests for reprints should be sent to Stanton A. Glantz, PhD, Division of Cardiology, Box 0130, University of California, San Francisco, CA 94143-0130 (e-mail: glantz{at}medicine.ucsf.edu).
Objectives. This article describes the tobacco industry's use of bars and nightclubs to encourage smoking among young adults. Methods. Previously secret tobacco industry marketing documents were analyzed. Results. Tobacco industry bar and nightclub promotions in the 1980s and 1990s included aggressive advertising, tobacco brandsponsored activities, and distribution of samples. Financial incentives for club owners and staff were used to encourage smoking through peer influence. Increased use of these strategies occurred concurrently with an increase in smoking among persons aged 18 through 24 years. Conclusions. The tobacco industry's bar and nightclub promotions are not yet politically controversial and are not regulated by the 1998 Master Settlement Agreement between the industry and the states. Tobacco control advocates should include young adults in research and advocacy efforts and should design interventions to counter this industry strategy to solidify smoking patterns and recruit young adult smokers.
During the 1990s, tobacco industry sponsorship of bars and nightclubs increased dramatically,1,2 accompanied by cigarette brand paraphernalia, advertisements, and entertainment events in bars and clubs.37 Young adults are not immune to late smoking initiation, and they are vulnerable to concentrated tobacco industry marketing. The 1998 National Household Survey on Drug Abuse shows a steady increase in the smoking rate among young adults (aged 1825 years) from 34.6% in 1994 to 41.6% in 1998.8(p22) Wechsler et al. reported an increase in smoking prevalence among college students from 22.3% in 1993 to 28.5% in 1998.9 These results are consistent with the association found in other studies between changes in tobacco marketing and parallel increases in smoking in the target population (e.g., women in the 1930s and 1960s and youth in the 1980s and 1990s1013). In contrast to the view that smoking initiation occurs only before age 18, smoking initiation in young adults (1824 years) occurred frequently during the early and mid 20th century and continues to be high among young adults in some ethnic groups.8,1418 We used previously secret tobacco industry documents to describe why and how the industry uses bars to encourage smoking among young adults. (We use the term "bars" to include bars and nightclubs.) We sought to answer the following questions: (1) How did bar promotions develop, and what were the concomitant marketing benefits? (2) How did these promotions benefit the industry in the research, social, and political arenas? (3) What are the connections between bar promotions and other industry marketing programs, including advertising in the alternative press and studies of peer influence?
We used standard techniques19 to search tobacco industry document archives made available by tobacco litigation during the 1990s. The documents came from 4 sources: the Mangini collection of RJ Reynolds marketing documents at the University of California, San Francisco (http://www.library.ucsf.edu/tobacco/mangini), tobacco industry document Internet sites (Philip Morris, http://www.pmdocs.com; Brown & Williamson, http://www.brownandwilliamson.com; RJ Reynolds, http://www.rjrtdocs.com), and Tobacco Documents Online (http://www.tobaccodocuments.org). We started with keyword searches on "bars," "nightclubs," "young adults," and "promotions," then searched for related documents, using authors, titles, dates, and Bates document numbers. Initial searches yielded thousands of documents; approximately 250 had content relevant to bar and nightclub promotional activities, the alternative press, and young adult peer influence. While the industry often uses the term "young adult" to refer to teenagers, it was clear from the context that the documents we identified were genuinely discussing young adults.
Development of Bar and Nightclub Promotions Early plans for bar promotions were prepared for RJ Reynolds in the mid-1980s as part of a general industry trend toward increasing use of promotions20 to reach young adults. RJ Reynolds' 1983 marketing plan strategy discusses the benefits of a "field marketing" strategy using person-to-person interaction at parties, concerts, and nightclubs to "reinforce Camel's masculine psychological image within the context of programs which are lifestyle oriented" and to integrate smoking with nightlife, music, and sports.21 A proposal by Entertainment Marketing and Communications International submitted to RJ Reynolds in the mid-1980s emphasized the value of the bar setting to reach young people starting to smoke: "In general, this showcase nightclub audience targets perfectly new and current users at a time when brand loyalty is being tested and established."22 A Romann & Tannenholz proposal to Philip Morris also described how its bar and nightclub program would compete with Camel's for the "entry-level" smoker.23 At a 1989 brainstorming session for the Camel Smooth Moves campaign, many of the elements of bar promotions "to elicit consumer involvement," including cigarette sampling, free Camel accessories, amateur band talent contests, comedy clubs, races, beaches, winter resorts, and "cruising," were presented.24 A memorandum between RJ Reynolds executives described details of the promotional activities at Florida nightclubs during US universities' spring break in 1989: The Camel night club entertainment really was "cool." As you entered the club smokers received cigarettes, lighters, Camel t-shirts and a key which you brought over to the Camel tent for a chance to win the car. Once inside the club the classy Smooth Character girls, dressed in bright blue, sang and danced. The crowd was alive when the girls performed. Also, there was a really hip guy with sun glasses who led the girls.25 A detailed report from a marketing firm describes how RJ Reynolds' spring break promotions at Daytona Beach nightclubs used live music, contests, games, and distribution of free cigarette samples: The centerpiece of Camel's Spring Break program is the "Smooth Moves." Essentially the Smooth Moves consists of a male emcee and three very attractive and talented women who perform a professionally produced vocal/dance routine in Daytona's most popular clubs. . . . At each of the individual club promotions involving the Smooth Moves performance, several additional promotions will also be executed. Brown & Williamson's bar promotions training manual outlines similar activities, such as a "Kool Theme Song Sing Along," a dance contest, and cigarette sample distribution.27 Philip Morris events also included provocative games and cigarette sampling.28
Benefits of Bar Promotions to Tobacco Companies and to Bars Establishments participating in Camel promotional activities will be supplied with the following items for special Camel nights and permanent brand presence: Brown & Williamson used these tactics to promote Kool cigarettes in nightclub events during 199230; its training manual instructs employees to remove the promotional materials belonging to competing tobacco companies during Kool events.27 Philip Morris' 1990 bar promotions used Marlboro bar supplies, racing jackets, and pants for staff; in 1991 neon message boards and cocktail trays were added, to be "left behind as mementos from Marlboro."31,32 Tobacco companies also attracted bar owners with financial incentives. In 1991, RJ Reynolds hired Compel Marketing to conduct a survey of bar owners on their views of tobacco bar promotion. Compel recommended the following:
A 1994 report to RJ Reynolds from KBA, an advertising firm that ran the RJ Reynolds Camel Club Program, addressed bar owners' cost concerns: "Using our Camel Club crew, we will approach clubs with promotional opportunities that will not only be cool and exciting, but also cost saving. . . . Being a Camel Club will make the venue eligible for valuable goods and services, both tangible and intangible."34 KBA recommended providing "premiums" worth $12 000 to bar owners and managers,34 as well as offering promotional incentives to bar owners to display advertisements: In exchange for promotional support that we will provide for nightclubs, we will require the club to allow us to install in-club displays. These displays will be designed and coordinated keeping club aesthetics in mind. Nothing produced will be obtrusive, bright or out of the ordinary looking for a nightclub. Some of these items will be bar cigarette dispensers, cash register lights, and display marquees.34 A 1994 Philip Morris contract with a participating club guaranteed Parliament signage at the entrances, on the roof, and in at least 50% of available space during the events.35 Memos from Brown & Williamson and Philip Morris indicate that these practices were expanded through 1995 to promote Lucky Strike and Parliament cigarettes.28,36,37 In a 1996 operating plan, RJ Reynolds also stressed the importance of bartenders' selling cigarettes to bar patrons.38
Other Benefits to the Tobacco Companies In order to monitor our success and evaluate strategies, market research will be a valuable tool. To maintain consistency with underlying discreet feel of the Camel Club Program, it is essential that market research is completed in non obtrusive fashion. A handwritten note on the document says, "This is also a service to the clubprovide them with a general listdon't link back to the clubcovert name-catching. . . . Can tailor a questionnaire for smoking with date of birth with signature."34 Brown & Williamson also designed smoker survey cards to profile smokers during nightclub promotions in 1988.40 In a 1992 report, National Field Marketing Corporation advised the company to present the surveys as entries for a prize drawing.30 Philip Morris documents list "name generation" for the company's consumer database as a primary objective of Parliament and Marlboro promotions.4143 Philip Morris used gifts, luxury car sweepstakes, and interactive video racing games to encourage patrons to fill out marketing surveys.31,44,45 These 1993 promotions generated approximately 1.3 million new names for the Philip Morris database.46 These databases were used to generate smoker profiles, direct mailing campaigns, and conduct telephone research studies after the bar events.47 Minority targeting. Bar promotions were also used to target specific communities, as was the case with RJ Reynolds' 1989 Camel Hispanic Program29 and Philip Morris' Inner City Bar Night Program: To achieve trial, awareness and conversion objectives among Black smokers, Brand recommends an expansion of the Marlboro Menthol Inner City Bar Night Program developed during the second half of 1988. Given that we have limited tools to reach Black smokers, this represents an attempt to penetrate the audience via an aggressive event program which will work in combination with targeted in-store and media efforts.48 Philip Morris planned a $1.2 million expansion of this 1989 program.48 A 1989 Brown & Williamson document also noted Philip Morris' pursuit of the "Black consumer" in bars.40 Brown & Williamson's Kool Festival bar promotion events included a cocktail party for retailers to build awareness of Kool's "involvement in the community."49 A shield from social and political pressures. In the 1990s, bars provided a safe place to continue to promote cigarettes despite increasing social pressures against smoking. Reports from Brown & Williamson and Philip Morris note the "non hostile, festive lifestyle atmosphere"30 and "smoker friendly environment" of bars.50 Bar promotions also conferred protection against clean indoor air laws. In a 1994 report, Philip Morris consultant Romann and Tannenholz observed, "[f]acing increasing restrictions on smoking in public places, parties represent one of the last refugesa place where smoking is not only permissible but part of the shared experience."23 Bar promotions also avoided the controversy around tobacco marketing to children. RJ Reynolds' 1996 operating plan mentions keeping marketing strategies "under the radar."38 A Romann and Tannenholz 1994 market research report for Philip Morris recommends the company avoid political pressure by "develop[ing] a comprehensive below-the-line marketing program." The same report points out that bar promotions would "prevent potential public-relations issues [and] anticipate future restrictions on advertising."23 Romann and Tannenholz correctly anticipated that marketing restrictions would likely be limited to youth and that bar and nightclub promotions would be immune, as they were in the 1998 Master Settlement Agreement.
Bar Promotions and the Alternative Press The Objective KBA advertising, in a 1994 marketing proposal, also recommended the alternative press as media support for bar promotions. The company noted how this technique was used by Girbaud jeans to reach young adults who frequent nightclubs: Every major city in the nation has a number of alternative media outlets. These newspapers and magazines appeal to the urban, progressive trend setters and often have gossip columns that speak of trendy happenings, such as art openings, nightclub events, underground parties, and benefits. These free periodicals are distributed at most trendy nightclubs and are found in the stores and coffeehouses that the club crowd frequents. The 1996 operating plan for RJ Reynolds suggests placement of tobacco advertisements in the alternative press by the "use of club page local media to hype event."38 An analysis of tobacco promotions in the alternative press shows that these strategies were implemented, with the highest concentration of tobacco advertisements in entertainmentfocused sections.1
Bar Promotions and Young Adult Peer Influence In 1992, Philip Morris conducted extensive research in its "Social Networks Project": If data from brief questionnaires can distinguish between leaders and other group members, this capability could be applied to: Philip Morris attempted to design questionnaires that could differentiate leaders from nonleaders in a short telephone survey.55 In the mid-1980s an RJ Reynolds contractor, Entertainment Marketing & Communications International (EMCI), attempted to reach "trendsetters" through make-your-own music videos in bars.22 Brown & Williamson sought to market Lucky Strike cigarettes to social leaders in 1995.36 The relationships between bar owners, club promoters, employees, and patrons provided an ideal social structure for the use of leaders to encourage smoking. In 1994, the KBA advertising firm reported to RJ Reynolds on "trend influence marketing," a strategy that capitalized on clearly defined "leaders": bar owners, bar workers, club promoters, and bar patrons. KBA's "Camel Club Program" sought to influence 3 "tiers": bar owners, workers, and patrons. KBA recommended providing premiums totaling $12 000 to bar owners and managers (the first tier).34 The tobacco-sponsored entertainment events also helped bar owners financially by encouraging patronage and defraying the cost of live entertainment. KBA observed that club promoters were another source of influence: A very important entity in the nightclub scene is the nightclub promoter. Most nightclubs utilize these individuals or groups to promote special events. Promoters are generally the trend setters of the nightclub scene. They define what is hip. A promoter will generate an idea for an event, usually something thematic that involves some sort of entertainment. Bar employees constituted the second tier of KBA's plan. The plan described how to influence bar employees to become allies in marketing cigarettes: Tier Two: Utilize our "foot in the door" to influence bar employees and convert them to Camel brand smokers and promote the brand. . . . Bar employees were also slated to receive $12 000 in premiums, according to KBA's start-up budget.34 Camel's 1996 operating plan also recommended cultivating a relationship with bar workers, stressing that it was "critical to convert bar staff to Camel [so they could] act as selling agents."38 The third tier consisted of trend-setting patrons who would be influenced by the bar management and staff to smoke Camels: Tier Three: Work with the bar employees to influence the trend setting patrons, which will then start to make smoking Camel a recognized trend . . . Ideally, hip young bar patrons would also recruit their nonclub-going friends who viewed them as leaders.
Bar and nightclub promotions started as part of an increase in promotional events that integrated tobacco marketing with young adult activities and reached beginning smokers. They were later expanded to increase consumer involvement and to create smoke-friendly promotional environments. These promotions are also used for marketing research, to target minorities, and as a haven from social pressures. They protect the industry from advertising regulations, clean indoor air laws, and accusations of marketing to adolescents. Bar promotions help the industry engineer peer influence to encourage tobacco use among young adults. The volume of tobacco industry documents (more than 40 million pages) and the inefficiency with which many are indexed makes it difficult to know whether we located all relevant documents. Those we did analyze, however, provide a consistent picture of industry marketing activities that were still observable in bars and clubs in 2001. The fact that these practices have been duplicated over time and replicated by several tobacco companies increases our confidence in these findings. The relationship between tobacco and alcohol use in these venues is beyond the scope of this study, but it is a fertile topic for future inquiry. Bar and nightclub promotions are an example of the tobacco industry's shift from traditional advertising to promotional activities. Tobacco promotional allowances tripled between 1988 and 1998, while spending on advertising remained constant.20 The industry has taken affirmative steps to protect bar promotional venues. The 1998 Master Settlement Agreement between the tobacco industry and many states' attorneys general explicitly exempts marketing in "adult-only facilities" from its limitations on industry activities.56 The industry opposes bar provisions of clean indoor air laws with particular vigor57,58 and has fought hard (if unsuccessfully) to repeal the provisions in California's smoke-free workplace law that apply to bars and clubs.5961 The industry's penetration into bars may have serious implications for smoking initiation among the young adults who frequent bars. The industry's manipulation of peer influence through incentives to "social leaders" can encourage nonsmoking young adults to initiate smoking as well as move experimenters toward addiction.22,23,34 The increase in smoking rates among young adults indicates that their smoking behavior is still amenable to outside influences and suggests the success of the tobacco industry's strategy.8,9 The fact that it is legal for young adults to smoke does not mitigate the public health burden of disease and suffering that will be incurred later in life by these young smokers and the nonsmokers who will be exposed to their secondhand smoke. Tobacco control advocates should include young adults in research and advocacy efforts and should design interventions to counter the tobacco industry's bar promotion strategy. The industry's use of this strategy can also provide a guide for public health practitioners working with young adults. Bars' association with the tobacco industry should be portrayed as negative exploitation of social and cultural institutions. Rather than stressing resistance skills to counter peer pressure, public health educators should seek to identify social leaders and encourage them to promote and defend smoke-free lifestyles. Creation of smoke-free barswith appropriate groundwork and public educationmay be a key to undermining the tobacco industry's efforts to use bars to reestablish the social acceptability of smoking and secondhand smoke.
This work was supported by National Cancer Institute grants CA-61021 and CA-87472 and by the Richard and Rhoda Goldman Fund. This work was presented at the Annual Meeting of the American Public Health Association, Atlanta, Ga, October 2125, 2001.
All authors contributed to the design of the study and writing and editing of the paper. E. Sepe and P. M. Ling collected the data. Accepted for publication October 14, 2001.
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