© 2003 American Public Health Association
Elizabeth A. Smith is with the Department of Social and Behavioral Sciences, School of Nursing, University of California San Francisco. Ruth E. Malone is with the Department of Social and Behavioral Sciences, School of Nursing and the Center for Tobacco Control Research and Education, University of California San Francisco. Correspondence: Requests for reprints should be sent to Elizabeth A. Smith, PhD, Department of Social and Behavioral Sciences, Box 0612, Laurel Heights Campus, University of California San Francisco, San Francisco, CA 94143 (e-mail: libbys{at}itsa.ucsf.edu).
Objectives. This case study describes the events surrounding the first time a major tobacco company advertised in gay media. Methods. We analyzed internal tobacco company documents, mainstream newspapers, and the gay press. Results. Philip Morris was unprepared for the attention its entry into the gay market received. The companys reaction to this incident demonstrates that its approach to the gay community both parallels and diverges from industry strategies toward other marginalized communities. Conclusions. The tobacco industrys relationship to the gay community is relatively undeveloped, a fact that may provide tobacco control advocates an opportunity for early intervention. The gay communitys particular vulnerabilities to the industry make development of gay tobacco control programs crucial to reducing gay smoking prevalence and industry presence in the community.
Numerous studies suggest that gay men have higher smoking prevalence rates than the population as a whole.13 Why gay men are likelier to smoke has not been established. Hypotheses include the stresses of coming out and identity formation, depression, antigay victimization,2 and a desire to fit into a subculture traditionally formed around gay bars, where both drinking and smoking are the norm.4 Little previous work has explored tobacco industry influences on the gay community. Just as it has approached other minorities,57 the tobacco industry has advertised in gay media,8 sponsored gay community events,9 and contributed to gay and AIDS organizations.10,11 The normalizing effects of the tobacco industrys presence in the community may contribute to a higher smoking prevalence12 and predispose the community to view the industry positively, support industry policy positions, and discourage tobacco control measures.13 Advertising may have particular salience in the gay community, where it represents social validation.14 This study used internal tobacco industry documents and secondary historical media sources to explore the origin and reception of the first tobacco advertising in the gay press. As a "first," the campaign and events surrounding it generated discussion at the company and in the press. This historical analysis shows how the tobacco industrys approach to the gay community differs from its approach to racial minorities and suggests that tobacco control advocates have an opportunity to intervene before the relationship between the industry and the gay community becomes fully developed.
Data were collected from the Philip Morris Incorporated document Web site (http://www.pmdocs.com/), which provides access to millions of company documents released as a result of the multistate attorneys general settlements and other cases. Between June 1, 2001, and October 1, 2001, we searched the Philip Morris Web site for documents pertaining to the industrys relationship with the gay community. We used a variety of search terms, including gay, homosexual, queer, and names of gay publications. We extended the searches by using names of individuals, dates, and other indexing information, in a "snowball" search strategy. Further information on document collection and searching strategies was provided previously.15 In addition, major national newspapers and the lesbian and gay press were reviewed for the relevant period. This case study is based on review of 70 industry documents, Lexis/Nexis searches of more than 50 major newspapers, and examination of 13 lesbian and gay periodicals.
Advertising and the Gay Press
Philip Morris Enters the Gay Market Philip Morris did not expect the Genre advertisements to attract attention. The advertisements had no gay-specific content, and the company did not publicize them, aiming instead for a business-oriented story about how the advertising campaign would revitalize the Benson & Hedges brand. Philip Morris gave the story exclusively to Stuart Elliott, a business reporter for the New York Times.26 Although Elliott was openly gay and was interested in gay marketing efforts,21 the Philip Morris brand managers notes27 and Elliotts article28 suggest that Elliott was willing to frame the story as an introduction of the brand to the business community, with no gay angle. However, the exclusive arrangement, designed to help Philip Morris control the press coverage, had the opposite effect.
The Outing of Philip Morris Lipmans story was picked up widely in the national media. Versions appeared in at least 7 big-city daily papers and on national and local television and radio news across the country.3049 This story had several elements that probably displeased Philip Morris. First, some reporters implicitly contrasted the masculine Marlboro Man with presumably effeminate gay men. The Wall Street Journal characterized the advertisements as "unprecedented for . . . Philip Morris, the very company behind the macho Marlboro Man."29 NBC-TV commented that "when Philip Morris created a macho Marlboro Man, the gay man was probably not what [it] had in mind, but he is now."42 The New York Posts lead was even more jocular: "Dont look now, Marlboro Manbut youve got a brand-new gay partner."34 All Things Considered treated this aspect seriously, discussing the Marlboro Mans popularity among gay men.40 Second, some reports suggested that the new product would be a "gay cigarette." Fox News in New York asked, "Well, just when you thought you had heard it all, how about a cigarette manufactured specifically for gays?"44 The New York Posts headline screamed, "New cigs aimed at gay smokers."34 Most of the stories were more nuanced, claiming that the cigarette would be "targeted" to the gay community.36,3942,44 Some reports mentioned targeting only in Philip Morriss denialfor example, "Philip Morris denies that it is targeting any specific consumer group."31,47,48,50 Probably most troubling from Philip Morriss point of view, many reports brought up R.J. Reynolds Uptown fiasco.31,33,34,44,49 In 1989, when R.J. Reynolds plans to market a new, high-nicotine brand called Uptown to African Americans were revealed, African American community health activists, including US Department of Health and Human Services Secretary Louis Sullivan, reacted with outrage. R.J. Reynolds dropped the brand.51 Philip Morris could hardly have been happy to have this story rehashed in connection with its product launch. The accusation of targeting was not entirely accurate. The impetus for advertising in Genre came from the advertising agency.24,25 The agency, in turn, had been actively wooed by Genre.30,52 Philip Morris had not been especially eager. Senior Vice President of Marketing David Dangoor said that there were "long discussions up the line" about the decision. Despite these reservations, Philip Morris ultimately decided that taking this "measured risk" was "the right thing to do."53 Philip Morris apparently did no market research in the gay community before placing these advertisements, although it recognized some of the markets distinctive qualities. In 1993 the Benson & Hedges budget was slashed, but advertisements remained in Out and Genre because the space had already been purchased and was "unsuitable for other brand usage."54 Philip Morris took pains to emphasize that it was not targeting gays. The notes prepared for Michael A. Miles, chairman and chief executive officer of Philip Morris Companies Inc to use at the 1993 shareholders meeting, suggested that he respond to questions with, "We did not develop separate advertising, nor did we attempt to position the brand specifically for gays."55 Some gay men found this to be an effective defense. Elliott, the Times reporter, remarked, "Its not as though you did a special ad with two hunky guys who [had] just had sex with cigarettes in their mouths."56 Little evidence exists of how the story impressed the public. No visible response resembling the anti-Uptown campaigns came from either the gay community or tobacco control advocates. We could locate no newspaper articles or company documents that suggest that the exposure damaged the reputations or market share of the brand or company.
Gay Reaction Others were more ambivalent. The Advocates editor, Jeff Yarbrough, remarked that it was difficult for gay publications to turn down advertisements because they were still "in a beggars position, rather than a choosers position."40 The publisher of Chicagos Outlines newsmagazine said that she "might accept a cigarette ad, but balance it with equal space for a public-service message on cancer risks."37 Another Chicago publisher of a gay periodical said that accepting cigarette advertisements "could damage [his] publications image." He added, "To me, cigarettes kill."37 Hal Offen, a spokesman from the Coalition of Lavender Americans on Smoking and Healthpossibly the only gay tobacco control group then in existencesaid, "This is a community already ravaged by addiction. We dont need the Marlboro Man to help pull the trigger."58,59 A Lambda Legal Defense and Education Fund spokeswoman said, "I dont see how this can be construed as any kind of victory for gay rights."34 Philip Morriss internal account of the gay reaction appears flattering to the company but is not entirely convincing. A media relations brief recounted that Philip Morris had "fielded a variety of calls from the gay community. . . . All callers viewed [Philip Morris advertising] as a very positive step."60 The appreciative feedback is plausible, given the response of Tuthill and Williams and the eagerness of some segments of the gay community for commercial recognition. The company also claimed that it "saw a lot of good stories come out of the gay media praising Philip Morris."26 This claim is not confirmed by a review of the gay press. Of 13 gay papers from across the country, only 4 had any coverage of the incident. The San Francisco Bay Times and the San Francisco Sentinel both quoted Offen. The San Francisco Bay Times headlined its story "Queers to Philip Morris: Drop Dead."58,59 Two papers in Chicago also briefly covered the story.61,62 The Windy City Times was the most industry-favorable, quoting Philip Morriss denial that it was "targeting" gays and mentioning market research about Benson & Hedges popularity among gay men.62 None of these stories praised Philip Morris.
Damage Control
Philip Morris had additional responses to minority group protests in its arsenal; these went unused. For example, the company liked to remind people that it had long supported the African American community by advertising in that communitys publications, using African American models, hiring and promoting African Americans, and supporting institutions such as the United Negro College Fund and others "working for [civil] rights and equal opportunity because it is the right thing to do, not because of any ulterior motives."63 Philip Morris could not have invoked any such long-standing relationship with or support for the gay community because little such support existed. In 1991, Philip Morris agreed to donate $1 200 000 to AIDS groups.7072 The company could have used this donation as evidence of its support of the gay community. It also could have mentioned its financial contributions to GLAAD.68 Instead, Philip Morris spokeswoman Karen Daragan emphasized that the Genre advertisements were an insignificant part of the larger Benson & Hedges marketing plan, saying that the advertisements would appear in "nearly 60 other magazines" besides Genre.30 The "nearly 60" figure was designed to underscore Daragans assertion that Philip Morris marketed to all adults. Daragan also specifically mentioned Playboy and Penthouse as examples,30 emphasizing the "heterosexuality" of the cigarette and the advertisements. Philip Morris was especially eager to avoid any connections to gay sexuality, declining to advertise in The Advocate because that publication contained "sexually explicit ads."25 At the shareholder meeting, Miles was coached to assure his audience that Genre "does not carry personal ads or ads for explicitly sexual products."55 One gay publisher characterized this policy as "homophobia. They dont care about phone-sex ads in Playboy."37 The company disavowed any knowledge of the gay community, telling 1 shareholder that it had "no marketing data specific to the homosexual marketif such a market even exists."73 Denial, attack, and co-option are strategies the company used specifically to respond to accusations of target marketing. Another strategy the company used in a variety of contexts to control the flow of information was concealment. In this case, the company refused to provide a picture of the new brand or its advertising.64 Thus, the story became one about "gay cigarettes," not Benson & Hedges. Philip Morriss management was pleased with the companys recovery from the unwanted press coverage. Five days after the Wall Street Journal story, spokeswoman Daragan remarked that "the news has moved on to the much broader issue of inclusion and does not mention the new cigarette by name."69 And by early September, Senior Vice President of Marketing Dangoor concluded that the "Corporate Affairs Department did an excellent job with damage control. " The initial Wall Street Journal article, Dangoor said, was "very unfortunate and unfair "but again, the brand was not strongly associated with the story, and "the reporting got fairer with time."53
One lesson from the Genre incident is that tobacco control activists should disrupt the industrys tactic of concealment. Philip Morris was pleased that no pictures of the new product or its advertising reached the public and that the association between the "gay targeting" story and the new cigarette was lost. Keeping the focus on Benson & Hedges, ideally in such a way as to threaten its image or sales, might have been effective. A new product is likely the most vulnerable to any kind of negative publicity, as the Uptown episode demonstrated; activists should monitor business and advertising media closely to anticipate such introductions. The Genre story also suggests that timing is a key aspect of combating concealment. Tuthills press release came out a month before the advertisements were in print, so health advocates had time to respond. Advocates could have spent that month developing their own campaign designed for release when the advertisements appeared. Advocates should be ready to capitalize on any attention to the tobacco industry. In this instance, Philip Morris was getting press it did not initiate with an angle that was unexpected, and an opportunity arose to build on the story. On August 15, 1992, a day after the Genre story broke, Doctors Ought to Care, a tobacco control advocacy group of physicians and medical students, released a batch of Philip Morris documents that focused on the companys donations to minority organizations,74 but no link was made to the previous days story. Doctors Ought to Care or other tobacco control activists could have made that link and potentially extended the life of both stories, as well as facilitating alliances among marginalized groups. The desire for acceptance that makes the gay community vulnerable to tobacco advertising also makes it eager to be regarded as a legitimate minority, and this opportunity could have been used to build tobacco control alliances. The Genre episode also illustrates the complexity of the industrys relationships with marginalized groups. With its advertisements in Genre, Philip Morris was entering a lucrative new market and establishing new alliances with little investment. By not developing any gay-specific products or campaigns, Philip Morris protected itself both financially and socially. The companys only expense was for the advertisement itself, and when it was outed, the generic nature of the advertisement made the distancing strategy plausible. At the same time, by establishing itself in the vanguard of companies willing to market to gays, Philip Morris stood to gain valuable brand loyalty. However, Genre was not simply waiting for Philip Morris. The Advocates Yarbrough pointed out that the gay media were beggars, not choosers, but even beggars act on their own behalf. Simply castigating Philip Morris for "targeting" ignores the publishers decision to actively seek tobacco advertising. Tuthill did not see himself as a victim of a predatory industry; rather, he believed that he had elevated the status of the gay community by gaining support from a major corporation. Nor was Tuthill unique. As gay publications such as Genre became mainstream, they were more likely to get tobacco advertising and to become dependent on the revenue once they had it, and they were less likely to develop a critique of any advertiser, including the tobacco industry.18 It was no accident that Philip Morris chose this moment to enter the gay marketand no coincidence that it was welcomed. Thus, the relationship between Philip Morris and Tuthill was a negotiation, though not one between equals. Tuthill was eager for the companys money, but Philip Morris was reluctant to be identified with gay men. And Genre was struggling for social acceptance and financial success, whereas the company was hungry for new markets. This complex of factors means that public health would be well served by the development of an active gay and lesbian tobacco control movement. Objections from outsiders could be dismissed as attempts to keep gay periodicals and the gay community marginal. Health advocates would be unpersuasive if they addressed Tuthill and his ilk as mere victims, rather than acknowledging their agency. Thus, the most effective efforts would come from within the gay community, from those who share the same status and face the same choices as those accepting or courting industry support. The time to formulate this response is now, while the relationship between the industry and the gay community is still relatively young. The contrast with the African American community makes the developmental stage of this relationship clear. Philip Morris, now The Altria Group,75 was, and apparently still is, reluctant to identify or even be associated with the gay community. For instance, it does not publicize its contributions to gay (as opposed to AIDS) organizations such as GLAAD on its Web site (http://www.altria.com). The tobacco industry advertises to the gay community, but unlike other mainstream advertisers, it has yet to develop overtly gay-specific campaigns. The cigarette advertisements in gay magazines do not feature gay couples or symbols. Furthermore, these advertisements do not appear to be the primary support of gay periodicals. Few gay organizations are as publicly linked to the industry as GLAAD. These factors suggest that industry links to the gay community are still relatively weak, so advocates could intercede before community dependence on tobacco money becomes widespread and while public skepticism about the industry is still high. Gay and lesbian tobacco control activists have already developed guidelines to help community organizations make the choice not to accept tobacco money.76,77 These efforts should be nurtured by funding agencies, which could make community-level interventions a priority. Such programs should encourage activists to monitor and challenge tobacco industry support for gay media and organizations. These programs also should forge connections with tobacco control activism in other communities, and with other health activism in the gay community, such as that surrounding AIDS. The Genre story represents an opportunity lost, but it provides useful lessons for tobacco control in the gay community and other marginalized communities just beginning to come to the attention of the tobacco industry.
We thank Naphtali Offen, Margaret Daniel, Larry Goldsmith, Randy Wilson, the members of the Tobacco Policy Research Group at the University of California San Francisco, and the anonymous reviewers for their comments and suggestions. Funding for this research was provided by National Cancer Institute grant R01CA090789. Human Participant Protection This study was approved by the University of California San Francisco committee on human research.
Contributors E. A. Smith and R. E. Malone both participated in the conceptualization, research, and writing of this article. Accepted for publication June 30, 2002.
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